Individual
DR. JOSEPH L BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, FAMILY MEDICINE SOUTH WATERFRONT CLINIC, PORTLAND, OR 97239-4501
(503) 494-6616
(503) 346-6846
Mailing address
3181 SW SAM JACKSON PARK RD, FAMILY MEDICINE, MAIL CODE FM, PORTLAND, OR 97239-3011
(503) 494-6616
(503) 346-6846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13149
OR
Other
Enumeration date
01/19/2007
Last updated
10/04/2012
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