Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Marie Black, PA

Individual provider Physician Assistant · NPI 1710063110

Angela Marie Black, PA is a Physician Assistant in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

11900 SW Greenburg Rd
Tigard, OR 97223-6453
Phone: (503) 620-5556
Fax: (503) 624-0118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00941 (OR)

Record details

NPI number1710063110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESMarch 7, 2023

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