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

Darra Black, LPTA

Individual provider Physical Therapy Assistant · NPI 1821250093

Darra Black, LPTA is a Physical Therapy Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008

Practice location Address checks out

17111 SE Bush St
Portland, OR 97236-1260
Phone: (503) 465-1031
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 7725 (OR)

Record details

NPI number1821250093
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedJune 30, 2008
Last updated in NPPESJune 30, 2008

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