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

Jeanette Black

Individual provider Case Management Agency · NPI 1174668875

Jeanette Black is a Case Management Agency in Gold Beach, Oregon. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

29413 Russell St
Gold Beach, OR 97444-7748
Phone: (541) 247-6566
Fax: (541) 247-6549
Show map & directions

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

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1174668875
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address3587 Heathrow Way, Medford, OR 97504-4004