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

Judy Black, MD

Individual provider Pediatrics Physician · NPI 1770786667

Judy Black, MD is a Pediatrics Physician in Roseburg, Oregon. Licensed in Illinois and Oregon. Registered with an NPI since 2007.

Licensed in
IL, OR
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1937 W Harvard Ave
Roseburg, OR 97471-2720
Phone: (541) 677-7200
Fax: (541) 229-3309
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD 170104 (OR)
Independent Medical Examiner Physician Taxonomy 202C00000X · Licence 036113715 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence MD170104 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence 036113715 (IL)

Record details

NPI number1770786667
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2007
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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