Michael T Black
Michael T Black is an Attendant Care Provider in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2024
Practice location Address checks out
317 Lad LnRoseburg, OR 97471-4420
Phone: (541) 393-4138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X · Licence 1922258 (OR) |
|---|
Record details
| NPI number | 1316768872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2024 |
| Last updated in NPPES | October 17, 2024 |
| Certification date | October 17, 2024 |
| Mailing address | 317 Lad Ln, Roseburg, OR 97471-4420 |
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