Thomas A Black
Thomas A Black is an Attendant Care Provider in Roseburg, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
405 Pony LnRoseburg, OR 97471-9775
Phone: (503) 333-7230
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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 |
|---|
Record details
| NPI number | 1861364754 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2025 |
| Last updated in NPPES | September 19, 2025 |
| Certification date | September 19, 2025 |
| Mailing address | 405 Pony Ln, Roseburg, OR 97471-9775 |
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