| Angela Marie Black, PA | |
|
11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | |
| (503) 620-5556 | |
| (503) 624-0118 |
| Full Name | Angela Marie Black |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 11900 Sw Greenburg Rd, Tigard, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710063110 | NPI | - | NPPES |
| PA00941 | Other | OR | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00941 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Marie Black, PA 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 Ph: (503) 620-5556 | Angela Marie Black, PA 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 Ph: (503) 620-5556 |
Rayna Donnelly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 Phone: 503-620-5614 | |
Madeline Kauffman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 | |
Mrs. Dyea L Summers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-914-8162 | |
Mrs. Hanna Lou Allwein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11958 Sw Garden Place, Tigard, OR 97223 Phone: 503-684-8252 Fax: 866-859-8195 | |
Andrew David Bodmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0700 | |
Charlotte Haws, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12123 Sw 69th Ave, Tigard, OR 97223 Phone: 971-708-7600 Fax: 971-371-5230 | |
Kenric Brion Craver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-216-0700 |