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TIMOTHY BLACK
PHYSICIAN ASSISTANT · PORTLAND, OR
Provider
- NPI
1730167271- Credential
- —
- Primary specialty
- PHYSICIAN ASSISTANT
- Gender
- Male
- Medical school
- OTHER
- Graduation year
- 1993
Practice
- Address
- 1 N CTR COURT ST, PORTLAND, OR 972272104
- Phone
- 5037326863
- Accepts Medicare
- Yes (individual)
- Telehealth
- No
Source
- Authoritative
- NPI Registry
- Machine
- JSON-LD · Markdown