NPI 1184401077

James Black

Practitioner Personal Care Attendant Wilsonville, OR

Practice location

Address: 29197 SW Orleans Ave APT 111, Wilsonville, OR 97070-7389
Phone: (503) 427-0182
Mailing address: PO Box 8459, Portland, OR 97207-8459

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1184401077
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2023
Record last updated: 13 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.