Search › Washington › 2083P0011X
Peter Black, MD
NPI 1265460406 · on the registry since 2006
Practice
- Address
- 8716 E Mill Plain Blvd
Vancouver, WA 98664 - Phone
- (360) 514-4325
- Fax
- (360) 514-4336
- Organisation at this address
- Dynamic Foot And Ankle Llc
Southwest Washington Medical Center Anticoagulation ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Additional practice sites
- 4805 Ne Glisan St, Portland, OR
Registry record
- Primary taxonomy
- 2083P0011X
2083P0011X
- Also registered as
- 207R00000X
2083P0011X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington