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Michael Black
NPI 1316768872 · on the registry since 2024 · sole proprietor
Practice
- Address
- 317 Lad Ln
Roseburg, OR 97471 - Phone
- (541) 393-4138
Registry record
- Primary taxonomy
- Attendant Care Provider
3747A0650X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-17
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 Oregon