Search › Oregon › 183500000X
Laird Black
NPI 1326391012 · on the registry since 2012
Practice
- Address
- 821 S Main St
Myrtle Creek, OR 97457 - Phone
- (541) 863-6383
- Fax
- (541) 863-6023
- Organisation at this address
- Dahisse Inc
Dahisse IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-18
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