Search › Washington › 172M00000X
Heather Black, LMP
NPI 1619276615 · on the registry since 2011 · sole proprietor
Practice
- Address
- 720 S 333rd St
Suite 218
Federal Way, WA 98003 - Phone
- (206) 445-5011
- Fax
- (253) 561-7356
- Clinicians at this address
- 41
Registry record
- Primary taxonomy
- 172M00000X
172M00000X
- Also registered as
- 172M00000X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-04
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