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Search › Oregon › 208000000X

Judy Black, M.D

NPI 1770786667 · on the registry since 2007

Practice

Address
1937 W Harvard Ave
Roseburg, OR 97471
Phone
(541) 677-7200
Fax
(541) 229-3309
Organisation at this address
Evergreen Family Medicine, Pc
Centennial Medical Group East, Llc
Centennial Medical Group East, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
202C00000X
208000000X
208000000X
Licence states on file
OR, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-07

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