SearchOregon225200000X

Darra Black, LPTA

NPI 1821250093 · on the registry since 2008

Practice

Address
17111 Se Bush St
Portland, OR 97236
Phone
(503) 465-1031

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-06-30

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