SearchOregon3747A0650X

Thomas Black

NPI 1861364754 · on the registry since 2025 · sole proprietor

Practice

Address
405 Pony Ln
Roseburg, OR 97471
Phone
(503) 333-7230

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Male
Record last updated
2025-09-19

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