Black, Darra
Black, Darra is an individual health care provider with primary practice located at 17111 Se Bush St , Portland OR 97236-1260. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Black, Darra can be contacted via phone (503) 465-1031.Contact Information
Primary practice address
17111 Se Bush St
Portland OR 97236-1260
Phone: (503) 465-1031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 7725 | Oregon |
Profile Details
| NPI number | 1821250093 |
|---|---|
| LBN Legal business name | Black, Darra |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Jun 30th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Perry, Susan
6530 Sw 30Th Ave , Portland OR 97239-1007 -
Lane, Barbara
9750 Ne Glisan St , Portland OR 97220-4449 -
Aichele, Karen Lou
11325 Ne Weidler St , Portland OR 97220-1950 -
Hawks, Monique Lynn
11300 Ne Halsey St Ste 102 , Portland OR 97220-2013 -
Cook, Rita Michelle
13848 Se Carlton St , Portland OR 97236-4478 -
Gabrielson, Faith Danette
11325 Ne Weidler St , Portland OR 97220-1950 -
Skyles, Lori Lynn
1100 Ne 178Th Ave , Portland OR 97230-6322 -
Hill, Terin
5601 Se 122Nd Ave , Portland OR 97236-4601