Black, Michael R

Black, Michael R is an individual health care provider with primary practice located at 901 Rainier Ave S , Seattle WA 98144-2839. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Black, Michael R can be contacted via phone (206) 470-3880.

Contact Information

Primary practice address
901 Rainier Ave S Seattle WA 98144-2839
Phone: (206) 470-3880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN60417384 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP70094717 Washington

Profile Details

NPI number 1750858072
LBN Legal business name Black, Michael R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Apr 23rd, 2026 - about 6 months 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.

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