Black, Serena Star
Black, Serena Star is an individual health care provider with primary practice located at 3377 Riverbend Dr , Springfield OR 97477-8803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Black, Serena Star can be contacted via phone (541) 222-8500.Contact Information
Primary practice address
3377 Riverbend Dr
Springfield OR 97477-8803
Phone: (541) 222-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD154349 | Oregon |
Profile Details
| NPI number | 1508007675 |
|---|---|
| LBN Legal business name | Black, Serena Star |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2009 |
| Last updated | Jul 13th, 2011 - about 15 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
-
Hemsley, Gregory B
498 Harlow Rd Ste 5 , Springfield OR 97477-1339 -
Pelinka, Leslie Rae
3377 Riverbend Dr , Springfield OR 97477-8803 -
Kinkel, Amy Nicole
2073 Olympic St , Springfield OR 97477 -
Young, Clayton W
2000 N 19Th St , Springfield OR 97477-2526 -
Crenwelge, Katherine Eva
2000 N 19Th St , Springfield OR 97477-2526 -
Sunada, Fay Y
3377 Riverbend Dr , Springfield OR 97477-8803 -
Hollander, Maureen Fencl
2073 Olympic Street , Springfield OR 97477-3413 -
Joehnk, Finn Jeffrey
3377 Riverbend Dr , Springfield OR 97477