Doctor Name: | ELIZABETH A BLACK |
NPI Number: | 1932179025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS PT |
License Number: | 4462 |
Business Practice Address: | 7927 Se Orient Dr Gresham, OR - 97080 |
Business Phone Number: | 5036630332 |
Business Fax Number: | 5036631114 |
Mailing Address: | 6954 Ne Davis St, PORTLAND |
State: | OR |
Postal Code: | 97213 |
Phone Number: | 5032350930 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |