Miranda Black, LAC - Acupuncturist in Grants Pass, OR

Miranda Black, LAC is a Acupuncturist based in Grants Pass, Oregon. Miranda Black is licensed to practice in Oregon (license number AC01255) and her current practice location is 228 Nw B St, Grants Pass, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 244-0111.

NPI number for Miranda Black is 1902049554 and her current mailing address is 228 Nw B St, Grants Pass, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902049554.

Contact Information

Miranda Black, LAC
228 Nw B St,
Grants Pass, OR 97526-2032
(541) 244-0111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMiranda Black
GenderFemale
SpecialityAcupuncturist
Location228 Nw B St, Grants Pass, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902049554
  • Provider Enumeration Date: 04/13/2009
  • Last Update Date: 06/13/2013

Medical Identifiers

Medical identifiers for Miranda Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902049554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist AC01255 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miranda Black, LAC
228 Nw B St,
Grants Pass, OR 97526-2032

Ph: (541) 244-0111
Miranda Black, LAC
228 Nw B St,
Grants Pass, OR 97526-2032

Ph: (541) 244-0111

Reviews and Comments


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