Amy C Black, PA-C | |
1510 Division St, Suite 200, Oregon City, OR 97045-1581 | |
(503) 650-6880 | |
Not Available |
Full Name | Amy C Black |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1510 Division St, Oregon City, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871791699 | NPI | - | NPPES |
500663461 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 1031913 (Missouri) | Secondary |
363A00000X | Physician Assistant | PA163381 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Amy C Black, PA-C Po Box 3158, Portland, OR 97208-3158 Ph: () - | Amy C Black, PA-C 1510 Division St, Suite 200, Oregon City, OR 97045-1581 Ph: (503) 650-6880 |
Charlene Joyce Wipff, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 728 Molalla Ave, Oregon City, OR 97045 Phone: 503-656-9030 | |
Tessa J Molter, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1508 Division St Ste 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 | |
David C Emch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St Ste 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 | |
Caitlyn A Beals, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St Ste 105, Oregon City, OR 97045 Phone: 503-656-0836 | |
Gary M Strosser, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15070 S Maplelane Rd, Oregon City, OR 97045 Phone: 971-219-2495 | |
Tyron Tracy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 728 Molalla Ave Ste A&b, Oregon City, OR 97045 Phone: 503-656-9030 | |
Michael T. Cvitash, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St Ste 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 |