Black, Dana M

Black, Dana M is an individual health care provider with primary practice located at 10401 Ne Fourth Plain Rd Suite 101, Vancouver WA 98662-6308. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Black, Dana M can be contacted via phone (360) 892-5142.

Contact Information

Primary practice address
10401 Ne Fourth Plain Rd Suite 101 Vancouver WA 98662-6308
Phone: (360) 892-5142
Fax: (360) 892-2157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X TL10000766 Washington

Profile Details

NPI number 1851437347
LBN Legal business name Black, Dana M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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