Black, Katherine Rollins
Black, Katherine Rollins is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Ste 410 , Portland OR 97210-2911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Black, Katherine Rollins can be contacted via phone (503) 229-7137.Contact Information
Primary practice address
1130 Nw 22Nd Ave Ste 410
Portland OR 97210-2911
Phone: (503) 229-7137
Fax: (503) 241-0628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD156824 | Oregon |
Profile Details
| NPI number | 1801018122 |
|---|---|
| LBN Legal business name | Black, Katherine Rollins |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Mar 21st, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801018122 | NPPES |
| Oregon | MEDICAID | 500647193 | |
| Oregon | Other | MD156824 |
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