Black, Peter K

Black, Peter K is an individual health care provider with primary practice located at 8716 E Mill Plain Blvd , Vancouver WA 98664-2531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Black, Peter K can be contacted via phone (360) 514-4325.

Contact Information

Primary practice address
8716 E Mill Plain Blvd Vancouver WA 98664-2531
Phone: (360) 514-4325
Fax: (360) 514-4336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X MD24481 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD61439872 Washington
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X MD61439872 Washington

Profile Details

NPI number 1265460406
LBN Legal business name Black, Peter K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 3rd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265460406 NPPES
Oregon MEDICAID 227426
Oregon Other P00464800

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