ANDREW ALLEN BLACK (NPI# 1063838720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063838720 |
| Entity Type | Individual |
| Full Name | ANDREW ALLEN BLACK |
| Credential | LMT |
| Practice Address |
14511 Westlake Dr Ste 100 Lake Oswego OR 97035-7727 |
| Mailing Address |
6145 Sw Shannon Ct Beaverton OR 97008-4668 |
| Practice Telephone | 5035988099 |
| Practice Fax Number | 5035983980 |
| Mailing Telephone | 5035988099 |
| Mailing Fax Number | 5035983980 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 19070 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1548408669 | Andrew P Black | Podiatrist | 1050 Sw 3rd Ave Ste 400, Ontario, OR 97914-2197 | 2009-01-27 |
| 1457480659 | Andrew Steven Black | Chiropractor | 64 Fulton St, Ground Floor Office, New York, NY 10038-1854 | 2007-03-05 |
| 1659318020 | Andrew James Black | Internal Medicine | 2215 Burdett Ave., Hmp of Samaritan, Troy, NY 12180-2466 | 2006-06-02 |
| 1851392351 | Andrew William Black | Internal Medicine | 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | 2005-08-09 |
| 1346726999 | Andrew Black | Nurse Practitioner | 5041 Victor Dr Ste C, Medina, OH 44256-6028 | 2018-07-17 |
| 1740787241 | Andrew Black | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-04-11 |
| 1306204193 | Andrew Black | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-02-08 |
| 1245620137 | Andrew Black IIi | Physical Therapist | 1725 Laskin Rd, Virginia Beach, VA 23454 | 2015-01-29 |
| 1417222340 | Andrew Patrick Black | Pharmacist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2012-03-10 |
| Street Address |
14511 WESTLAKE DR STE 100 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-7727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255626552 | Keahi Health Acupuncture & Herbal Clinic | Acupuncturist | 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 | 2011-06-14 |
| 1457622284 | Westlake Massage Therapy | Acupuncturist | 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 | 2012-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040333 | Elisa Brockway | Massage Therapist | 530 1st St Ste B2, Lake Oswego, OR 97034-3248 | 2020-07-14 |
| 1437795549 | Yan Li | Massage Therapist | 16624 Roosevelt Ave, Lake Oswego, OR 97035-4046 | 2019-11-24 |
| 1972157931 | Xiaoyue O Chin | Massage Therapist | 459 2nd St, Lake Oswego, OR 97034-3126 | 2019-07-29 |
| 1437718764 | Richard C Irvine Jr. | Massage Therapist | 3 Monroe Pkwy Ste 100u, Lake Oswego, OR 97035-1486 | 2019-06-11 |
| 1295214609 | Valencia Arciniega | Massage Therapist | 311 B Ave Ste W, Lake Oswego, OR 97034-3071 | 2018-08-08 |
| 1063914299 | Jessica Gaisford | Massage Therapist | 4 Monroe Pkwy Ste J, Lake Oswego, OR 97035-1406 | 2018-03-03 |
| 1457851149 | Daniel Kler | Massage Therapist | 15110 Boones Ferry Rd Ste 100c, Lake Oswego, OR 97035-3452 | 2018-02-19 |
| 1295243350 | Jenney Lanae Seale | Massage Therapist | 15110 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-3468 | 2018-01-11 |
| 1679082622 | Callie Albertus | Massage Therapist | 16679 Boones Ferry Rd Ste 105, Lake Oswego, OR 97035-4378 | 2017-09-21 |
| 1114436250 | David Holloway | Massage Therapist | 17777 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5398 | 2017-09-20 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on ANDREW ALLEN BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.