Margaret J Black (NPI# 1659699528, PAC ID# 0648584193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1659699528 |
| PAC ID by PECOS | 0648584193 |
| Professional Enrollment ID | I20180828000858 |
| Full Name | Margaret J Black |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
10151 Se Sunnyside Rd Suite 240 Clackamas OR 97015-5774 |
| Phone Number | 5039621840 |
| Gender | F |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 | 5039621840 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Amelia H Baker | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Street Address |
10151 SE SUNNYSIDE RD SUITE 240 |
| City | CLACKAMAS |
| State | OR |
| Zip | 97015-5774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jo M Martin | Dermatology | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| David S Partch | Physician Assistant | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Dyea L Summers | Physician Assistant | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Una Clare Miniter | Dermatology | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Julianne Thompson | Family Medicine | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Laura D Milner | Psychologist, Clinical | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Selin Y Cronkrite | Physician Assistant | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Carmen M Morales | Physician Assistant | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Terena D Gimmillaro | Family Medicine | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Victoria L Murrell | Physician Assistant | Providence Health and Services Oregon | 10151 Se Sunnyside Rd, Suite 240, Clackamas, OR 97015-5774 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrence A Sedgewick | Orthopedic Surgery | Premere Rehab LLC | 11520 Se Sunnyside Rd, Miramont Pointe, Clackamas, OR 97015-4306 |
| Dayna Lynn Bailey | Speech Language Pathologist | Premere Rehab LLC | 11520 Se Sunnyside Rd, Clackamas, OR 97015-4306 |
| Claire M Mysliwy | Physical Therapy | Premere Rehab LLC | 11520 Se Sunnyside Rd, Miramont Pointe, Clackamas, OR 97015-4306 |
| Guadalupe C Gabba | Nurse Practitioner | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Cheryl A Chessick | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Kathryn N Schwartz | Clinical Social Worker | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Rory E Green | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Mara M Christensen | Clinical Social Worker | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Seema A Dewani | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Erin M Wallace | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Find all physicians in zip 97015 | |||
| City | CLACKAMAS |
| Zip Code | 97015 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLACKAMAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Margaret J Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.