Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER K BLACK, MD
ActivePETER K BLACK, MD is a 2083P0011X healthcare provider located in VANCOUVER, Washington. NPI 1265460406 is currently active in the NPPES registry. Verify at CMS.
2083P0011X · VANCOUVER, WA
Registration Details
- NPI Number
- 1265460406
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (20.158128507972 yrs)
- Last Updated
- Jun 26, 2025
- Licenses
-
MD61439872 (WA)MD24481 (OR)MD61439872 (WA)
Practice Information
- Address
-
8716 E MILL PLAIN BLVDVANCOUVER, WA, 986642531Browse WA providers · Browse ZIP 98664
- Phone
- 3605144325
- Fax
- 3605144336
- Primary Specialty
-
2083P0011X
2083P0011X
- Additional Specialty
- 2083P0011X
- Additional Specialty
- 2083P0011X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.