Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY BLACK, PA
ActiveMR. TIMOTHY BLACK, PA is a Surgical Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1730167271 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · VANCOUVER, WA
Registration Details
- NPI Number
- 1730167271
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2006 (20.56421621571 yrs)
- Last Updated
- Aug 7, 2018
- License
-
PA60650228 (WA)
Practice Information
- Address
-
200 NE MOTHER JOSEPH PLSUITE 110VANCOUVER, WA, 98664Browse WA providers · Browse ZIP 98664
- Phone
- 3602546161
- Fax
- 3604491146
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| LAURA DEESHA RAMME | PAC | 1457343766 |
| REBECCA L BABCOCK | PA-C | 1578508552 |
| KYLE I. PIRTLE | P.A.-C. | 1275578742 |
| CHRISTOPHER E. CARSON | P.A.-C. | 1912942079 |
| BONNIE L. ROSENFELD | P.A.-C. | 1225074990 |
| MICHAEL WALTER HIBBS | PA | 1881702033 |
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.