DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PETER D BLACK, LMT

Active Sole Proprietor

MR. PETER D BLACK, LMT is a Massage Therapist healthcare provider located in PORTLAND, Oregon. NPI 1740538628 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PORTLAND, OR

Registration Details

NPI Number
1740538628
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2012 (13.943962853856 yrs)
Last Updated
Feb 12, 2025
Licenses
24898 (OR)
MAT 2885 (HI)
Sole Proprietor
Yes

Practice Information

Address
2610 SE CLINTON ST STE E
PORTLAND, OR, 972021273
Browse OR providers · Browse ZIP 97202
Phone
8082806470
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in PORTLAND, OR

Name Credential NPI
DR. TIMOTHY GENE IRVING DC, LMT 1689655458
MRS. LEAH JOY BOWDER 1275508780
JOANNA L MCCLISH ATC, LMT 1285690396
MR. PABLO CESAR COHEN LMT 1225088263
DIANNE L PERNETTI LMT 1639129315
MR. MICHAEL ALAN BECKLUND LMT 1083667760
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.