Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDY BLACK, M.D.
ActivePediatrics · ROSEBURG, OR
Registration Details
- NPI Number
- 1770786667
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2007 (18.934043976797 yrs)
- Last Updated
- Aug 7, 2025
- Licenses
-
MD 170104 (OR)036113715 (IL)MD170104 (OR)036113715 (IL)
Practice Information
- Address
-
1937 W HARVARD AVEROSEBURG, OR, 974712720Browse OR providers · Browse ZIP 97471
- Phone
- 5416777200
- Fax
- 5412293309
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- 202C00000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| ROBERT LOUIS DANNENHOFFER | MD | 1306873393 |
| JACQUELYN OUTCALT GROSHONG | M.D. | 1700893674 |
| AMBER R. MILLER | D.O. | 1700987203 |
| ARIC A GROSHONG | MD | 1619078110 |
| DR. LUCINDA JANE DYKES | M.D. | 1396986782 |
| DR. BETH CARD GALLANT | DO | 1922381565 |
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.