Fred Black Md Pc

  • 1710970330 NPI Number
  • |
  • Actived: 18 years ago
  • |
Fred Black Md Pc is a health care provider based in Roseburg, OR. The NPI Number is 1710970330 and it has been active since 18 years ago. The specialty is Family Medicine, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Family Medicine services, Fred Black Md Pc is an excellent option. We are here to help you get the care you need.

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Overview of Fred Black Md Pc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 08/30/2005
  • Last updated: 11/21/2011

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: MD10476
  • License State: OR

Provider Mailing Address

  • Address: 2282 Nw Troost St
    Suite 103
    Roseburg, OR 97471
  • Phone: 541-672-0497
  • Fax: 541-957-2663

Provider Practice Location

  • Address: 2282 Nw Troost St
    Suite 103
    Roseburg, OR 97471
  • Phone: 541-672-0497
  • Fax: 541-957-2663

Authorized Official

  • Name: Frederick J Black MD
  • Position/Title: President
  • Telephone Number: 541-672-0497

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: MD10476
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 218557
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Fred Black Md Pc?
  • A: The npi number for Fred Black Md Pc is 1710970330.
  • Q: What are Fred Black Md Pc's specialties?
  • A: Fred Black Md Pc's specialties are Family Medicine and different specialities.
  • Q: Where is Fred Black Md Pc business practice location?
  • A: Fred Black Md Pc business practice location is 2282 Nw Troost St, Roseburg, OR 97471.
  • Q: How to contact Fred Black Md Pc?
  • A: You can contact Fred Black Md Pc via 541-672-0497.
  • Q: What is the authorized official for Fred Black Md Pc?
  • A: The authorized office name is Frederick J Black MD with position/title is President and you can reach the authorized official via phone number 5416720497.