MICHELLE T BLACK MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1972739001- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1460 NE MEDICAL CENTER DR, BEND, OR, 977016061
- Phone
- (541) 382-6633
- Fax
- (541) 383-4577
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: CA #113466
Radiology, Diagnostic Radiology
License: HI #MD18981
Radiology, Diagnostic Radiology
License: CO #57945
Radiology, Diagnostic Radiology
License: OR #MD226250
Radiology, Diagnostic Radiology
License: KS #04-39604
Radiology, Diagnostic Radiology
License: NE #29776