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ANDREW ALLEN BLACK LMT
NPI 1063838720
Massage Therapist in Lake Oswego, OR

Active since March 05, 2014
14511 WESTLAKE DR STE 100, LAKE OSWEGO, OR 97035(503) 598-8099(503) 598-3980 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Allen Black Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW ALLEN BLACK LMT (NPI 1063838720) is an individual massage therapist in Lake Oswego, Oregon, licensed in Oregon (19070) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1063838720
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameANDREW ALLEN BLACKCredential: LMT
Location Address14511 WESTLAKE DR STE 100Lake Oswego, OR 97035-7727
Mailing Address6145 Sw Shannon CtBeaverton, OR 97008-4668 · (503) 598-8099 · Fax (503) 598-3980
Phone(503) 598-8099
Fax(503) 598-3980
Sole ProprietorNo
Enumeration DateMarch 5, 2014
Last NPPES UpdateJanuary 16, 2019
✔ NPI 1063838720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 19070
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

14511 WESTLAKE DR STE 100, Lake Oswego, OR 97035
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEAHI HEALTH ACUPUNCTURE & HERBAL CLINIC
Acupuncturist
14511 WESTLAKE DR STE 100
LAKE OSWEGO, OR 97035
Clackamas County (971) 998-7781
WESTLAKE MASSAGE THERAPY
Homeopath
14511 WESTLAKE DR STE 100
LAKE OSWEGO, OR 97035
Clackamas County (503) 598-8099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Black's NPI number?

The NPI number for Andrew Black is 1063838720. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Where is Andrew Black located?

Andrew Black practices at 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035. The listed phone number is (503) 598-8099.

What is Andrew Black's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Andrew Black was last updated on January 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.