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DOUGLAS LEE BLACK LMP
NPI 1295855138
Massage Therapist in Vancouver, WA

Active since March 31, 2007
16906 SE 1ST ST STE 103, VANCOUVER, WA 98684(360) 903-9963 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 30, 2017 (3 updates tracked since 2017).

About Douglas Lee Black Lmp NPPES

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

DOUGLAS LEE BLACK LMP (NPI 1295855138) is an individual massage therapist in Vancouver, Washington, licensed in Washington (MA00011374) and active in the NPI registry since March 2007. He maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1295855138
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDOUGLAS LEE BLACKCredential: LMP
Location Address16906 SE 1ST ST STE 103Vancouver, WA 98684-8512
Mailing Address6700 Ne 162nd Ave Ste 611Vancouver, WA 98682-3899 · (360) 903-9963
Phone(360) 903-9963
Sole ProprietorYes
Enumeration DateMarch 31, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1295855138 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 WA · MA00011374
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.
16906 SE 1ST ST STE 103, Vancouver, WA 98684
Open in Google Maps ↗

Secondary Practice Location 1

Location 16700 NE 162nd Ave Ste 415Vancouver, WA 98682-3863 · Phone (360) 903-9963

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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.

NW MASSAGE THERAPY CORP
Massage Therapist
16906 SE 1ST ST STE 103
VANCOUVER, WA 98684
Clark County (360) 903-9963
HEALING IN MOTION INC
Massage Therapist
16906 SE 1ST ST STE 103
VANCOUVER, WA 98684
Clark County (360) 524-1420

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 Douglas Black's NPI number?

The NPI number for Douglas Black is 1295855138. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Where is Douglas Black located?

Douglas Black practices at 16906 SE 1st St Ste 103, Vancouver, WA 98684. The listed phone number is (360) 903-9963.

What is Douglas Black's specialty?

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

What insurance does Douglas Black accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Douglas Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Black was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.