1. Home
  2. Directory
  3. Oregon
  4. Tigard
  5. Physician Assistant
  6. NPI Profile

ANGELA MARIE BLACK PA
NPI 1710063110
Physician Assistant in Tigard, OR

Active since October 27, 2006
11900 SW GREENBURG RD, TIGARD, OR 97223(503) 620-5556(503) 624-0118 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angela Marie Black Pa NPPES

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

ANGELA MARIE BLACK PA (NPI 1710063110) is an individual physician assistant in Tigard, Oregon, licensed in Oregon (PA00941) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1710063110
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANGELA MARIE BLACKCredential: PA
Location Address11900 SW GREENBURG RDTigard, OR 97223-6453
Mailing Address11900 Sw Greenburg RdTigard, OR 97223-6453 · (503) 620-5556 · Fax (503) 624-0118
Phone(503) 620-5556
Fax(503) 624-0118
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1710063110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA00941
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11900 SW GREENBURG RD, Tigard, OR 97223
Open in Google Maps ↗

Other Identifiers 1

OtherPA00941OR · State License

Other Providers at the Same Location NPPES 20

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

COLBIE J JORGENSEN PT
Physical Therapist
11900 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 620-5556
MADELINE KAUFFMAN PA-C
Physician Assistant
11900 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 620-5556
MS. MOLLY STRATTAN CNM, FNP
Advanced Practice Midwife
11900 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 620-5556
MICHELE NICOLETTE ADAMCAK D.O.
Family Medicine
11900 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 620-5556
ANGELA PATTERSON CNM
Advanced Practice Midwife
11900 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 620-5556
MR. COLLIN DEREK STOLL L.AC.
Acupuncturist
11900 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 620-5556
MISS SIMONE ANNA CROTHERS M.A.
Counselor
11900 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 620-5556
MRS. JENNIFER ANN NIEVES APRN
Nurse Practitioner (Psychiatric/Mental Health)
11900 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 386-5424

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 Angela Black's NPI number?

The NPI number for Angela Black is 1710063110. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Angela Black located?

Angela Black practices at 11900 SW Greenburg Rd, Tigard, OR 97223. The listed phone number is (503) 620-5556.

What is Angela Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Angela Black was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.