Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710063110 Individual Practitioner Female Practitioner

Angela Marie Black , PA

Physician Assistant • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Angela Black, PA is a registered healthcare professional specializing in Physician Assistant in Tigard, OR. Practice services are available at 11900 SW GREENBURG RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11900 Sw Greenburg Rd

Tigard, OR 972236453

Telephone 5036205556
Fax 5036240118
Associated Practice Facility / Clinic
🏢 Cynthia Gulick, Pc Facility NPI 1467675009

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
50 Specialists

Practicing in Tigard, OR (2106 Statewide)

Telehealth Adoption Rate
26.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA00941

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
PA00941 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Colbie Jorgensen , PT

Physical Therapist

NPI 1043412000

Physical Therapist

Madeline Kauffman , PA-C

Physician Assistant

NPI 1073294245

Physician Assistant (Certified)

Molly Strattan , CNM, FNP

Advanced Practice Midwife

NPI 1104903731

Certified Nurse Midwife, Family Nurse Practitioner

NPI 1114097227

Doctor of Osteopathic Medicine (D.O.)

Angela Patterson , CNM

Advanced Practice Midwife

NPI 1184702185

Certified Nurse Midwife

Collin Stoll , LAC

Acupuncturist

NPI 1205056975

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 06, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 06, 2018

Registered at 11900 SW GREENBURG RD, TIGARD, OR 972236453 (Tel: 5036205556)

📍
Updated Practice Location January 06, 2018

Registered at 11900 SW GREENBURG RD, TIGARD, OR 972236453 (Tel: 5036205556)

👤
Provider Name / Credentials Updated January 06, 2018

Recorded as ANGELA BLACK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2018

Physician Assistant (License #PA00941 in OR)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11900 SW GREENBURG RD, TIGARD, OR 972236453 (Tel: 5036205556)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3007 SABO LN, WEST LINN, OR 970685612

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANGELA LARRABEE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA00941 in OR)

🟢
Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710063110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

11900 Sw Greenburg Rd

Tigard, OR 972236453

Phone: 5036205556

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.