TIMOTHY BLACK, PA

PA

Surgical Physician Assistant

NPI: 1730167271IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

PA60650228(WA)

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 1993

Contact & Hours

Address: 200 NE MOTHER JOSEPH PL, SUITE 110
VANCOUVER, WA 98664
Phone: (360) 254-6161

Location

Practice Location

200 NE MOTHER JOSEPH PL, VANCOUVER, WA

Quick Facts

NPI: 1730167271
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 33

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