Dr. Jessica K Black
Naturopath
330 Se Baker St Unit 3
McMinnville
, Oregon 97128-6038
Dr. Jessica K Black
Naturopath
330 Se Baker St Unit 3
McMinnville
, Oregon 97128-6038
(503) 883-0330
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Jessica K Black
- 330 Se Baker St Unit 3
- Mcminnville, OR
- Zip : 97128-6038
- Fax : (503) 883-0330
- Phone : (503) 883-0333
Second Address
- Dr. Jessica K Black
- 330 Se Baker St Unit 3
- Mcminnville, OR
- Zip : 97128-6038
- Fax : (503) 883-0330
- Phone : (503) 883-0333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 1263 | OR |
National Provider Identifier
| NPI | 1134305337 |
|---|---|
| Provider Name | Dr. Jessica K Black |
| First Address | Mcminnville, OR 97128-6038 |
| Second Address | Mcminnville, OR 97128-6038 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2008 |
| Last Update Date | 13/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 234882 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.