Marissa Black
Geriatric Medicine
11521 Ne 128th St Ste 100
Kirkland
, Washington 98034
Marissa Black
Geriatric Medicine
11521 Ne 128th St Ste 100
Kirkland
, Washington 98034
(425) 899-6818
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Marissa Black
- 11521 Ne 128th St Ste 100
- Kirkland, WA
- Zip : 98034-4317
- Fax : (425) 899-6818
- Phone : (425) 899-6800
Second Address
- Marissa Black
- 11521 Ne 128th St Ste 100
- Kirkland, WA
- Zip : 98034
- Fax : (425) 899-6818
- Phone : (425) 899-6800
Reviews
FAQs
Where did Marissa Black attend graduate school?
Where did Marissa Black do her residency?
Where did Marissa Black do her fellowship?
Is Marissa Black board certified?
What type of doctor is Marissa Black
In what state does Marissa Black practice in?
Where is Marissa Black ’s practice located?
What is Marissa Black ’s gender?
Is Marissa Black a sole practitioner?
Is Marissa Black accepting new patients?
What languages does Marissa Black speak?
Does Marissa Black accept insurance?
Does Marissa Black offers telemedicine?
What is Marissa Black ’s professional license number?
What is Marissa Black ’s NPI number?
Does Marissa Black have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0300X | Geriatric Medicine | MD60371542 | WA |
| Y | 207RG0300X | Geriatric Medicine | MD60571983 | WA |
National Provider Identifier
| NPI | 1114269735 |
|---|---|
| Provider Name | Marissa Black |
| First Address | Kirkland, WA 98034-4317 |
| Second Address | Kirkland, WA 98034 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2013 |
| Last Update Date | 17/07/2019 |
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.