ANGELA MARIE BLACK (PA) – Physician Assistant, NPI 1710063110

ANGELA MARIE BLACK (PA) is a healthcare provider. based in Tigard, Oregon. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA00941 (OR). The NPI Number for ANGELA MARIE BLACK (PA) is 1710063110

Main info

Female
Name
ANGELA MARIE BLACK (PA)
NPI
1710063110
Phone
(503) 620-5556
Address
11900 SW GREENBURG RD
Enumeration Date
27 October 2006
Last Update Date
7 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ANGELA MARIE BLACK (PA)

  • 11900, Southwest Greenburg Road, Greenburg Road, Tigard, Metro, Washington County, Oregon, 97223, United States

    TIGARD, OR 972236453

    Phone: (503) 620-5556

    Fax: (503) 624-0118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-04-12 • Largest payer in this snapshot: ABBVIE INC. ($43).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$43
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97223)

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Reviews

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Frequently asked questions

Can I use this page to confirm ANGELA MARIE BLACK (PA)'s NPI?
Yes. ANGELA MARIE BLACK (PA) is listed with NPI 1710063110 in the public NPI dataset.
Can I rely on ANGELA MARIE BLACK (PA) being an active provider?
As of the registry snapshot, ANGELA MARIE BLACK (PA) is marked active.
What is ANGELA MARIE BLACK (PA) best known for clinically?
Directory data describes ANGELA MARIE BLACK (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for ANGELA MARIE BLACK (PA)?
ANGELA MARIE BLACK (PA)'s geographic hint is Tigard, Oregon in our summary view.
Is the information about ANGELA MARIE BLACK (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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