IndividualActive
Peter Black, MD
NPI 1265460406 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Vancouver, WA
Provider details
- NPI number
- 1265460406
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD61439872 (WA)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense MD61439872 (WA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8716 E Mill Plain Blvd
Vancouver, WA 98664-2531
Phone: (360) 514-4325
Fax: (360) 514-4336
Approximate (ZIP-level) locationGet directions
Mailing address
8716 E Mill Plain Blvd
Vancouver, WA 98664-2531
Additional practice locations (1)
- 4805 Ne Glisan StSte 4j14Portland, OR 97213-2933Phone: (503) 215-6061Fax: (503) 215-6012
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.