IndividualActive
Angela Black, PA
NPI 1710063110 · Physician Assistant · Tigard, OR
Angela Black, PA is a Physician Assistant provider in Tigard, OR (NPI 1710063110).
Provider details
- NPI number
- 1710063110
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA00941 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11900 Sw Greenburg Rd
Tigard, OR 97223-6453
Phone: (503) 620-5556
Fax: (503) 624-0118
Street-level locationGet directions
Mailing address
11900 Sw Greenburg Rd
Tigard, OR 97223-6453
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2023-03-07
Frequently asked questions
- What is Angela Black's NPI number?
- Angela Black's National Provider Identifier (NPI) is 1710063110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angela Black's specialty?
- Angela Black is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Angela Black located?
- Angela Black's practice location on file with NPPES is 11900 Sw Greenburg Rd, Tigard, OR 97223-6453.
- What is Angela Black's phone number?
- The practice phone number listed in the NPPES registry for Angela Black is (503) 620-5556.
- Is Angela Black's NPI active?
- Yes — Angela Black's NPI (1710063110) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.