National Provider Identifier Database

MARISSA BLACK, MD – NPI #1114269735
Geriatric Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.


Contact Information

MARISSA BLACK, MD
11521 NE 128TH ST STE 100
KIRKLAND, WA98034
Phone: 425-899-6800
Fax: 425-899-6818
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207RG0300X

* Indicates primary specialty

NPI Profile & details for MARISSA BLACK

NPI Number 1114269735
Credentials MD
Entity Individual
Enumeration date 03/21/2013
Last updated 07/17/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • WA License #: MD60371542
  • WA License #: MD60571983
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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