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Contact Information

SHARLA BLACK, BS, LMT
4742 LIBERTY RD S # 189
SALEM, OR97302-5037
 Phone: 503-428-8279
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for SHARLA BLACK · (Female)

NPI Number 1821351313
Status Active
Credentials BS, LMT
Entity Individual
Enumeration date 06/19/2012
Last updated 06/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 4951
Hospital affiliation(s) Not Available
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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