Dr. Loren Orion Black, MD MBA
Orthopaedic Surgery in Boise, ID. Individual provider (NPI-1).
NPI number1972008373
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1972008373
- Entity type
- Individual (NPI-1)
- Name
- Dr. Loren Orion Black
- Credential
- MD MBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2018
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | M-17771 | ID | Yes |
| 207X00000X | Orthopaedic Surgery | MD61416009 | WA | |
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | MD61416009 | WA |
Practice location
6165 W Emerald StBoise, ID 83704-8613
Phone 208-302-3900 · Fax 208-302-3955
Mailing address
Po Box 190930Boise, ID 83719-0930
Other practice locations
325 9th Ave
Seattle, WA 98104-2420
Seattle, WA 98104-2420
Phone 206-520-5000
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