Clower, Randall Shane

Clower, Randall Shane is an individual health care provider with primary practice located at 911 S Washington St Suite A, Kennewick WA 99336-5600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Clower, Randall Shane can be contacted via phone (509) 586-8368.

Contact Information

Primary practice address
911 S Washington St Suite A Kennewick WA 99336-5600
Phone: (509) 586-8368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA10003813 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10003813 Washington

Profile Details

NPI number 1871521864
LBN Legal business name Clower, Randall Shane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871521864 NPPES
Washington Other 0226765 L&I
Washington MEDICAID 8332090 L&I

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