Randall, Sebastian Randall
Randall, Sebastian Randall is an individual health care provider with primary practice located at 1027 E Burnside St , Portland OR 97214-1328. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Randall, Sebastian Randall can be contacted via phone (503) 239-8400.Contact Information
Primary practice address
1027 E Burnside St
Portland OR 97214-1328
Phone: (503) 239-8400
Fax: (503) 239-8406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 201504791RN | Oregon |
Profile Details
| NPI number | 1194195099 |
|---|---|
| LBN Legal business name | Randall, Sebastian Randall |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2015 |
| Last updated | Oct 5th, 2015 - about 10 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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