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 11 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.
Popular Providers
-
Kwak, Alex
1312 Sw Washington St , Portland OR 97205-2327 -
Dale, Judith R
1500 Ne Irving St Suite 250, Portland OR 97232-2243 -
Walkington, Kalen
1030 Ne Couch St. , Portland OR 97232 -
Oyer Meyers, Anicka Leah Gabriella
1110 Se Alder St Ste 301 , Portland OR 97214 -
Baldwin, Tamara Lee
14600 Nw Cornell Rd , Portland OR 97229 -
Bang, Amber Mia
1535 N Williams Ave , Portland OR 97227-1885 -
Brown, Anne
2165 Sw Main St , Portland OR 97205-1123 -
Mattis, Anne E
2600 Se Belmont St , Portland OR 97214-2916