Randolph, Benjamin D

Randolph, Benjamin D is an individual health care provider with primary practice located at 10600 Se Mcloughlin Blvd Ste 207 , Milwaukie OR 97222-7428. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Randolph, Benjamin D can be contacted via phone (503) 901-1836.

Contact Information

Primary practice address
10600 Se Mcloughlin Blvd Ste 207 Milwaukie OR 97222-7428
Phone: (503) 901-1836
Fax: (503) 654-1852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 06-07-75U Oregon

Profile Details

NPI number 1225252612
LBN Legal business name Randolph, Benjamin D
Credentials CADCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jan 21st, 2019 - about 7 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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