person
Sebastian Randall Randall
Addiction (Substance Use Disorder) Registered Nurse in Portland, Oregon
NPI 1194195099

Sebastian Randall Randall is an Addiction (Substance Use Disorder) Registered Nurse based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Sebastian Randall Randall practices in Portland, OR. The NPI Number for Sebastian Randall Randall is 1194195099 and holds a License No. 201504791RN (Oregon).

The current practice location address for Sebastian Randall Randall is 1027 E Burnside St, Portland, OR and can be reached out via phone at 503-239-8400 and via fax at 503-239-8406. You can also correspond with Sebastian Randall Randall through the mailing address at 1027 E BURNSIDE ST, PORTLAND, OR - 97214-1328 (mailing address contact number: 503-239-8400).

Location: 1027 E Burnside St, Portland, OR, 97214-1328
person
Provider Profile Details
NPI Number
1194195099
Provider Name
Sebastian Randall Randall
Credential
Provider Entity Type
Individual
Gender
Male
Address
1027 E Burnside St, Portland, OR, 97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8406
Provider Enumeration Date
10/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1027 E Burnside St
City
State
Zip
97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8406
person
Provider Business Mailing Address Details
Address
1027 E Burnside St
City
State
Zip
97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8406
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
201504791RN (Oregon)
Definition
Definition to come...
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