person
Randall Scott Clasen, LD
Denturist in Roseburg, Oregon
NPI 1235570961

Randall Scott Clasen is a Denturist based in Roseburg, OR. Randall Scott Clasen practices in Roseburg, OR and has the professional credentials of LD. The NPI Number for Randall Scott Clasen is 1235570961 and holds a License No. DTDO355212 (Oregon).

The current practice location address for Randall Scott Clasen is 696 Ne Winchester St, Roseburg, OR and can be reached out via phone at 541-673-2724 and via fax at 547-440-6906. You can also correspond with Randall Scott Clasen through the mailing address at 696 NE WINCHESTER ST, ROSEBURG, OR - 97470-3260 (mailing address contact number: 541-673-2724).

Location: 696 Ne Winchester St, Roseburg, OR, 97470-3260
person
Provider Profile Details
NPI Number
1235570961
Provider Name
Randall Scott Clasen
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
696 Ne Winchester St, Roseburg, OR, 97470-3260
Phone Number
541-673-2724
Fax Number
547-440-6906
Provider Enumeration Date
07/10/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
86-114979 01 OR TAX ID
institution
Provider Business Practice Location Address Details
Address
696 Ne Winchester St
City
State
Zip
97470-3260
Phone Number
541-673-2724
Fax Number
547-440-6906
person
Provider Business Mailing Address Details
Address
696 Ne Winchester St
City
State
Zip
97470-3260
Phone Number
541-673-2724
Fax Number
547-440-6906
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DTDO355212 (Oregon)
Definition
Definition to come.
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