- Practice location
- 18040 SW Lower Boones Ferry RD Ste 100, Tigard, OR 97224-7259
- Phone
- 503-216-0750
- Fax
- —
- Last updated
- March 7, 2025
Randall Lynn Archibald is a Physician Assistant based in Tigard, OR. Randall Lynn Archibald practices in Tigard, OR and has the professional credentials of PA-C. The NPI Number for Randall Lynn Archibald is 1396752119 and holds a License No. 3133301206 (UT). The current practice location address for Randall Lynn Archibald is 18040 SW Lower Boones Ferry RD Ste 100, Tigard, OR 97224-7259 and can be reached out via phone at 503-216-0750.
Provider Profile Details
- NPI Number
- 1396752119
- Provider Name
- Randall Lynn Archibald
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 18040 SW Lower Boones Ferry RD Ste 100, Tigard, OR 97224-7259
- Phone Number
- 503-216-0750
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 2, 2006
- Last Update Date
- March 7, 2025
- Certification Date
- March 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18040 SW Lower Boones Ferry RD Ste 100
Tigard, OR 97224-7259 - City
- Tigard
- State
- Oregon
- Zip
- 97224-7259
- Phone Number
- 503-216-0750
Provider Business Mailing Address Details
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- Zip
- 97208-3158
- Phone Number
- 503-215-6494
License Information
- License Number (1)
- 3133301206
- License State (1)
- UT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA223626
- License State (2)
- OR
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Tigard, OR
View all Physician Assistants in Tigard →- Amber L Bowell, PAPhysician Assistant · NPI 1972785814
- Ana Cole, PAPhysician Assistant · NPI 1033998679
- Andrew D Bodmer, PA-CPhysician Assistant · NPI 1083860548
- Angela M Black, PAPhysician Assistant · NPI 1710063110
- Caroline Barker, PAPhysician Assistant · NPI 1770178857
- Heather L Adair, PA-CPhysician Assistant · NPI 1568749539
Frequently Asked Questions
What is the NPI number of Mr. Randall L Archibald, PA-C?
The NPI number of Mr. Randall L Archibald, PA-C is 1396752119. It was assigned on August 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Randall L Archibald, PA-C?
Mr. Randall L Archibald, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in UT under license number 3133301206.
Where does Mr. Randall L Archibald, PA-C practice?
The practice location is 18040 SW Lower Boones Ferry RD Ste 100, Tigard, OR 97224-7259. The office can be reached at 503-216-0750 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396752119 directly on the NPPES registry website.