person
Mrs. Judith Myrick Randall, ARNP
Psychiatric/Mental Health Nurse Practitioner in North Bend, Oregon
NPI 1891978763

Judith Myrick Randall is a Psychiatric/Mental Health Nurse Practitioner based in North Bend, OR and is specialized in Psychiatric/Mental Health. Judith Myrick Randall practices in North Bend, OR and has the professional credentials of ARNP. The NPI Number for Judith Myrick Randall is 1891978763 and holds a License No. AP30007876 (Oregon).

The current practice location address for Judith Myrick Randall is 1890 Waite St, North Bend, OR and can be reached out via phone at 541-756-6232 and via fax at 541-756-6234.

Location: 1890 Waite St, North Bend, OR, 97459-1229
person
Provider Profile Details
NPI Number
1891978763
Provider Name
Judith Myrick Randall
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1890 Waite St, North Bend, OR, 97459-1229
Phone Number
541-756-6232
Fax Number
541-756-6234
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619915113 01 WATERFALL CLINIC, INC. GROUP NPI
213342 05 OR
R120353 01 GROUP PTAN NUMBER
institution
Provider Business Practice Location Address Details
Address
1890 Waite St
City
State
Zip
97459-1229
Phone Number
541-756-6232
Fax Number
541-756-6234
person
Provider Business Mailing Address Details
Address
1890 Waite St
City
State
Zip
97459-1229
Phone Number
541-756-6232
Fax Number
541-756-6234
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201250024 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP30007876 (Washington)
Definition
Definition to come...
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