Search › Oregon › 1041C0700X
Jeffrey Randall
NPI 1053782656 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3500 Ne Mlk Blvd Ste 200
Portland, OR 97212 - Phone
- (503) 327-8205
- Organisation at this address
- Western Psychological And Counseling Services Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon