SearchOregon101YM0800X

Andrea Randall

NPI 1194593038 · on the registry since 2023

Practice

Address
1235 Se Division St
Portland, OR 97202
Phone
(360) 726-4141
Organisation at this address
Gfm Llc
Vital Bodyworks
Justin Long Llc
Aria Walker, Lac
Nora Grod Lac Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Additional practice sites

  • 9230 Ne Highway 99 Ste 108, Vancouver, WA

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
101YM0800X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-12

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