Search › Oregon › 1041C0700X
Nicole Randall
NPI 1275078024 · on the registry since 2017
Practice
- Address
- 14600 Nw Cornell Rd
Portland, OR 97229 - Phone
- (503) 645-3581
- Organisation at this address
- Life Works Northwest
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 309
Additional practice sites
- 41521 W 11 Mile Rd, Novi, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
247200000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-01
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