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Search › Oregon › 1223D0001X

Jay Randell, DMD

NPI 1437231503 · on the registry since 2006

Practice

Address
530 Nw 27th St
Corvallis, OR 97330
Phone
(541) 766-0123
Fax
(541) 766-6186
Organisation at this address
Benton County
Benton County
Benton County
Benton County
Benton County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
381

Additional practice sites

  • 1112 Nw Circle Blvd, Corvallis, OR

Registry record

Primary taxonomy
1223D0001X
1223D0001X
Also registered as
1223G0001X
1223G0001X
1223G0001X
Licence states on file
FL, CO, NY, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-31

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