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Ashlie Randall
NPI 1619441540 · on the registry since 2019 · sole proprietor
Practice
- Address
- 875 Perimeter Dr
Moscow, ID 83844 - Phone
- (208) 885-6111
- Clinicians at this address
- 117
Additional practice sites
- 640 Se Ball Blvd, Waldport, OR
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Sex
- Female
- Record last updated
- 2019-01-14
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 Idaho