SearchOregon174400000X

Wayne Randall

NPI 1760782726 · on the registry since 2010 · sole proprietor

Practice

Address
364 N Central Blvd
Coquille, OR 97423
Phone
(541) 396-4283
Fax
(541) 396-7194

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-25

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