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Gregory Randolph, PA-C
NPI 1780177964 · on the registry since 2018 · sole proprietor
Practice
- Address
- 51377 Sw Old Portland Rd. Suite C
Scappoose, OR 97056 - Phone
- (503) 418-4222
- Organisation at this address
- Oregon Health & Science University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Additional practice sites
- 2730 Sw Moody Ave, Portland, OR
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Physician Assistant
Student in an Organized Health Care Education/Training Program - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-29
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