Randall Blome, MD

NPI 1861457384 · on the registry since 2006

Practice

Address: 9605 Grand Ronde Rd
Grand Ronde, OR 97347
Phone: (503) 879-2002
Fax: (503) 879-2015
Organisation at this address: Capitol Physical Therapy, Inc
Confederated Tribes Of The Grand Ronde Community Of Oregon
Confederated Tribes Of The Grand Ronde Community Of Oregon
Confederated Tribes Of Grand Ronde Community Of Oregon Dba Gr Health &
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 52

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-16

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