Fryer, Randall
Fryer, Randall is an individual health care provider with primary practice located at 17070 Se Mcloughlin Blvd , Milwaukie OR 97267-4960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fryer, Randall can be contacted via phone (503) 345-5900.Contact Information
Primary practice address
17070 Se Mcloughlin Blvd
Milwaukie OR 97267-4960
Phone: (503) 345-5900
Fax: (503) 652-8954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO24652 | Oregon |
Profile Details
| NPI number | 1376599910 |
|---|---|
| LBN Legal business name | Fryer, Randall |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376599910 | NPPES |
| Oregon | MEDICAID | 029141 |
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