Randall, Sebastian Randall

Randall, Sebastian Randall is an individual health care provider with primary practice located at 1027 E Burnside St , Portland OR 97214-1328. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Randall, Sebastian Randall can be contacted via phone (503) 239-8400.

Contact Information

Primary practice address
1027 E Burnside St Portland OR 97214-1328
Phone: (503) 239-8400
Fax: (503) 239-8406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 201504791RN Oregon

Profile Details

NPI number 1194195099
LBN Legal business name Randall, Sebastian Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2015
Last updated Oct 5th, 2015 - about 10 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.

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