Randolph, Gretchen
Randolph, Gretchen is an sole proprietor health care provider with primary practice located at 13635 Sw 115Th Ave , Tigard OR 97223-2862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Randolph, Gretchen can be contacted via phone (503) 968-1155.Contact Information
Primary practice address
13635 Sw 115Th Ave
Tigard OR 97223-2862
Phone: (503) 968-1155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | S80045119NG | Oregon |
Profile Details
| NPI number | 1184876898 |
|---|---|
| LBN Legal business name | Randolph, Gretchen |
| Credentials | PH.D, PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2008 |
| Last updated | Oct 14th, 2008 - about 16 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.
Popular Providers
-
Ali, Alexis
12115 Sw 70Th Ave Ste 202 , Tigard OR 97223-9648 -
Monson, Brittany Joy
12115 Sw 70Th Ave , Tigard OR 97223-9647 -
Kitterman, Heather M
11900 Sw Greenburg Rd , Tigard OR 97223-6453 -
Hogen, Julie Lura
6950 Sw Hampton St Ste 109, Tigard OR 97223-8330 -
Alexander, Mary Kay
7455 Sw Beveland Rd , Tigard OR 97223-8610 -
Brudney, Elizabeth
7455 Sw Beveland Rd , Tigard OR 97223-8610 -
Thacker, Alexandria Raene
12115 Sw 70Th Ave Ste 202 , Tigard OR 97223-9648 -
Moore, Pamela Ann
9600 Sw Oak St Suite 525, Tigard OR 97223-6583