Individual provider · Type 1 NPI
Gretchen Randolph, PhD, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Tigard, OR
NPI number
1184876898
Active
Practice location
13635 SW 115th Ave
Tigard, OR 97223-2862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | S80045119NG (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1184876898
Gretchen Randolph, PhD, PMHNP's National Provider Identifier is 1184876898, issued on Oct 14, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tigard, OR. The record was last updated on Oct 14, 2008.