Individual provider · Type 1 NPI

Sebastian Randall Randall

Addiction (Substance Use Disorder) Registered Nurse · Portland, OR

NPI number 1194195099 Active

Practice location

1027 E Burnside St
Portland, OR 97214-1328

Fax (503) 239-8406

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X201504791RN (OR)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1194195099

Sebastian Randall Randall's National Provider Identifier is 1194195099, issued on Oct 5, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Portland, OR. The record was last updated on Oct 5, 2015.