Individual provider · Type 1 NPI

Collin Douglas Randall, PA

Medical Physician Assistant · Seattle, WA

NPI number 1508477555 Active

Practice location

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367

Call (206) 616-4001 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPT961 (WY)

Medical Physician Assistant: Definition to come...

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About NPI 1508477555

Collin Douglas Randall, PA's National Provider Identifier is 1508477555, issued on Aug 13, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seattle, WA. The record was last updated on Nov 23, 2021.