RANDY J KJORSTAD

REDMOND, OR
NPI1043283336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: WY  9756A)
Additional Taxonomies208600000X Surgery
(Licence: ID  M-9325)
208600000X Surgery
(Licence: MT  12855)
Enumeration Date2006-02-08
Last Update Date2023-11-02
Business Address
Dr. RANDY J KJORSTAD M.D.
1245 NW 4TH ST STE 101
REDMOND, OR 97756-1680
Phone number: 541-548-7761
Mailing Address
Dr. RANDY J KJORSTAD M.D.
PO BOX 428
JACKSON, WY 83001-0428
Phone number: 307-739-7690