KYLE RANDALL

REDMOND, OR
NPI1134862469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-22-1471)
Enumeration Date2022-04-14
Last Update Date2022-04-14
Business Address
KYLE RANDALL
1470 NW 4TH ST
REDMOND, OR 97756-1366
Phone number: 541-316-7520
Mailing Address
KYLE RANDALL
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-516-4097
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