SEBASTIAN RANDALL RANDALL

PORTLAND, OR
NPI1194195099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR  201504791RN)
Enumeration Date2015-10-05
Last Update Date2015-10-05
Business Address
-- SEBASTIAN RANDALL RANDALL
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
Mailing Address
-- SEBASTIAN RANDALL RANDALL
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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