NICOLE RENE RANDALL

PORTLAND, OR
NPI1275078024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  A15312)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
247200000X Technician, Other
Enumeration Date2017-01-04
Last Update Date2024-07-01
Business Address
NICOLE RENE RANDALL
14600 NW CORNELL RD
PORTLAND, OR 97229
Phone number: 503-645-3581
Mailing Address
NICOLE RENE RANDALL
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581