RANDALL LYNN ARCHIBALD

TIGARD, OR
NPI1396752119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA223626)
Additional Taxonomies363A00000X Physician Assistant
(Licence: UT  3133301206)
Enumeration Date2006-08-02
Last Update Date2025-03-07
Business Address
Mr. RANDALL LYNN ARCHIBALD PA-C
18040 SW LOWER BOONES FERRY RD STE 100
TIGARD, OR 97224-7259
Phone number: 503-216-0750
Mailing Address
Mr. RANDALL LYNN ARCHIBALD PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494