Judith Myrick Randall in North Bend - Psychiatric/mental Health
Judith Myrick Randall - NPI 1891978763
Judith Myrick Randall is a Psychiatric/mental Health in North Bend, Oregon. Judith Myrick Randall practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Judith Myrick Randall is 1891978763. The last update date is 2012-06-22.
Judith Myrick Randall's current location address is 1890 Waite St, North Bend, Oregon. You can contact this provider via phone number 5417566232 and fax number 5417566234. The mailing address for Judith Myrick Randall is 1890 Waite St, North Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Myrick Randall |
|---|---|
| Address | 1890 Waite St, North Bend, Oregon |
| Phone Number | 5417566232 |
| Fax Number | 5417566234 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1891978763 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2012-06-22 |
Provider Mailing Address Detail
| Address | 1890 Waite St |
|---|---|
| City | North Bend |
| State | Oregon (OR) |
| Post Code | 974591229 |
| Phone Number | 5417566232 |
| Fax Number | 5417566234 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 201250025NP |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1619915113 | WATERFALL CLINIC, INC. GROUP N | ||
| 213342 | OR | -- | |
| R120353 | GROUP PTAN NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Judith Myrick Randall?
The Judith Myrick Randall has been issued the NPI (National Provider Identifier) 1891978763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Judith Myrick Randall's facilities are situated?
The facilities of Judith Myrick Randall are physically located at the following address: 1890 Waite St, North Bend, OR, 974591229.
What is Judith Myrick Randall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judith Myrick Randall's area of specialization is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0808X.
On what date did the Judith Myrick Randall receive the assignment of its 1891978763 from the Centers for Medicare & Medicaid Services?
The Judith Myrick Randall was issued its 1891978763 by the Centers for Medicare & Medicaid Services on 2007-12-13.
When was the information regarding Judith Myrick Randall most recently updated?
The details pertaining to the Judith Myrick Randall, including its address, specialty, and other relevant information, were last refreshed on 2012-06-22.