Gregory Randolph, PA-C

NPI #1780177964 in Scappoose, Oregon

Provider Information

NPI Number
1780177964
Entity Type
Individual
Name
Gregory Randolph, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 12, 2018
Last Updated
Dec 29, 2020

Practice Location

Address
51377 SW OLD PORTLAND RD. SUITE C
State
Oregon
ZIP Code
97056
Phone
(503) 418-4222

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Student in an Organized Health Care Education/Training Program
Physician Assistant - MedicalMedical

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