DR. GRETCHEN RANDOLPH PH.D PMHNP NPI 1184876898

NPI Information

NPI: 1184876898
Provider Name: DR. GRETCHEN RANDOLPH, PH.D, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
13635 SW 115TH AVE
TIGARD, OR
ZIP 97223
Phone: (503) 968-1155
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DR. Gretchen Randolph, PH.D, PMHNP is a psychiatric/mental health nurse practitioner in Tigard, OR. DR. Gretchen Randolph, PH.D, PMHNP NPI is 1184876898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13635 SW 115TH AVE
TIGARD, OR
ZIP 97223-862
Phone: (503) 968-1155

The enumeration date for this NPI number is 10/14/2008 and was last updated on 10/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	S80045119NG	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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