DR. GRETCHEN RANDOLPH PH.D PMHNP NPI 1184876898

NPI Information

  • NPI: 1184876898
  • Provider Name: DR. GRETCHEN RANDOLPH, PH.D, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 13635 SW 115TH AVE
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 968-1155

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NPI Details

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthS80045119NGOREGONYes

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: 11/21/2025

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