Wayne George Randall

Specialist · Coquille, OR

Individual Active NPI

NPI number 1760782726

Practice location

364 N Central Blvd
Coquille, OR 97423-1244
Phone
(541) 396-4283
Fax
(541) 396-7194

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NPI record

NPI
1760782726
Entity type
Individual (Type 1)
Enumeration date
October 25, 2010
Last updated
October 25, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X HSP-P-10131631 OR

About Wayne Randall

Wayne George Randall is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 364 N Central Blvd, Coquille, OR 97423-1244. The NPI number 1760782726 was assigned on October 25, 2010 and the record was last updated on October 25, 2010.

Wayne Randall lists a license in the registry: #HSP-P-10131631 (OR) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wayne George Randall?

The NPI number is 1760782726.

What is the phone number of Wayne Randall?

The phone number listed for the practice location is (541) 396-4283.

Where is Wayne Randall located?

364 N Central Blvd, Coquille, OR 97423-1244.

What is the taxonomy code for Wayne Randall?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.