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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA RENAE RANDOLPH, AUD

Active Sole Proprietor

SANDRA RENAE RANDOLPH, AUD is a Audiologist healthcare provider located in COOS BAY, Oregon. NPI 1023268968 is currently active in the NPPES registry. Verify at CMS.

Audiologist · COOS BAY, OR

Registration Details

NPI Number
1023268968
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2008 (17.848390865136 yrs)
Last Updated
Dec 21, 2010
License
23138 (OR)
Sole Proprietor
Yes

Practice Information

Address
1900 WOODLAND DR
COOS BAY, OR, 974202045
Browse OR providers · Browse ZIP 97420
Phone
5412675151
Fax
5412664595
Primary Specialty
Audiologist
231H00000X

Other Audiologist Providers in COOS BAY, OR

Name Credential NPI
MR. JAMES ROBERT KORNBAU M.S. 1184844573
DALE LISONBEE 1750782751
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.