Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CONNIE RAE RANDOLPH, LPN
Active Sole ProprietorMRS. CONNIE RAE RANDOLPH, LPN is a Licensed Practical Nurse healthcare provider located in PORTLAND, Oregon. NPI 1184976318 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · PORTLAND, OR
Registration Details
- NPI Number
- 1184976318
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2012 (13.826866127873 yrs)
- Last Updated
- Oct 11, 2012
- License
-
083040749LPN (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4531 SE BELMONT ST STE 100PORTLAND, OR, 972151675Browse OR providers · Browse ZIP 97215
- Phone
- 5032159800
- Fax
- 5032159801
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MARGARET JOYCE BREED | LPN | 1487772125 |
| ROBYN E DAVIS | LPN | 1558584839 |
| MICHAEL R COON | LPN | 1003030057 |
| IDELL S BROWN | LPN | 1386868859 |
| SUSAN L WEST | LPN | 1902021868 |
| LAURENCETTA HAWKINS | LPN | 1518183797 |
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.