Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collin Douglas Randall, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508477555

Collin Douglas Randall, PA is a Physician Assistant in Seattle, Washington. Qualified in 2021, 5 years ago. Practices with Sound Physicians of Wyoming LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
5
Licensed in
WY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone: (206) 616-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PT961 (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508477555
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESNovember 23, 2021
Certification dateOctober 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sound Physicians Of Wyoming Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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