Gregory Randolph, PA-C
Gregory Randolph, PA-C is a Physician Assistant in Scappoose, Oregon. Qualified in 2019, 7 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 7
- Licensed in
- OR
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
51377 SW Old Portland Rd Ste CScappoose, OR 97056
Phone: (503) 418-4222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2730 Sw Moody Ave, Portland, OR 97201-5042 — (503) 494-3633
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA193627 (OR) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1780177964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2018 |
| Last updated in NPPES | December 29, 2020 |
| Certification date | December 29, 2020 |
| Mailing address | 51377 Sw Old Portland Rd. Suite C, Scappoose, OR 97056 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | University Professional Services — 1704 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Scappoose
-
MS. Aubrey Bridges
51377 SW Old Portland Rd, Scappoose, OR 97056-4023 · (503) 418-4222
-
MS. Sarah Kathleen Esdaile, PA-C
51377 SW Old Portland Rd, Scappoose, OR 97056-4018 · (503) 418-4222
-
MS. Mary C Regan, PA-C
51377 SW Old Portland Rd, Scappoose, OR 97056-4023 · (503) 418-4222