Mr. Wayne George Randall
Mr. Wayne George Randall is a Specialist in Coquille, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2010
Practice location Address checks out
364 N Central BlvdCoquille, OR 97423-1244
Phone: (541) 396-4283
Fax: (541) 396-7194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence HSP-P-10131631 (OR) |
|---|
Record details
| NPI number | 1760782726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2010 |
| Last updated in NPPES | October 25, 2010 |
| Mailing address | 364 N Central Blvd, Coquille, OR 97423-1244 |