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

Nicole Rene Randall

Individual provider Case Manager/Care Coordinator · NPI 1275078024

Nicole Rene Randall is a Case Manager/Care Coordinator in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

14600 NW Cornell Rd
Portland, OR 97229
Phone: (503) 645-3581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41521 W 11 Mile Rd, Novi, MI 48375-1803 — (248) 299-0030

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence A15312 (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1275078024
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2017
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

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