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

Randall Shane Clower, PA-C

Individual provider Family Medicine Physician · NPI 1871521864

Randall Shane Clower, PA-C is a Physician Assistant in Kennewick, Washington. Qualified in 1996, 30 years ago. Practices with Physicians Immediate Care and Medical Centers Ps, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

911 S Washington St Ste A
Kennewick, WA 99336-5600
Phone: (509) 586-8368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 Gage Blvd, Richland, WA 99352-9532 — (509) 628-1362

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10003813 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA10003813 (WA)

Record details

NPI number1871521864
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address911 S Washington St, Suite A, Kennewick, WA 99336-5600

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Physicians Immediate Care And Medical Centers Ps — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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