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GREGORY RANDOLPH, PA-C

PA-C

Medical Physician Assistant

NPI: 1780177964IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

PA193627(OR)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2019

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Contact & Hours

Address
2730 SW MOODY AVE
PORTLAND, OR 97201

Locations (2)

Practice Location

2730 SW MOODY AVE, PORTLAND, OR
(503) 494-3633

Practice Location

51377 SW OLD PORTLAND RD. SUITE C, SCAPPOOSE, OR
(503) 418-4222

Quick Facts

NPI
1780177964
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
2
Years in Practice
7

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