Individual
RANDI LOUISE DUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1250 SW VETERANS WAY, REDMOND, OR 97756-2587
(541) 383-3005
Mailing address
20044 TUMALO RD, BEND, OR 97703-8987
(541) 280-7929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201809767NP-PP
OR
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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