Individual
RANDALL ANTHONY RATHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 NE 141ST WAY, VANCOUVER, WA 98686-3021
(503) 929-0649
Mailing address
2202 NE 141ST WAY, VANCOUVER, WA 98686-3021
(503) 929-0649
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602878295
WA
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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