Individual
MR. RANDY R COTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
775 AIRPORT RD SE, SALEM, OR 97301-5053
(503) 584-3124
Mailing address
775 AIRPORT RD SE, SALEM, OR 97301-5053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01117
OR
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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