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Individual

RANDY D WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
333 SE 7TH AVE., SUITE 5200, HILLSBORO, OR 97123-4182
(503) 681-4310
(503) 681-1989
Mailing address
333 SE 7TH AVE., SUITE 5200, HILLSBORO, OR 97123-4182
(503) 681-4310
(503) 681-1989

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD13719
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071092
OR
Enumeration date
08/11/2005
Last updated
10/21/2019
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