Individual
DR. RANDOLPH ALLAN MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
615 E 2ND ST, NEWBERG, OR 97132-3100
(503) 538-7717
Mailing address
615 E 2ND ST, NEWBERG, OR 97132-3100
(503) 538-7717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5451
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018887
—
OR
Enumeration date
04/17/2006
Last updated
11/09/2011
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