Individual
RANDALL CHANEY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21810 WILLAMETTE DR, WEST LINN, OR 97068-3256
(503) 656-6603
(503) 557-8012
Mailing address
2337 TAYLOR DR, WEST LINN, OR 97068-4163
(503) 657-9811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11722
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242768
—
OR
Enumeration date
12/27/2006
Last updated
07/08/2007
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