Individual
MR. RANDALL LYNN ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD STE 100, TIGARD, OR 97224-7259
(503) 216-0750
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3133301206
UT
363A00000X
Physician Assistant
Primary
PA223626
OR
Other
Enumeration date
08/02/2006
Last updated
03/07/2025
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