Individual
DR. RANDALL W JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4515
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036105293
IL
207X00000X
Orthopaedic Surgery Physician
Primary
MD166994
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
43003-020
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
L09261R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005530345
MEDICARE ID, UNSPECIFIED
WI
01
—
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
—
161133
GROUP MEDICAID NORTH BEND MEDICAL CENTER
OR
05
—
500677744
—
OR
01
—
P01434156
RAILROAD MEDICARE
OR
01
—
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDICAL CENTER
OR
Enumeration date
09/30/2005
Last updated
03/24/2026
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