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Individual

CALEB RANDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1580 VALLEY RIVER DR, EUGENE, OR 97401-2116
(541) 904-5216
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
8857
ID
101YP2500X
Professional Counselor
Primary
C10195
OR

Other

Enumeration date
10/10/2022
Last updated
07/15/2025
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