Individual
RANDALL S TEMPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3450
Mailing address
PO BOX 24584, SEATTLE, WA 98124-0584
(425) 656-4255
(425) 656-4003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206918
LABOR&INDISTRIES PROV #
WA
01
—
4065TE
REGENCE B/S PROV #
WA
Enumeration date
09/02/2006
Last updated
09/08/2011
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