Individual
RANDY PARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
856 15TH AVE, LONGVIEW, WA 98632-2321
(360) 423-3608
(360) 748-8672
Mailing address
856 15TH AVE, LONGVIEW, WA 98632-2321
(360) 423-3608
(360) 748-8672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HA00000506
WA
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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