Individual
AUSTIN RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
316 MAIN ST STE A1, EDMONDS, WA 98020-3197
(425) 242-7187
Mailing address
316 MAIN ST STE A1, EDMONDS, WA 98020-3197
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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