Organization
RANDY D VISSER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DALE VISSER (OWNER)
(541) 420-9482
Entity
Organization
Contact information
Practice address
4282 SW 43RD ST, REDMOND, OR 97756-6976
(541) 420-9482
(541) 323-3794
Mailing address
PO BOX 520, REDMOND, OR 97756-0111
(541) 420-9482
(541) 323-3794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18333
OR
Other
Enumeration date
05/05/2014
Last updated
12/29/2020
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