Individual
DR. KAMALA JOY RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1427 NW FLANDERS ST STE A, PORTLAND, OR 97209-2646
(503) 972-0235
(971) 216-4964
Mailing address
2459 SE TUALATIN VALLEY HWY # 413, HILLSBORO, OR 97123-7919
(503) 972-0235
(971) 216-4964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00048113
WA
207R00000X
Internal Medicine Physician
Primary
MD28882
OR
208000000X
Pediatrics Physician
MD00048113
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648424
—
OR
05
—
8482374
—
WA
Enumeration date
05/16/2007
Last updated
03/17/2018
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