Individual
RANDALL SKYRM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3031 NE STEPHENS ST, ROSEBURG, OR 97470-6237
(541) 229-7031
Mailing address
3031 NE STEPHENS ST, ROSEBURG, OR 97470-6237
(541) 229-7031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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