Individual
CARYN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9155 SW BARNES RD STE 634, PORTLAND, OR 97225-6632
(503) 216-9142
Mailing address
9155 SW BARNES RD STE 634, PORTLAND, OR 97225-6632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11085
OR
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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