Individual
MRS. RANDA JILL KUCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1029 RIVER RD, EUGENE, OR 97404
(503) 972-0235
Mailing address
5000 N WILLAMETTE BLVD, PORTLAND, OR 97203-5743
(503) 943-7211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201709028NP-PP
OR
Other
Enumeration date
05/28/2014
Last updated
05/21/2018
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