Individual
MRS. JUDITH MYRICK RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1890 WAITE ST, STE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Mailing address
1890 WAITE ST, STE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250024
OR
363LF0000X
Family Nurse Practitioner
AP30007876
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201250025NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619915113
WATERFALL CLINIC, INC. GROUP NPI
—
05
—
213342
—
OR
01
—
R120353
GROUP PTAN NUMBER
—
Enumeration date
12/13/2007
Last updated
06/22/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us