Individual
RANDALL OWEN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 438-2107
Mailing address
15360 AIRPORT WAY, VERNONIA, OR 97064-9642
(503) 866-5919
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200643122RN
OR
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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