NPI 1992063945

Randall INC.

Organisation Preferred Provider Organization Lynnwood, WA

Practice location

Address: 19721 Scriber Lake Rd #d, Lynnwood, WA 98036
Phone: (425) 775-3544
Fax: (425) 670-6502
Mailing address: 19721 Scriber Lake Rd STE D, Lynnwood, WA 98036-6119

Authorised official

Name: Randall G Dreessen
Title: Owner
Phone: (425) 775-3544

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2221 (WA)

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Registry record

NPI: 1992063945
Entity type: Organization
NPI issued: 27 Apr 2012
Record last updated: 27 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.