JENNIFER RANDOLPH


Address: 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428
Phone: 8557700577

JENNIFER RANDOLPH (NPI# 1588221444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588221444
Entity Type Individual
Full Name JENNIFER RANDOLPH
Credential CADC-II, CIP, CAI-II
Practice Address 10600 Se Mcloughlin Blvd Ste 207
Milwaukie
OR 97222-7428
Practice Telephone 8557700577
Practice Fax Number 5036541852
Mailing Telephone 8557700577
Mailing Fax Number 5036541852
Enumeration Date 2019-05-24
Last Update Date 2019-05-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
OR Behavioral Health & Social Service Providers

Other Providers JENNIFER RANDOLPH

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1013314533 Jennifer Lynn Randolph Acupuncturist 1047 Via Cordova, San Pedro, CA 90732-2302 2014-11-26
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1942598602 Jennifer Lee Randolph Social Worker 2540 Monroeville Blvd, Monroeville, PA 15146-2329 2011-07-15
1588956486 Jennifer Michelle Randolph Pharmacist 600 Greece Ridge Center Dr, Target Pharmacy T-1194, Rochester, NY 14626-2825 2011-05-10
1558559393 Jennifer Lynn Randolph Nurse Anesthetist, Certified Registered 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 2007-10-05
1326164898 Jennifer T. Randolph Counselor 1129 11th St Nw, Washington, DC 20001-4354 2007-03-22

Office Location

Street Address 10600 SE MCLOUGHLIN BLVD STE 207
City MILWAUKIE
State OR
Zip Code 97222-7428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225252612 Benjamin D Randolph Counselor 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428 2007-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831731397 Madalyn Kelly Yowell Technician 7809 Southeast Southgate Street, Milwaukee, OR 97222 2019-10-16
1336617448 Nadia Yang Social Worker 2115 Se Adams St, Milwaukie, OR 97222 2018-11-06
1851892368 Arrow Dental LLC Dentist 10505 Se 17th Avenue, Milwaukie, OR 97222 2018-02-21
1851814016 Cathy Maria Andrew Acupuncturist 11022 Se Stanley Ave, Milwaukie, OR 97222 2017-07-19
1972025369 Sarah Elizabeth Giles Peer Specialist 11097 Se 21st Ave., Milwaukie, OR 97222 2017-07-07
1366976292 Brittany Reubendale Physical Therapist 12705 See River Rd, Portland, OR 97222 2017-04-18
1669916383 Margie Hertz Registered Nurse 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 2016-12-14
1952858094 Alexis Escobar Speech-Language Pathologist 4560 Se International Way, Ste 100, Milwaukie, OR 97222 2016-09-07
1205295466 Beth Ann Mills Acupuncturist 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 2016-02-16
1558744086 Kyle Eugene Coan Specialist 3306 Se Wister St, Milwaukie, OR 97222 2015-07-01
Find all providers in zip 97222

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689158917 Eric Hanneman Counselor 6769 Se Plum Dr, Milwaukie, OR 97222-2011 2018-09-22
1477062602 Karie Marie Buss Counselor 2323 Se Harrison St Apt 41, Milwaukie, OR 97222-7584 2017-09-19
1538516307 Brian Nelson Counselor 6902 Se Lake Rd Ste 300, Milwaukie, OR 97267-2148 2016-05-20
1235535097 Collin Bryant Wright Counselor 17473 Se Walta Vista Dr, Milwaukie, OR 97267-5542 2014-11-06
1780996256 Michael Joseph Pohl Counselor 14603 Se Woodland Way, Milwaukie, OR 97267-1339 2010-07-13
1720399413 Barbara M Corkrean Counselor 16239 Se Mcloughlin Blvd Ste 208, Milwaukie, OR 97267-4654 2010-06-28
1225252612 Benjamin D Randolph Counselor 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428 2007-04-13
1669519484 Helen R Ware Counselor 9000 Se Mcbrod Ave, Milwaukie, OR 97222-7336 2007-01-31
1316084049 Renee' Lorena Raschke Counselor 17070se Mcloughlin Blvd., Milwaukie, OR 97267 2007-01-31
1982770905 Molly Gordon-schnacky Counselor 8627 Se 28th Pl, Milwaukie, OR 97222-6311 2006-11-28
Find all providers in MILWAUKIE

Competitor

Search similar providers

City MILWAUKIE
Zip Code 97222

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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