Rebecca Ann Randel, rdh
Dental Hygienist in Portland, OR. Individual provider (NPI-1).
NPI number1609989656
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609989656
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rebecca Ann Randel
- Credential
- rdh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | h2479 | OR | Yes |
Practice location
1314 Ne Grand AvePortland, OR 97232-1127
Phone 503-280-2877
Mailing address
3971 Lewis River RdWoodland, WA 98674-9620
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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