ROWDY RANDALL CRM
NPI 1093180226
Counselor - Addiction (Substance Use Disorder) in Redmond, OR

Active since December 14, 2015
340 NW 5TH ST, BOX 1710, REDMOND, OR 97756(541) 516-4087(541) 504-1195 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rowdy Randall Crm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROWDY RANDALL CRM (NPI 1093180226) is an individual addiction (substance use disorder) provider in Redmond, Oregon, licensed in Oregon (15-CRM-170) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1093180226
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROWDY RANDALLCredential: CRM
Location Address340 NW 5TH ST, BOX 1710Redmond, OR 97756-1869
Mailing Address676 Ne Negus WayRedmond, OR 97756-8527 · (541) 516-4087 · Fax (541) 504-1195
Fax(541) 504-1195
Sole ProprietorNo
Enumeration DateDecember 14, 2015
NPI 1093180226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · 15-CRM-170
340 NW 5TH ST, Redmond, OR 97756

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
340 NW 5TH ST, BOX 1710
REDMOND, OR 97756
Counselor (Mental Health)
340 NW 5TH ST, BOX 1710
REDMOND, OR 97756
Advanced Practice Midwife
340 NW 5TH ST
REDMOND, OR 97756
Counselor (Mental Health)
340 NW 5TH ST, BOX 1710
REDMOND, OR 97756
Nurse Practitioner (Family)
340 NW 5TH ST, SUITE 101
REDMOND, OR 97756
Obstetrics & Gynecology
340 NW 5TH ST, SUITE 101
REDMOND, OR 97756
Counselor (Addiction (Substance Use Disorder))
340 NW 5TH ST, BOX 1710
REDMOND, OR 97756
Advanced Practice Midwife
340 NW 5TH ST
REDMOND, OR 97756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rowdy Randall's NPI number?

The NPI number for Rowdy Randall is 1093180226. It was assigned to this individual provider in the NPPES registry on December 14, 2015.

Where is Rowdy Randall located?

Rowdy Randall practices at 340 NW 5th St Box 1710, Redmond, OR 97756. The listed phone number is (541) 516-4087.

What is Rowdy Randall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rowdy Randall was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.