DR. GRETCHEN RANDOLPH PH.D, PMHNP
NPI 1184876898
Nurse Practitioner - Psychiatric/Mental Health in Tigard, OR

Q: What is Gretchen Randolph's NPI number?

The NPI number for Gretchen Randolph is 1184876898. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Q: What is Gretchen Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Gretchen Randolph was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 14, 2008

13635 SW 115TH AVE, TIGARD, OR 97223(503) 968-1155 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gretchen Randolph Ph.d, Pmhnp NPPES

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

DR. GRETCHEN RANDOLPH PH.D, PMHNP (NPI 1184876898) is an individual psychiatric/mental health provider in Tigard, Oregon, licensed in Oregon (S80045119NG) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1184876898

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. GRETCHEN RANDOLPHCredential: PH.D, PMHNP

Location Address13635 SW 115TH AVETigard, OR 97223-2862

Mailing Address13635 Sw 115th AveTigard, OR 97223-2862 · (503) 968-1155

Phone(503) 968-1155

Sole ProprietorYes

Enumeration DateOctober 14, 2008

✔ NPI 1184876898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · S80045119NG

13635 SW 115TH AVE, Tigard, OR 97223

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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 Gretchen Randolph's NPI number?

The NPI number for Gretchen Randolph is 1184876898. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Gretchen Randolph located?

Gretchen Randolph practices at 13635 SW 115th Ave, Tigard, OR 97223. The listed phone number is (503) 968-1155.

What is Gretchen Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Gretchen Randolph was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.