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MRS. CONNIE RAE RANDOLPH LPN
NPI 1184976318
Licensed Practical Nurse in Portland, OR

Active since October 11, 2012
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215(503) 215-9800(503) 215-9801 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Connie Rae Randolph Lpn NPPES

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

MRS. CONNIE RAE RANDOLPH LPN (NPI 1184976318) is an individual licensed practical nurse in Portland, Oregon, licensed in Oregon (083040749LPN) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1184976318
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. CONNIE RAE RANDOLPHCredential: LPN
Location Address4531 SE BELMONT ST STE 100Portland, OR 97215-1675
Mailing Address4531 Se Belmont St Ste 100Portland, OR 97215-1675 · (503) 215-9819 · Fax (503) 215-9801
Phone(503) 215-9800
Fax(503) 215-9801
Sole ProprietorYes
Enumeration DateOctober 11, 2012
✔ NPI 1184976318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 083040749LPN
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4531 SE BELMONT ST STE 100, Portland, OR 97215
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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.

HEATHER SHANK LCSW
Social Worker (Clinical)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 894-1871
ELEE ALLECKSON CSWA
Social Worker (Clinical)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-6556
SHANE ROVIG
Registered Nurse
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-6556
MEGAN JOANNE KELLER
Registered Nurse (Gerontology)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 546-9559
KATHERINE L EVANS RN
Registered Nurse (Administrator)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-9800
OSCAR LI RN
Registered Nurse
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-6556
MRS. JENNIFER HOFFMAN SWINT RN
Registered Nurse (Case Management)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-6556
LORI LINN WEAGANT-RAY RN
Registered Nurse (Community Health)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-3738

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 Connie Randolph's NPI number?

The NPI number for Connie Randolph is 1184976318. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Connie Randolph located?

Connie Randolph practices at 4531 SE Belmont St Ste 100, Portland, OR 97215. The listed phone number is (503) 215-9800.

What is Connie Randolph's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Connie Randolph was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.