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SEBASTIAN RANDALL RANDALL
NPI 1194195099
Registered Nurse - Addiction (Substance Use Disorder) in Portland, OR

Active since October 05, 2015
1027 E BURNSIDE ST, PORTLAND, OR 97214(503) 239-8400(503) 239-8406 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sebastian Randall Randall NPPES

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

SEBASTIAN RANDALL RANDALL (NPI 1194195099) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (201504791RN) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1194195099
Entity TypeIndividualMale
Primary Taxonomy163WA0400X
Provider Legal NameSEBASTIAN RANDALL RANDALL
Location Address1027 E BURNSIDE STPortland, OR 97214-1328
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (503) 239-8400 · Fax (503) 239-8406
Phone(503) 239-8400
Fax(503) 239-8406
Sole ProprietorNo
Enumeration DateOctober 5, 2015
✔ NPI 1194195099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in OR · 201504791RN
1027 E BURNSIDE ST, Portland, OR 97214
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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.

MS. LISA DIANE WATTS DO
Family Medicine
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
JENNA M CHANTARA MSW, CADCII, QMHP
Counselor (Addiction (Substance Use Disorder))
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
DR. JEFFREY BENTON HAYES MD
Family Medicine (Addiction Medicine)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
MELINDA TAFT
Counselor
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
DR. THOMAS TURNER MEYER M.D.
Psychiatry & Neurology (Psychiatry)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
BROOKE E JOHNSON
Counselor (Mental Health)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (971) 202-8400
LINDSEY K NEELY
Counselor (Addiction (Substance Use Disorder))
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
MISS KARA EDGE MSW
Social Worker (Clinical)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400

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 Sebastian Randall Randall's NPI number?

The NPI number for Sebastian Randall Randall is 1194195099. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Sebastian Randall Randall located?

Sebastian Randall Randall practices at 1027 E Burnside St, Portland, OR 97214. The listed phone number is (503) 239-8400.

What is Sebastian Randall Randall's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Sebastian Randall Randall was last updated on October 5, 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.