OrganizationActive
Ryan Randol DDS PC
NPI 1003200205 · General Practice Dentistry · Lake Oswego, OR
Provider details
- NPI number
- 1003200205
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Randol, President(541) 671-3716
Specialties & taxonomies
Dental Providers
Practice location
3993 Lake Grove Ave
Lake Oswego, OR 97035-4493
Phone: (503) 636-0055
Approximate (ZIP-level) locationGet directions
Mailing address
3993 Lake Grove Ave
Lake Oswego, OR 97035-4493
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2015-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.