IndividualActive
Ashlie Randall
NPI 1619441540 · Student in an Organized Health Care Education/Training Program · Moscow, ID
Provider details
- NPI number
- 1619441540
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 885-6111
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1857
Waldport, OR 97394-1857
Additional practice locations (1)
- 640 Se Ball BlvdWaldport, OR 97394Phone: (208) 318-8397
Registry dates
- Enumerated
- 2019-01-14
- Last updated
- 2019-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.