| Sandra Renae Randolph, AUD | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2045 | |
| (541) 267-5151 | |
| (541) 266-4595 |
| Full Name | Sandra Renae Randolph |
|---|---|
| Gender | Female |
| Speciality | |
| Experience | Years |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023268968 | NPI | - | NPPES |
| 930635514 | Other | OR | NBMC GROUP TAX ID FOR BILLING |
| R0000WFBTV | Other | OR | NBMC GROUP MEDICARE |
| 1407812365 | Other | OR | NBMC MAIN GROUP NPI |
| 161133 | Other | OR | NBMC GROUP MEDICAID-DMAP |
| 500600529 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 23138 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Renae Randolph, AUD 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 | Sandra Renae Randolph, AUD 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 |
Mr. James Robert Kornbau, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 160 S 2nd St, Coos Bay, OR 97420 Phone: 541-266-9639 Fax: 541-266-9763 | |
Dale Lisonbee, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1350 Teakwood Ave, Coos Bay, OR 97420 Phone: 541-266-4019 |