Mary Eg Randle, NP - Nurse Practitioner in Portland, OR

Mary Eg Randle, NP is a Nurse Practitioner - Gerontology based in Portland, Oregon. Mary Eg Randle is licensed to practice in Utah (license number 2204278900) and her current practice location is 5519 Se 56th Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (801) 414-3343.

NPI number for Mary Eg Randle is 1558507517 and her current mailing address is 5519 Se 56th Ave, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558507517.

Contact Information

Mary Eg Randle, NP
5519 Se 56th Ave,
Portland, OR 97206-5501
(801) 414-3343
Not Available

Map and Direction




Provider's Profile

Full NameMary Eg Randle
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location5519 Se 56th Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558507517
  • Provider Enumeration Date: 12/22/2008
  • Last Update Date: 09/23/2026

Medical Identifiers

Medical identifiers for Mary Eg Randle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558507517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 10058083 (Oregon)Secondary
363LG0600XNurse Practitioner - Gerontology 2204278900 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Eg Randle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Eg Randle, NP
5519 Se 56th Ave,
Portland, OR 97206-5501

Ph: (801) 414-3343
Mary Eg Randle, NP
5519 Se 56th Ave,
Portland, OR 97206-5501

Ph: (801) 414-3343

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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