Provider Demographics
NPI:1851664825
Name:ZEHRUNG, RANDALL EUGENE (RPH)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:EUGENE
Last Name:ZEHRUNG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16730 NW ARGYLE WAY
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-1866
Mailing Address - Country:US
Mailing Address - Phone:503-629-5175
Mailing Address - Fax:
Practice Address - Street 1:16730 NW ARGYLE WAY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-1866
Practice Address - Country:US
Practice Address - Phone:503-629-5175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0006572183500000X
WA60232482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist