Randall Anthony Rathburn

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

602878295 Issued in WA

Practice address

2202 NE 141St Way
Vancouver, WA 98686-3021

Phone

(503) 929-0649

NPI assigned

Nov 19, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1215182100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 NE 141ST WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863021",
            "telephone_number": "503-929-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 NE 141ST WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863021",
            "telephone_number": "503-929-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHBURN",
        "first_name": "RANDALL",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602878295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean L Rasmussen, PA-C
• Joanna Rasmussen, M.S. CCC-SLP
• John Rastall, MD
• Laura Rat, RN
• Antonia L Rathbun, MA, LMHC, ATR
• Jeanna Rathmanner, PTA
• Madison Reene Rathsman
• Sarah A Ratkoviak, RNFA
• Ashli Ratliff
• Lanette Raugust

• Durable Medical Equipment & Medical Supplies in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.