MEDICARE: DR. RANDALL D. HOWERTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	MD0047434	WA
2	207V00000X	Obstetrics & Gynecology Physician	MD00047434	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891787933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDALL D. HOWERTON MD

Provider Business Mailing Address
First Line	:	1006 N H ST
Second Line	:
City	:	ABERDEEN
State	:	WA
Zip	:	98520-2521
Country	:	US
Telephone Number	:	360-533-8500
Fax Number	:	360-537-6492

Provider Business Practice Location Address
First Line	:	1006 N H ST
Second Line	:
City	:	ABERDEEN
State	:	WA
Zip	:	98520-2521
Country	:	US
Telephone Number	:	360-537-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	06/30/2025

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