Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396752119 Individual Practitioner Male Practitioner

Randall Lynn Archibald , PA-C

Physician Assistant • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Randall Archibald, PA-C is a registered healthcare professional specializing in Physician Assistant in Tigard, OR. Practice services are available at 18040 SW LOWER BOONES FERRY RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18040 Sw Lower Boones Ferry Rd Ste 100

Tigard, OR 972247259

Telephone 5032160750
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
50 Specialists

Practicing in Tigard, OR (2106 Statewide)

Telehealth Adoption Rate
26.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA223626

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License UT 3133301206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

3540 S 4000 W Ste 340

West Valley City, UT 841203287

Phone: 8019690200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Dr. Walaa Abdelmoaty , MD

Preventive Medicine - Occupational Medicine

NPI 1033686704

Doctor of Medicine (M.D.)

Dr. Nathan Way , MD

Family Medicine

NPI 1104251263

Doctor of Medicine (M.D.)

Dr. Murtaza Batla , MD, CAQSM

Internal Medicine - Sports Medicine

NPI 1346418266

Doctor of Medicine (M.D.), CAQSM

Tamera Fuller , PA-C

Physician Assistant

NPI 1376935270

Physician Assistant (Certified)

NPI 1649224882

Doctor of Medicine (M.D.)

Trevor Steiner , PA-C

Physician Assistant

NPI 1649701988

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 07, 2025

Registered at 18040 SW LOWER BOONES FERRY RD STE 100, TIGARD, OR 972247259 (Tel: 5032160750)

📍
Updated Business Mailing Address March 07, 2025

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032156494)

NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2012

Registered at 3540 S 4000 W STE 340, WEST VALLEY CITY, UT 841203287 (Tel: 8019690200)

📍
Updated Business Mailing Address October 01, 2012

Registered at 3540 S 4000 W STE 340, WEST VALLEY CITY, UT 841203287 (Tel: 8019690200)

👤
Provider Name / Credentials Updated October 01, 2012

Recorded as RANDALL ARCHIBALD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Physician Assistant (License #3133301206 in UT)

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396752119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: March 07, 2025
Sole Proprietor: No

Mailing Address

Po Box 3158

Portland, OR 972083158

Phone: 5032156494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.