person
Randell Peter Jura, MD
Adult Medicine Physician in Portland, Oregon
NPI 1104272921

Randell Peter Jura is an Adult Medicine Physician based in Portland, OR and is specialized in Adult Medicine. Randell Peter Jura practices in Portland, OR and has the professional credentials of MD. The NPI Number for Randell Peter Jura is 1104272921 and holds a License No. 12431 (Oregon).

The current practice location address for Randell Peter Jura is 10915 Se Stark St, Portland, OR and can be reached out via phone at 503-261-1120 and via fax at 503-261-8936.

Location: 10915 Se Stark St, Portland, OR, 97216-3348
person
Provider Profile Details
NPI Number
1104272921
Provider Name
Randell Peter Jura
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10915 Se Stark St, Portland, OR, 97216-3348
Phone Number
503-261-1120
Fax Number
503-261-8936
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26053-9 05 OR
0000BHPBD 01 OR OREGON WORKERS COMP
institution
Provider Business Practice Location Address Details
Address
10915 Se Stark St
City
State
Zip
97216-3348
Phone Number
503-261-1120
Fax Number
503-261-8936
person
Provider Business Mailing Address Details
Address
10915 Se Stark St
City
State
Zip
97216-3348
Phone Number
503-261-1120
Fax Number
503-261-8936
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
12431 (Oregon)
Definition
Definition to come.
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