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Randall E Blome, MD
Family Medicine Physician in Grand Ronde, Oregon
NPI 1861457384

Randall E Blome is a Family Medicine Physician based in Grand Ronde, OR. Randall E Blome practices in Grand Ronde, OR and has the professional credentials of MD. The NPI Number for Randall E Blome is 1861457384 and holds a License No. MD17595 (Oregon).

The current practice location address for Randall E Blome is 9605 Grand Ronde Rd, Grand Ronde, OR and can be reached out via phone at 503-879-2002 and via fax at 503-879-2015.

Location: 9605 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861457384
Provider Name
Randall E Blome
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9605 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Phone Number
503-879-2002
Fax Number
503-879-2015
Provider Enumeration Date
04/18/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0200572 01 WA WA LABOR & INDUSTRIES
034558 05 OR
institution
Provider Business Practice Location Address Details
Address
9605 Grand Ronde Rd
City
Grand Ronde
State
Oregon
Zip
97347-9712
Phone Number
503-879-2002
Fax Number
503-879-2015
person
Provider Business Mailing Address Details
Address
9605 Grand Ronde Rd
City
Grand Ronde
State
Oregon
Zip
97347-9712
Phone Number
503-879-2002
Fax Number
503-879-2015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD17595 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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