RANDELL PETER JURA

PORTLAND, OR
NPI1104272921
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine Adult Medicine
(Licence: OR  12431)
Enumeration Date2016-05-11
Last Update Date2023-07-21
Business Address
RANDELL PETER JURA M.D.
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120
Mailing Address
RANDELL PETER JURA M.D.
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120