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1104272921
RANDELL PETER JURA
PORTLAND, OR
NPI
1104272921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine Adult Medicine
(Licence: OR 12431)
Enumeration Date
2016-05-11
Last Update Date
2023-07-21
Business Address
RANDELL PETER JURA M.D.
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120
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Mailing Address
RANDELL PETER JURA M.D.
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120
Copy
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