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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDELL PETER JURA, M.D.

Active Sole Proprietor

RANDELL PETER JURA, M.D. is a Adolescent Medicine healthcare provider located in PORTLAND, Oregon. NPI 1104272921 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · PORTLAND, OR

Registration Details

NPI Number
1104272921
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2016 (10.26997544873 yrs)
Last Updated
Jul 21, 2023
License
12431 (OR)
Sole Proprietor
Yes

Practice Information

Address
10915 SE STARK ST
PORTLAND, OR, 972163348
Browse OR providers · Browse ZIP 97216
Phone
5032611120
Fax
5032618936
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Providers in PORTLAND, OR

Name Credential NPI
DR. JOHN DENKER M.D. 1942201546
DR. CAROLYN NOBUKO CHAPMAN M.D. 1497765499
DR. FRANCES VENTURA VERZOSA M.D. 1326199738
DR. MELISSA NOBLE DO 1629109335
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.