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Randell Peter Jura

Family Doctor - Adult Medicine

4666 Commercial St Se
Salem , Oregon 97302-1902

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Randell Peter Jura

Family Doctor - Adult Medicine

4666 Commercial St Se
Salem , Oregon 97302-1902

(503) 364-1016

Write a Review Save Call

Randell Peter Jura

Family Doctor - Adult Medicine

4666 Commercial St Se
Salem , Oregon 97302-1902

(503) 364-1016 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Adult Medicine

Languages spoken

  • English

Location

4666 Commercial St Se Salem , Oregon 97302-1902

First Address

  • Randell Peter Jura
  • 4666 Commercial St Se
  • Salem, OR
  • Zip : 97302-1902
  • Fax : (503) 364-1016
  • Phone : (503) 399-7607

Second Address

  • Randell Peter Jura
  • 4666 Commercial St Se
  • Salem, OR
  • Zip : 97302-1902
  • Fax : (503) 364-1016
  • Phone : (503) 399-7607

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FAQs


Where did Randell Peter Jura attend graduate school?

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Where did Randell Peter Jura do his residency?

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Where did Randell Peter Jura do his fellowship?

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Is Randell Peter Jura board certified?

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What type of doctor is Randell Peter Jura

Family Doctor - Adult Medicine

In what state does Randell Peter Jura practice in?

Oregon

Where is Randell Peter Jura ’s practice located?

4666 Commercial St Se , Salem, Oregon, 97302-1902

What is Randell Peter Jura ’s gender?

Male

Is Randell Peter Jura a sole practitioner?

No

Is Randell Peter Jura accepting new patients?

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What languages does Randell Peter Jura speak?

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Does Randell Peter Jura accept insurance?

Yes, Randell Peter Jura accepts insurance

Does Randell Peter Jura offers telemedicine?

Randell Peter Jura has not indicated if he offers telemedicine

What is Randell Peter Jura ’s professional license number?

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What is Randell Peter Jura ’s NPI number?

1104272921

Does Randell Peter Jura have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QA0505X Family Doctor - Adult Medicine 12431 OR

National Provider Identifier

NPI 1104272921
Provider Name Randell Peter Jura
First Address Salem, OR 97302-1902
Second Address Salem, OR 97302-1902
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 11/05/2016
Last Update Date 11/05/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0000BHPBD OREGON WORKERS COMP (01) OR
26053-9 (05) OR
C94383 (02) OR

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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