Organization
RPJURA MEDICAL, PC
Active
Other names
Randell P Jura, MD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDELL P JURA M.D. (OWNER)
(503) 522-9209
Entity
Organization
Contact information
Practice address
4666 COMMERCIAL ST SE, SALEM, OR 97302-1902
(503) 399-7607
Mailing address
1295 MARKET ST NE, SALEM, OR 97301-1371
(503) 522-9209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12431
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1524
WORKERS COMPENSATION OR
OR
05
—
26053-9
—
OR
Enumeration date
10/02/2006
Last updated
12/05/2014
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