Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall E Blome, MD

Individual provider Family Medicine Physician · NPI 1861457384

Randall E Blome, MD is a Family Practice in Grand Ronde, Oregon. Graduated from University of Toledo College of Medicine in 1986, 40 years ago. Practices with Confederated Tribes of the Grand Ronde Community of Oregon, a 19-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
40
Trained at
University of Toledo College of Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone: (503) 879-2002
Fax: (503) 879-2015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD17595 (OR)

Record details

NPI number1861457384
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2006
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Confederated Tribes Of The Grand Ronde Community Of Oregon — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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