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

Randell Peter Jura, MD

Individual provider Adult Medicine Physician · NPI 1104272921

Randell Peter Jura, MD is an Adult Medicine Physician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
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

10915 SE Stark St
Portland, OR 97216-3348
Phone: (503) 261-1120
Fax: (503) 261-8936
Show map & directions

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

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 12431 (OR)

Record details

NPI number1104272921
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 11, 2016
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address10915 Se Stark St, Portland, OR 97216-3348

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