Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY JACK TISHMAN
ActiveBRADLEY JACK TISHMAN is a Family Medicine healthcare provider located in LA GRANDE, Oregon. NPI 1033783584 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LA GRANDE, OR
Registration Details
- NPI Number
- 1033783584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2021 (5.2246400531817 yrs)
- Last Updated
- Aug 28, 2024
- License
-
DO219893 (OR)
Practice Information
- Address
-
506 4TH STLA GRANDE, OR, 978501906Browse OR providers · Browse ZIP 97850
- Phone
- 5416633138
- Fax
- 5419755120
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in LA GRANDE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN E SCHAEFER | MD | 1821182551 |
| DR. BRYAN RICHARD CONKLIN | MD PC | 1346334075 |
| DR. ELLEN K SCHOENFELDER | MD | 1306912035 |
| ANDA KARLEEN BALDERRAMA YANGSON | MD | 1629292404 |
| DR. MARY GRACE PORTER | D.O | 1477739720 |
| TRACEY KATHLEEN TRACY | MD | 1073760955 |
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.