Bradley Jack Tishman

NPI #1033783584 in La Grande, Oregon

Provider Information

NPI Number: 1033783584
Entity Type: Individual
Name: Bradley Jack Tishman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: May 19, 2021
Last Updated: Aug 28, 2024

Practice Location

Address: 506 4TH ST
City: La Grande
State: Oregon
ZIP Code: 97850-1906
Phone: (541) 663-3138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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