| Bradley Jack Tishman, | |
|
506 4th St, La Grande, OR 97850-1906 | |
| (541) 663-3138 | |
| (541) 975-5120 |
| Full Name | Bradley Jack Tishman |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 506 4th St, La Grande, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033783584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO219893 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Jack Tishman, Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 Ph: (803) 434-6113 | Bradley Jack Tishman, 506 4th St, La Grande, OR 97850-1906 Ph: (541) 663-3138 |
Dr. Michelle Tolle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Tracey Kathleen Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Brooke Davis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Dr. Ellen K Schoenfelder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Drive, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Dr. Bryan Richard Conklin, MD PC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2011 Fourth Street, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Debra Studer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 |