Individual provider · Type 1 NPI

Bradley Jack Tishman

Family Medicine Physician · La Grande, OR

NPI number 1033783584 Active

Practice location

506 4th St
La Grande, OR 97850-1906

Fax (541) 975-5120

Mailing address

Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive
Columbia, SC 29203

Other practice locations

  • Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 · (803) 434-6113

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XDO219893 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1033783584

Bradley Jack Tishman's National Provider Identifier is 1033783584, issued on May 19, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in La Grande, OR. The record was last updated on Aug 28, 2024.