Individual provider · Type 1 NPI

John Patrick Tully, PA-C

Physician Assistant · Bend, OR

NPI number 1992964563 Active

Practice location

61250 SE Coombs Pl
Bend, OR 97702-3704

Fax (541) 706-5931

Mailing address

PO Box 6048
Bend, OR 97708-6048

Other practice locations

  • 1501 NE Medical Center Dr, Bend, OR 97701-6051 · (541) 382-4900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5008334-1206 (UT)
Physician Assistant Primary 363A00000XP175245 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1992964563

John Patrick Tully, PA-C's National Provider Identifier is 1992964563, issued on Jun 8, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bend, OR. The record was last updated on May 1, 2026.