| Ty David Bradford, PA-C | |
|
863 Liberty St Ne, Salem, OR 97301-2451 | |
| (877) 522-1275 | |
| Not Available |
| Full Name | Ty David Bradford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 863 Liberty St Ne, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053075077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60273 (California) | Secondary |
| 363A00000X | Physician Assistant | PA207912 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ty David Bradford, PA-C 500 Sw 7th St Ste A205, Renton, WA 98057-2983 Ph: (877) 522-1275 | Ty David Bradford, PA-C 863 Liberty St Ne, Salem, OR 97301-2451 Ph: (877) 522-1275 |
Mr. Christopher Michael Simpson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301 Phone: 503-814-1278 Fax: 503-814-1071 | |
Mr. Joel Horst, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-763-3639 Fax: 503-315-4678 | |
Robin Michelle Jewett, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2755 Commercial St Se # 101-258, Salem, OR 97302 Phone: 503-896-0297 Fax: 877-719-1596 | |
Mr. Kevin A Bell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Mr. Curt Carlton Stilp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Melissa Walsh, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 4030, Salem, OR 97301 Phone: 503-561-6444 | |
Jessica Frances Baca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-814-0273 Fax: 503-814-0273 |