Individual
JOHN K BISCHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 SW 5TH AVE., 7TH FLOOR, PORTLAND, OR 97204-1703
(503) 416-4100
(503) 416-3721
Mailing address
315 SW 5TH AVE., 7TH FLOOR, PORTLAND, OR 97204-1703
(503) 416-4100
(503) 416-3721
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD17221
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267898
—
OR
Enumeration date
10/24/2006
Last updated
11/05/2019
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