Individual
DR. BRANDON WALLACE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1813 W HARVARD AVE STE 110, ROSEBURG, OR 97471-2753
(541) 391-8155
(541) 391-8154
Mailing address
1813 W HARVARD AVE STE 110, ROSEBURG, OR 97471-2753
(541) 391-8155
(541) 391-8154
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP177099
OR
Other
Enumeration date
05/20/2009
Last updated
02/10/2026
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