Individual
BRADLEY ROSS BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3285 FERGUSON STREET SW, TUMWATER, WA 98512
(360) 943-1907
Mailing address
2220 WESTRIDGE AVE W APT L102, TACOMA, WA 98466-1859
(360) 761-2594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60766877
WA
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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