Individual
DR. TAMMY A BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
(541) 706-2398
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
(541) 706-2398
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD21631
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134038
—
OR
Enumeration date
06/10/2005
Last updated
08/24/2022
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