Search › Oregon › 363A00000X
Ty Bradford, PA-C
NPI 1053075077 · on the registry since 2021
Practice
- Address
- 863 Liberty St Ne
Salem, OR 97301 - Phone
- (877) 522-1275
- Organisation at this address
- Ideal Option Pllc
Idea Telemedicine Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 444 Bruce St, Yreka, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon