Search › Oregon › 363A00000X
John Tully, PA-C
NPI 1992964563 · on the registry since 2008
Practice
- Address
- 61250 Se Coombs Pl
Bend, OR 97702 - Phone
- (541) 706-5930
- Fax
- (541) 706-5931
- Clinicians at this address
- 30
Additional practice sites
- 1501 Ne Medical Center Dr, Bend, OR
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- UT, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-01
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