Provider Demographics
NPI:1386071801
Name:BISHOP-TALL, JULIA CHERIE (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:CHERIE
Last Name:BISHOP-TALL
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
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Mailing Address - Street 1:13162 SW SHORE DR
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-1583
Mailing Address - Country:US
Mailing Address - Phone:206-697-0843
Mailing Address - Fax:503-713-5770
Practice Address - Street 1:14523 WESTLAKE DR # 25
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-7700
Practice Address - Country:US
Practice Address - Phone:503-966-5660
Practice Address - Fax:503-713-5770
Is Sole Proprietor?:No
Enumeration Date:2013-09-29
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR201407476NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
R181445Medicare PIN