Individual ProviderNaghmeh TishmanFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address506 4th St, La Grande, OR 97850-1906(541) 663-3138(803) 434-6113PECOS EnrollmentBased on the most recent information from CMS, provider Naghmeh Tishman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700450251Provider TypeIndividualFull NameTishman, NaghmehGenderFemaleSole ProprietorNoEnumeration Date5/19/2021Last Updated8/28/2024Contact InformationPractice LocationPractice Address506 4th St, La Grande, OR 97850-1906Phone(541) 663-3138Fax(541) 975-5120Mailing LocationMailing AddressPrisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203Phone(803) 434-6113Fax(803) 434-8478Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseDO219873OregonCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseLL86608South CarolinaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer