Derbyshire, Cameron E
Derbyshire, Cameron E is an individual health care provider with primary practice located at 2400 Hartman Ln Ste 100 , Springfield OR 97477-1119. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Derbyshire, Cameron E can be contacted via phone (541) 334-3350.Contact Information
Primary practice address
2400 Hartman Ln Ste 100
Springfield OR 97477-1119
Phone: (541) 334-3350
Fax: (541) 746-4569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA158631 | Oregon |
Profile Details
| NPI number | 1609130269 |
|---|---|
| LBN Legal business name | Derbyshire, Cameron E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2012 |
| Last updated | Sep 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609130269 | NPPES |
| Oregon | MEDICAID | 500646843 |
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