Individual
DR. DEREK TED EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 NW 11TH ST, SUITE E-15, HERMISTON, OR 97838-8602
(541) 567-6434
(541) 567-6019
Mailing address
151 NE 12TH ST, HERMISTON, OR 97838-2598
(541) 567-3643
(541) 567-6019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO23298
OR
207Q00000X
Family Medicine Physician
OP00001751
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298007
—
OR
Enumeration date
10/19/2006
Last updated
01/20/2025
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