Individual
CAMERON E DERBYSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2400 HARTMAN LN STE 100, SPRINGFIELD, OR 97477-1119
(541) 334-3350
(541) 746-4569
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 997-7134
(541) 997-9650
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA158631
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500646843
—
OR
Enumeration date
06/28/2012
Last updated
09/28/2022
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