Individual
MR. THOMAS JOHN DERNBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
Mailing address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 322-2286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01208
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500616698
—
OR
Enumeration date
04/08/2006
Last updated
03/04/2025
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