NPI 1053535120

Derwood E Basham, DO

Practitioner Family Medicine Physician Roseburg, OR

Practice location

Address: 2371 NE Stephens St Suite 200, Roseburg, OR 97470-1372
Phone: (541) 672-8533
Fax: (541) 672-4993

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO171270 (OR)

Other Family Medicine providers in Oregon →

Registry record

NPI: 1053535120
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2007
Record last updated: 17 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.