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1053535120
DERWOOD E BASHAM
ROSEBURG, OR
NPI
1053535120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO171270)
Enumeration Date
2007-04-12
Last Update Date
2015-07-17
Business Address
Dr. DERWOOD E BASHAM D.O.
2371 NE STEPHENS ST SUITE 200
ROSEBURG, OR 97470-1372
Phone number: 541-672-8533
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Mailing Address
Dr. DERWOOD E BASHAM D.O.
2371 NE STEPHENS ST SUITE 200
ROSEBURG, OR 97470-1372
Phone number: 541-672-8533
Copy
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