Derral Edward Hawthorne, PA-C
NPI #1295169001 in Gold Beach, Oregon
Provider Information
- NPI Number
- 1295169001
- Entity Type
- Individual
- Name
- Derral Edward Hawthorne, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 28, 2013
- Last Updated
- Mar 3, 2025
Practice Location
- Address
- 94180 2ND ST
- City
- Gold Beach
- State
- Oregon
- ZIP Code
- 97444-8733
- Phone
- (541) 247-7047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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