DERRAL HAWTHORNE, PA-C

Physician Assistant

Active Individual
NPI: 1295169001

Practice Address

94180 2ND ST
Gold Beach, OR 97444

Phone: (541) 247-7047

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA191287 (OR)

Frequently Asked Questions

NPI 1295169001 is the National Provider Identifier for DERRAL HAWTHORNE, PA-C, a Physician Assistant provider located in Gold Beach, OR. This NPI was enumerated on August 28, 2013.
DERRAL HAWTHORNE, PA-C practices at 94180 2ND ST, Gold Beach, OR 97444.

Quick Facts

NPI
1295169001
Type
Individual
Enumerated
Aug 28, 2013
Last Updated
Mar 3, 2025

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