Derwood E Basham, D.O. Valid NPI

Individual provider · Family Medicine Physician · Roseburg, OR

NPI

1053535120

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

DO171270 (OR)

Sex

Male

Sole proprietor

No

Enumerated

2007-04-12

Last updated

2015-07-17