Derral Edward Hawthorne, PA-C
Derral Edward Hawthorne, PA-C is a Physician Assistant in Gold Beach, Oregon. Qualified in 2013, 13 years ago. Practices with North Bend Medical Center Inc, a 91-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 13
- Licensed in
- OR
- In the registry since
- 2013
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
94180 2nd StGold Beach, OR 97444-8733
Phone: (541) 247-7047
Fax: (541) 247-0123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA191287 (OR) |
|---|
Record details
| NPI number | 1295169001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 28, 2013 |
| Last updated in NPPES | March 3, 2025 |
| Certification date | March 3, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | North Bend Medical Center Inc — 91 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Gold Beach
-
Tamara Tuttle, PA-C
94180 2nd St, Gold Beach, OR 97444-8733 · (541) 412-2000