Mr. Clyde Terrence Bancroft, PA
Mr. Clyde Terrence Bancroft, PA is a Physician Assistant in Roseburg, Oregon. Qualified in 2003, 23 years ago. Practices with Centennial Medical Group East LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 23
- Licensed in
- OR
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2570 NW Edenbower Blvd Ste 100Roseburg, OR 97471
Phone: (541) 677-7200
Fax: (541) 229-3362
Show map & directions
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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 PA00866 (OR) |
|---|
Record details
| NPI number | 1841397742 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | February 2, 2011 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Centennial Medical Group East Llc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Roseburg
-
Katie Barrow, PA-C
2460 NW Stewart Pkwy Ste 100, Roseburg, OR 97471-1516 · (541) 299-2663
-
Alexandra Ann Blaine
2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 · (541) 677-7200
-
Kaitlyn E Bogardus, PA-C
2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 · (541) 677-7200
-
Neil Bourjaily, PA-C
2700 NW Stewart Pkwy, Roseburg, OR 97471-1281 · (541) 673-0611