Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLYDE TERRENCE BANCROFT, PA
ActivePhysician Assistant · ROSEBURG, OR
Registration Details
- NPI Number
- 1841397742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.58417650014 yrs)
- Last Updated
- Feb 2, 2011
- License
-
PA00866 (OR)
Practice Information
- Address
-
2570 NW EDENBOWER BLVDSUITE 100ROSEBURG, OR, 97471Browse OR providers · Browse ZIP 97471
- Phone
- 5416777200
- Fax
- 5412293362
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| EVE MARIE TRAILL | PA-C | 1356331060 |
| KERRY LYN HARRINGTON | PA-C | 1760473060 |
| MARGOT OUIMETTE | PA | 1700858289 |
| CHARLES A MUSGRAVE | PA-C | 1386617520 |
| PAUL J FIEBER | P.A. | 1043371305 |
| CARLY MAUCH | PA-C | 1679758700 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.