Daniel Rodgers, M.D.
Family Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1154778439
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1154778439
- Entity type
- Individual (NPI-1)
- Name
- Daniel Rodgers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2016
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD192146 | OR | Yes |
| 207Q00000X | Family Medicine | MT210770 | PA |
Practice location
9450 Sw Barnes Rd Ste 100Portland, OR 97225-6642
Phone 503-292-9560 · Fax 503-292-9510
Mailing address
800 Sw 13th AvePortland, OR 97205-1902
Phone 503-221-0161
Other practice locations
5005 Ne Sandy Blvd
Portland, OR 97213-1941
Portland, OR 97213-1941
Phone 503-233-6940
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