Daniel M Rosenberg, MD
Family Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1194750331
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1194750331
- Entity type
- Individual (NPI-1)
- Name
- Daniel M Rosenberg
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD23713 | OR | Yes |
Practice location
1321 Ne 99th AveSuite 200
Portland, OR 97220-9436
Phone 503-215-4250 · Fax 503-215-4255
Mailing address
Po Box 3158Portland, OR 97208-3158
Phone 503-215-6494 · Fax 503-215-6644
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