Root, Daniel Bryan

Root, Daniel Bryan is an individual health care provider with primary practice located at 2228 Nw Pettygrove St , Portland OR 97210-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Root, Daniel Bryan can be contacted via phone (503) 288-5201.

Contact Information

Primary practice address
2228 Nw Pettygrove St Portland OR 97210-2608
Phone: (503) 288-5201
Fax: (503) 972-7234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD17937 Oregon

Profile Details

NPI number 1194770370
LBN Legal business name Root, Daniel Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194770370 NPPES
Oregon MEDICAID 046016

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