DANIEL LEWIS ROTH

SALEM, OR
NPI1851407860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: OR  or md 17900)
Enumeration Date2006-08-22
Last Update Date2007-07-08
Business Address
-- DANIEL LEWIS ROTH m.d
665 WINTER ST SE
SALEM, OR 97301-3919
Phone number: 503-561-5356
Mailing Address
-- DANIEL LEWIS ROTH m.d
7897 LAVENDER LN SE
TURNER, OR 97392-9361
Phone number: 503-375-6403
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