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1851407860
DANIEL LEWIS ROTH
SALEM, OR
NPI
1851407860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208M00000X Hospitalist
(Licence: OR OR MD 17900)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
DANIEL LEWIS ROTH M.D
665 WINTER ST SE
SALEM, OR 97301-3919
Phone number: 503-561-5356
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Mailing Address
DANIEL LEWIS ROTH M.D
7897 LAVENDER LN SE
TURNER, OR 97392-9361
Phone number: 503-375-6403
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