Individual
MR. DANIEL KEITH ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5200 S MACADAM AVE, PORTLAND, OR 97239-6103
(503) 333-8988
Mailing address
5200 S MACADAM AVE, PORTLAND, OR 97239-6103
(503) 333-8988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7307
OR
1041C0700X
Clinical Social Worker
LCSW65037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
08/03/2011
Last updated
02/19/2026
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