Individual
DANIEL RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9450 SW BARNES RD STE 100, PORTLAND, OR 97225-6642
(503) 292-9560
(503) 292-9510
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD192146
OR
207Q00000X
Family Medicine Physician
MT210770
PA
Other
Enumeration date
05/17/2016
Last updated
06/28/2021
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