Individual
DANIEL BRYAN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2228 NW PETTYGROVE ST, PORTLAND, OR 97210-2608
(503) 288-5201
(503) 972-7234
Mailing address
2228 NW PETTYGROVE ST, PORTLAND, OR 97210-2608
(503) 288-5201
(503) 972-7234
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD17937
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046016
—
OR
Enumeration date
05/24/2006
Last updated
07/13/2010
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