Individual
DANIEL B. ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 NW HIGHWAY 101 STE A, LINCOLN CITY, OR 97367-3241
(541) 996-7480
(541) 557-6439
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
F-1941
TX
207X00000X
Orthopaedic Surgery Physician
Primary
MD192188
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205619-02
—
TX
Enumeration date
07/11/2006
Last updated
11/04/2020
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