Individual
DR. DANIEL DEVEE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220-9436
(503) 215-4014
(503) 215-4055
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD07808
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ROBERDD598B7
WA DRIVER'S LICENSE #
WA
Enumeration date
07/07/2008
Last updated
07/07/2008
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