Individual
DANIEL LEWIS ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3919
(503) 561-5356
Mailing address
7897 LAVENDER LN SE, TURNER, OR 97392-9361
(503) 375-6403
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OR MD 17900
OR
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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