| Daniel C Root, MD | |
|
9280 Se Sunnyside Blvd, Ste 200, Clackamas, OR 97015 | |
| (503) 962-1840 | |
| Not Available |
| Full Name | Daniel C Root |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 26 Years |
| Location | 9280 Se Sunnyside Blvd, Clackamas, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184824237 | NPI | - | NPPES |
| 8369662 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD00042937 (Washington) | Secondary |
| 207N00000X | Dermatology | MD223071 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel C Root, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Daniel C Root, MD 9280 Se Sunnyside Blvd, Ste 200, Clackamas, OR 97015 Ph: (503) 962-1840 |
Jo M Martin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Nw Permanente Pc, Physicians And Surgeons, Clackamas, OR 97015 Phone: 503-571-3332 | |
Dr. Kevin Bruce Yarbrough, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 | |
Peter E Goodkin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Road, Suite 500, Clackamas, OR 97015 Phone: 503-654-7546 Fax: 503-786-3542 | |
Matthew G Basco, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-571-8490 | |
Dr. Zachary G Pena, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015 Phone: 503-962-1840 | |
Travis James Widman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3332 |