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Organization
SORWEIDE FAMILY MEDICINE PC
Active
Organization
SORWEIDE FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK J SORWEIDE DO (PRESIDENT)
(541) 955-0607
Entity
Organization
Contact information
Practice address
1619 NW HAWTHORNE AVE, SUITE 101, GRANTS PASS, OR 97526-6008
(541) 955-0607
Mailing address
1619 NW HAWTHORNE AVE, SUITE 101, GRANTS PASS, OR 97526-6008
(541) 955-0607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO20800
OR
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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