Individual
JILL MINDORA SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
Mailing address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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