Individual
DR. SONI L ANDREINI POULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 S OAK ST # 133, SISTERS, OR 97759-1589
(617) 204-3500
Mailing address
160 S OAK ST # 133, SISTERS, OR 97759-1589
(617) 204-3500
(617) 204-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD166706
OR
Other
Enumeration date
12/23/2005
Last updated
08/11/2020
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