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Individual

DR. KENNETH LEIF NATHANIEL SJOREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
840 SW 4TH AVE STE 105, ONTARIO, OR 97914-2638
(541) 881-2800
(541) 881-2825
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO219324
OR
207V00000X
Obstetrics & Gynecology Physician
O-1672
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500835019
OR
Enumeration date
06/13/2018
Last updated
01/14/2026
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