Individual
MATHEW D SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356510, SEATTLE, WA 98195-0001
(206) 598-4294
(206) 543-3272
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
(206) 543-3272
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00048458
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279804
L&I
—
05
—
1134230014
—
WA
Enumeration date
08/31/2006
Last updated
09/06/2012
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