Individual
AIDAN S SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
863 LIBERTY ST NE, SALEM, OR 97301-2451
(877) 522-1275
(509) 491-3031
Mailing address
5615 DUNBARTON AVE, PASCO, WA 99301-8216
(877) 522-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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