Individual
DR. SAM SCOTT SORRENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BEATTY, MEDFORD, OR 97501-5811
(541) 476-2373
Mailing address
1215 SW G ST., GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
328669
NY
2084P0800X
Psychiatry Physician
Primary
MD219688
OR
Other
Enumeration date
04/15/2020
Last updated
10/09/2024
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