Individual
MICHAEL SORRELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
Mailing address
605 W 3RD ST, WALLOWA, OR 97885-7115
(208) 350-3013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
08/04/2025
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