Individual
TERESA SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
Mailing address
8825 N FISKE AVE, PORTLAND, OR 97203-3536
(503) 928-2325
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
430561
OR
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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