Organization
MICHAEL SORAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SORAH (OWNER)
(541) 754-2225
Entity
Organization
Contact information
Practice address
999 NW CIRCLE BLVD, CORVALLIS, OR 97330-1408
(541) 754-2225
Mailing address
999 NW CIRCLE BLVD, CORVALLIS, OR 97330-1408
(541) 754-2225
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2949
OR
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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