Individual
KRISTIN SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 S 56TH PL, SUITE 205, RIDGEFIELD, WA 98642-3425
(360) 891-1331
Mailing address
652 N U ST, WASHOUGAL, WA 98671-8569
(360) 609-3329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003696
WA
Other
Enumeration date
11/21/2007
Last updated
11/07/2019
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