Individual
JANE ELLEN SONNELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6026 N MICHIGAN AVE, PORTLAND, OR 97217-1805
(503) 752-8550
Mailing address
6026 N MICHIGAN AVE, PORTLAND, OR 97217-1805
(503) 752-8550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09031
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213322
—
OR
01
—
P00604898
RR MEDICARE
OR
Enumeration date
05/12/2006
Last updated
02/18/2015
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