Individual
DR. DERRICK JOHN SORWEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 MULLINS DR, LEBANON, OR 97355-3983
(514) 259-0216
(541) 259-0680
Mailing address
795 E 2ND ST, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO20800
OR
208M00000X
Hospitalist Physician
Primary
DO20800
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135288
—
OR
Enumeration date
02/27/2006
Last updated
03/25/2021
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