Individual
DR. ELMER THEODORE SORNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 MEDICAL CENTER DR NE, SALEM, OR 97301-2751
(503) 581-5287
(503) 588-6843
Mailing address
655 MEDICAL CENTER DR NE, SALEM, OR 97301-2751
(503) 581-5287
(503) 588-6843
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD06798
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17451-6
—
OR
Enumeration date
06/10/2005
Last updated
11/01/2007
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