Individual
SORIN PETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 NW EDENBOWER BLVD STE 112, ROSEBURG, OR 97471-8899
(541) 464-6260
(541) 229-0014
Mailing address
2801 NW MERCY DR STE 340, ROSEBURG, OR 97471-2348
(541) 677-4319
(541) 677-2294
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD27632
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500601705
—
OR
01
—
MD27638
MEDICAL LICENSE
OR
Enumeration date
03/21/2006
Last updated
04/03/2018
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