Individual
PAUL E SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1909 MOUNTAIN VIEW LN, STE 200, FOREST GROVE, OR 97116-2894
(503) 608-8735
(503) 608-8735
Mailing address
PO BOX 1114, FOREST GROVE, OR 97116-4114
(503) 608-8735
(503) 608-8735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4139
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139431
—
OR
05
—
139670
—
OR
Enumeration date
12/17/2008
Last updated
11/23/2016
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