Individual
KIERSTEN LEIGH SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
815 SW BOND ST., BEND, OR 97702-3593
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F08240391
OR
363LF0000X
Family Nurse Practitioner
10026999
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336614247
NPI
OR
Enumeration date
09/16/2024
Last updated
12/13/2024
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