Individual
RONALD S SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2728 E MAIN AVE, SUITE A, PUYALLUP, WA 98372-3198
(253) 848-0131
(253) 840-6787
Mailing address
2728 E MAIN AVE, SUITE A, PUYALLUP, WA 98372-3198
(253) 841-2006
(253) 840-6691
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000510
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO00000510
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155721
LABOR AND INDUSTRIES
WA
05
—
8148843
—
WA
01
—
CJ4574
RAIL ROAD MEDICARE
WA
01
—
SO1011
REGENCE
WA
Enumeration date
09/15/2005
Last updated
01/06/2014
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