Individual
MR. ERIC SARENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, MATS
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 417-1247
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 417-1247
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000000279
OR
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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