Individual
DANIEL DUANE SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2258652
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201050119NP
OR
Other
Enumeration date
06/11/2009
Last updated
08/17/2010
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