Individual
DR. EDWIN ROMEL SORIANO DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A118530
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A118530
CA
Other
Enumeration date
03/30/2009
Last updated
10/20/2023
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