Individual
MEGAN JAYE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNS
Contact information
Practice address
2727 NW 9TH ST, CORVALLIS, OR 97330-3857
(503) 269-3610
(541) 735-9463
Mailing address
2727 NW 9TH ST, CORVALLIS, OR 97330-3857
(503) 269-3610
(541) 735-9463
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201604311CNS-PP
OR
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
R172938-0
MN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
201604311CNS-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622655800
—
MN
Enumeration date
06/12/2006
Last updated
08/07/2023
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