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Organization

SORWEIDE FAMILY MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DERRICK J SORWEIDE DO (PRESIDENT)
(541) 955-0607
Entity
Organization

Contact information

Practice address
1619 NW HAWTHORNE AVE, SUITE 101, GRANTS PASS, OR 97526-6008
(541) 955-0607
Mailing address
1619 NW HAWTHORNE AVE, SUITE 101, GRANTS PASS, OR 97526-6008
(541) 955-0607

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO20800
OR

Other

Enumeration date
08/13/2006
Last updated
08/22/2020
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