Daniel Duane Sorenson, PMHNP
Nurse Practitioner, Psych/Mental Health in White City, OR. Individual provider (NPI-1).
NPI number1760619258
StatusActive
Last updated in NPPESAug 17, 2010
Details
- NPI
- 1760619258
- Entity type
- Individual (NPI-1)
- Name
- Daniel Duane Sorenson
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2009
- Last updated
- Aug 17, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 201050119NP | OR | Yes |
| 163W00000X | Registered Nurse | 2258652 | MA |
Practice location
8495 Crater Lake HwyWhite City, OR 97503-3011
Phone 541-826-2111
Mailing address
8495 Crater Lake HwyWhite City, OR 97503-3011
Phone 541-826-2111
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