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Contact Information

MARY L SORENSEN, MD
3181 SW SAM JACKSON PARK RD
L611
PORTLAND, OR97239-3011
 Phone: 503-494-6518
 Fax: 503-494-6519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARY L SORENSEN · (Female)

NPI Number 1114127263
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2007
Last updated 06/27/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD158087
  • OR Other LL17317 OREGAN BOARD OF MEDICAL E
  • OR Other FE155732 OREGON MEDICAL LICENSE
  • OR Other LL15240 OREGON MEDICAL LICENSE
  • OR Other LL16084 OREGON MEDICAL LICENSE
  • OR Other LL17711 OREGON MEDICAL LICENSE
  • OR Other LL18719 OREGON MEDICAL LICENSE
  • OR Other MD158087 OREGON MEDICAL LICENSE
  • OR Other PG152564 OREGON MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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