| Michael Sorah | |
|
999 Nw Circle Blvd Corvallis OR 97330-1408 | |
| (541) 754-2225 | |
| Not Available |
| Full Name | Michael Sorah |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 999 Nw Circle Blvd, Corvallis, Oregon |
| Authorized Official Name and Position | Michael Sorah (OWNER) |
| Authorized Official Contact | 5417542225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Sorah 999 Nw Circle Blvd Corvallis OR 97330-1408 Ph: (541) 754-2225 | Michael Sorah 999 Nw Circle Blvd Corvallis OR 97330-1408 Ph: (541) 754-2225 |
| NPI Number | 1235476680 |
|---|---|
| Provider Enumeration Date | 01/04/2013 |
| Last Update Date | 01/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235476680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2949 (Oregon) | Primary |
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