| Sorweide Family Medicine Pc | |
|
1619 Nw Hawthorne Ave Suite 101 Grants Pass OR 97526-6008 | |
| (541) 955-0607 | |
| Not Available |
| Full Name | Sorweide Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1619 Nw Hawthorne Ave, Grants Pass, Oregon |
| Authorized Official Name and Position | Derrick J Sorweide (PRESIDENT) |
| Authorized Official Contact | 5419550607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorweide Family Medicine Pc 1619 Nw Hawthorne Ave Suite 101 Grants Pass OR 97526-6008 Ph: (541) 955-0607 | Sorweide Family Medicine Pc 1619 Nw Hawthorne Ave Suite 101 Grants Pass OR 97526-6008 Ph: (541) 955-0607 |
| NPI Number | 1982616025 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982616025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO20800 (Oregon) | Primary |
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