Sorensen, Mary Lynn

Sorensen, Mary Lynn is an sole proprietor health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd L611, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Sorensen, Mary Lynn can be contacted via phone (503) 494-6518.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd L611 Portland OR 97239-3011
Phone: (503) 494-6518
Fax: (503) 494-6519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD158087 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X MD158087 Oregon

Profile Details

NPI number 1114127263
LBN Legal business name Sorensen, Mary Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2007
Last updated Jun 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114127263 NPPES
Oregon Other LL17317 OREGAN BOARD OF MEDICAL E
Oregon Other LL17711 OREGAN BOARD OF MEDICAL E
Oregon Other LL18719 OREGAN BOARD OF MEDICAL E
Oregon Other MD158087 OREGAN BOARD OF MEDICAL E
Oregon Other FE155732 OREGAN BOARD OF MEDICAL E
Oregon Other PG152564 OREGAN BOARD OF MEDICAL E
Oregon Other LL15240 OREGAN BOARD OF MEDICAL E
Oregon Other LL16084 OREGAN BOARD OF MEDICAL E

Popular Providers