MARILYN JEAN SORENSEN (NPI# 1225353501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225353501 |
| Entity Type | Individual |
| Full Name | MARILYN JEAN SORENSEN |
| Credential | PH.D. |
| Practice Address |
10175 Sw Barbur Blvd Ste 400b Portland OR 97219-5908 |
| Mailing Address |
10175 Sw Barbur Blvd Ste 400b Portland OR 97219-5098 |
| Practice Telephone | 5033302830 |
| Mailing Telephone | 5033302830 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
907 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568480713 | Marilyn Sorensen | Nurse Practitioner | 97 Professional Way, Suite 2, Payson, UT 84651-1614 | 2006-07-17 |
| Street Address |
10175 SW BARBUR BLVD STE 400B |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306940531 | Cher Yao Chen | Psychiatry & Neurology | 10175 Sw Barbur Blvd, Suite 306ba, Portland, OR 97219-5908 | 2006-09-08 |
| 1245691542 | Lisa Christina Collins | Massage Therapist | 10175 Sw Barbur Blvd, Suite 212b, Portland, OR 97219-5908 | 2016-03-14 |
| 1376908681 | Susan Gotchall | Mechanotherapist | 10175 Sw Barbur Blvd, 300h, Portland, OR 97219-5908 | 2015-12-31 |
| 1427446541 | Sunha Kang | Social Worker | 10175 Sw Barbur Blvd, Portland, OR 97219-5908 | 2014-12-23 |
| 1336563915 | Donna Drury | Physical Therapist | 10175 Sw Barbur Blvd, Ste 214b, Portland, OR 97219-5908 | 2014-02-18 |
| 1376967430 | Wise Choice Educational Solutions, Inc. | Community/Behavioral Health | 10175 Sw Barbur Blvd, Suite 214b, Portland, OR 97219-5908 | 2014-02-10 |
| 1720421464 | James John Telles Jr. | Massage Therapist | 10175 Sw Barbur Blvd, 300bg, Portland, OR 97219-5908 | 2013-04-11 |
| 1407109119 | Kristine Marie Rosenquist | Massage Therapist | 10175 Sw Barbur Blvd, Suite 300be, Portland, OR 97219-5908 | 2012-10-18 |
| 1952662504 | Jill Chandler Brantley | Massage Therapist | 10175 Sw Barbur Blvd, Suite 300 Bg, Portland, OR 97219-5908 | 2012-05-30 |
| 1295966984 | Mary Celeste Dean | Counselor | 10175 Sw Barbur Blvd, 300bn, Portland, OR 97219-5908 | 2009-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.