ERIC LUTHER SORENSON (NPI# 1538666268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538666268 |
| Entity Type | Individual |
| Full Name | ERIC LUTHER SORENSON |
| Credential | PA-C |
| Practice Address |
929 Sw Simpson Ave Ste 300 Bend OR 97702-3599 |
| Practice Telephone | 5413897741 |
| Practice Fax Number | 5412788375 |
| Mailing Telephone | 5413897741 |
| Mailing Fax Number | 5412788375 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA190165 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | PA190165 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 Se 8th Ave, Hillsboro, OR 971234218 | 5033576151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174918973 | Eric Sorenson | Dermatology | 877 Stewart Ave Ste 27, Garden City, NY 11530-4803 | 2015-03-30 |
| 1205089455 | Eric Sorenson | Surgery | 5169 S Cottonwood St Ste 400, Murray, UT 84107-6769 | 2008-11-01 |
| 1952339574 | Eric W. Sorenson | Family Medicine | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2006-06-30 |
| 1114961380 | Eric Sorenson | Specialist/Technologist | 1240 University of Oregon, Eugene, OR 97403-1205 | 2006-06-16 |
| 1710957030 | Eric James Sorenson | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905 | 2006-01-26 |
| Street Address |
929 SW SIMPSON AVE STE 300 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092051 | Michael C Widmer | Internal Medicine | 929 Sw Simpson Ave Ste 300, Bend, OR 97702 | 2006-02-15 |
| 1407296361 | Ashley Mcclary | Obstetrics & Gynecology | 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 | 2013-06-25 |
| 1013296490 | Marie Casselberry Agnew | Nurse Practitioner | 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 | 2011-08-16 |
| 1740578194 | Kelly Noelle Eilert | Counselor | 929 Sw Simpson Ave Ste 300, Bend, OR 97702 | 2011-07-19 |
| 1720251291 | Monica Ellen Rau Ramsey | Internal Medicine | 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 | 2008-04-07 |
| 1861673667 | John Patrick Ramsey | Internal Medicine | 929 Sw Simpson Ave Ste 300, Bend, OR 97702 | 2007-11-20 |
| 1699827840 | Jason Prinster | Psychologist | 929 Sw Simpson Ave Ste 300, Bend, OR 97702 | 2007-01-17 |
| 1841228228 | Gary Allen Levinson | Psychiatry & Neurology | 929 Sw Simpson Ave Ste 300, Bend, OR 97702 | 2006-06-28 |
| 1568438836 | Ann Bridget Bird | Obstetrics & Gynecology | 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357897 | Cody Manriquez | Physician Assistant | 3128 Ne Post Ave, Bend, OR 97701-7646 | 2020-02-10 |
| 1649835208 | Karly Jane Rudy | Physician Assistant | 108 Nw Sisemore St Ste 120, Bend, OR 97703-2869 | 2019-05-08 |
| 1518450931 | Johane Van Camp | Physician Assistant | 18819 Peony Pl, Bend, OR 97702-9135 | 2018-06-11 |
| 1023526423 | Hope Elizabeth Cline | Physician Assistant | 19393 Sw Laurelhurst Way, Bend, OR 97702-3192 | 2018-01-19 |
| 1659627354 | Lindsey Johnson Clark | Physician Assistant | 1693 Sw Chandler Ave Ste 250, Bend, OR 97702-3231 | 2012-07-31 |
| 1881960979 | Bdgr Surgical Assisting | Physician Assistant | 3005 Ne Roxy Pl, Bend, OR 97701-3858 | 2012-03-22 |
| 1396049680 | Jessica Lauren Dinsdale | Physician Assistant | 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701-7691 | 2011-01-01 |
| 1417103268 | Adam Jeffrey Short | Physician Assistant | 1303 Ne Cushing Dr., Suite 100, Bend, OR 97701 | 2008-08-12 |
| 1881877876 | Lisa S Turner | Physician Assistant | 2275 Ne Doctors Dr Ste 2, Bend, OR 97701-6324 | 2007-12-12 |
| 1902016652 | Shelley Maurice-maier | Physician Assistant | 2597 Nw Champion Cir, Bend, OR 97701-8692 | 2007-05-23 |
| Find all providers in BEND | ||||
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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.