Healthcare Provider Details

I. General information

NPI: 1255254751
Provider Name (Legal Business Name): DR. MEGAN SORENSEN DNP-CNS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3422 NW MAST AVE
LINCOLN CITY OR
97367-4748
US

IV. Provider business mailing address

3422 NW MAST AVE
LINCOLN CITY OR
97367-4748
US

V. Phone/Fax

Practice location:
  • Phone: 541-644-4096
  • Fax: 541-859-8356
Mailing address:
  • Phone: 541-644-4096
  • Fax: 541-859-8356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGAN SORENSEN
Title or Position: OWNER/CLINICAL NURSE SPECIALIST
Credential: DNP
Phone: 541-644-4096