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NPI Code Detail

MEDICARE: MS. BETTINA M BARDIN-SORENSEN MSPT

MEDICARE: MS. BETTINA M BARDIN-SORENSEN MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3014OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407847742
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BETTINA M BARDIN-SORENSEN MSPT
Provider Business Mailing Address
First Line : 2002 12TH ST
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-9543
Country : US
Telephone Number : 541-386-1211
Fax Number : 541-386-7211
Provider Business Practice Location Address
First Line : 2002 12TH ST
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-9543
Country : US
Telephone Number : 541-386-1211
Fax Number : 541-386-7211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 09/12/2017

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Directions to “ MS. BETTINA M BARDIN-SORENSEN MSPT” Practice Location

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