| Doctor Name: | ERIK D SORENSEN |
| NPI Number: | 1013071331 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 1259 |
| Business Practice Address: | 511 E 12th Ave Eugene, OR - 974013608 |
| Business Phone Number: | 5413458749 |
| Business Fax Number: | 5413447595 |
| Mailing Address: | 511 E 12th Ave, EUGENE |
| State: | OR |
| Postal Code: | 974013608 |
| Phone Number: | 5413458749 |
| Fax Number: | 5413447595 |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 11/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 1259 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |