SOREN KOSTOFF MADSEN

LA GRANDE, OR
NPI1457001398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: OR  DO229452)
Enumeration Date2022-03-24
Last Update Date2026-06-10
Business Address
SOREN KOSTOFF MADSEN
710 SUNSET DR STE E
LA GRANDE, OR 97850-1200
Phone number: 541-663-3150
Mailing Address
SOREN KOSTOFF MADSEN
10902 S D ST
LA GRANDE, OR 97850-8434
Phone number: 541-963-1967
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