MEDICARE: DR. LYNN MURRAY ORR PH.D.

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
1	103TC0700X	Clinical Psychologist	PY00000738	WA

General Provider Information

NPI Number	:	1114193588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN MURRAY ORR PH.D.

Provider Business Mailing Address
First Line	:	1901 GEORGE WASHINGTON WAY
Second Line	:	SUITE A
City	:	RICHLAND
State	:	WA
Zip	:	99354-2307
Country	:	US
Telephone Number	:	509-946-0984
Fax Number	:	509-946-0984

Provider Business Practice Location Address
First Line	:	1901 GEORGE WASHINGTON WAY
Second Line	:	SUITE A
City	:	RICHLAND
State	:	WA
Zip	:	99354-2307
Country	:	US
Telephone Number	:	509-946-0984
Fax Number	:	509-946-0984

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	05/05/2008

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