Healthcare Provider Details

I. General information

NPI: 1073965265
Provider Name (Legal Business Name): CHRISTOPHER P ORR DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2016
Last Update Date: 05/05/2022
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 W GOSHEN AVE # 306
VISALIA CA
93291-8619
US

IV. Provider business mailing address

5211 W GOSHEN AVE # 306
VISALIA CA
93291-8619
US

V. Phone/Fax

Practice location:
  • Phone: 559-372-0568
  • Fax:
Mailing address:
  • Phone: 559-372-0568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberE5578
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE5578
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: