Healthcare Provider Details

I. General information

NPI: 1245272863
Provider Name (Legal Business Name): DEIRDRE ORCEYRE N.D., MSOM, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 NEW HAMPSHIRE AVE NW GW CENTER FOR INTEGRATIVE MEDICINE SUITE 200
WASHINGTON DC
20037-2346
US

IV. Provider business mailing address

908 NEW HAMPSHIRE AVE NW GW CENTER FOR INTEGRATIVE MEDICINE SUITE 200
WASHINGTON DC
20037-2346
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-5055
  • Fax: 202-833-5755
Mailing address:
  • Phone: 202-833-5055
  • Fax: 202-833-5755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00859
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1357
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC500078
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNP-0003
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: