Healthcare Provider Details

I. General information

NPI: 1821336165
Provider Name (Legal Business Name): CHRISTIAN ORR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2013
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 HARRISON AVE STE 605
BOSTON MA
02111-1929
US

IV. Provider business mailing address

10 WOOD ST
FAIRHAVEN MA
02719-3314
US

V. Phone/Fax

Practice location:
  • Phone: 508-863-9446
  • Fax:
Mailing address:
  • Phone: 508-863-9446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW122654
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: