Healthcare Provider Details

I. General information

NPI: 1053092429
Provider Name (Legal Business Name): JACLYN EUGENIA OREHOVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

20882 E GIRARD DR
AURORA CO
80013-8942
US

V. Phone/Fax

Practice location:
  • Phone: 303-856-6198
  • Fax:
Mailing address:
  • Phone: 303-856-6198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: