Healthcare Provider Details

I. General information

NPI: 1922283712
Provider Name (Legal Business Name): RODNEY E. ORR, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 FAIRVIEW ST
SILVERTON OR
97381-1916
US

IV. Provider business mailing address

335 FAIRVIEW ST
SILVERTON OR
97381-1916
US

V. Phone/Fax

Practice location:
  • Phone: 503-873-8686
  • Fax: 503-873-8689
Mailing address:
  • Phone: 503-873-8686
  • Fax: 503-873-8689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RODNEY ORR
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 503-873-8686