Healthcare Provider Details

I. General information

NPI: 1033030796
Provider Name (Legal Business Name): SIMON DAVID ORR RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SORREL DAVID ORR RN

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

8228 GREEN LAKE DR N APT 204
SEATTLE WA
98103-4457
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-3300
  • Fax:
Mailing address:
  • Phone: 408-335-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN.RN.61377485
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: