=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922283712
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RODNEY E. ORR, MD, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2007
-----------------------------------------------------
Last Update Date | 04/02/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 335 FAIRVIEW ST
-----------------------------------------------------
City | SILVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97381-1916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-873-8686
-----------------------------------------------------
Fax | 503-873-8689
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 335 FAIRVIEW ST
-----------------------------------------------------
City | SILVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97381-1916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-873-8686
-----------------------------------------------------
Fax | 503-873-8689
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | RODNEY ORR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 503-873-8686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------