Provider Demographics
NPI:1013191535
Name:RODNEY E. ORR, MD, PC
Entity Type:Organization
Organization Name:RODNEY E. ORR, MD, PC
Other - Org Name:FAMILY MEDICAL GROUP OF MOLALLA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-829-7374
Mailing Address - Street 1:PO BOX 1286
Mailing Address - Street 2:
Mailing Address - City:MOLALLA
Mailing Address - State:OR
Mailing Address - Zip Code:97038-1286
Mailing Address - Country:US
Mailing Address - Phone:503-829-7374
Mailing Address - Fax:503-829-7347
Practice Address - Street 1:861 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOLALLA
Practice Address - State:OR
Practice Address - Zip Code:97038
Practice Address - Country:US
Practice Address - Phone:503-829-7374
Practice Address - Fax:503-829-7347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0000WFBWVMedicare PIN