Provider Demographics
NPI:1174878268
Name:OREN, DORA CHASE (PHD)
Entity type:Individual
Prefix:DR
First Name:DORA
Middle Name:CHASE
Last Name:OREN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32129 LINDERO CANYON RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4207
Mailing Address - Country:US
Mailing Address - Phone:818-540-8900
Mailing Address - Fax:818-707-7698
Practice Address - Street 1:32129 LINDERO CANYON RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4207
Practice Address - Country:US
Practice Address - Phone:818-540-8900
Practice Address - Fax:818-707-7698
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22762103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical