Provider Demographics
NPI:1346201969
Name:ORR, BETTIE G (CRNA)
Entity Type:Individual
Prefix:MS
First Name:BETTIE
Middle Name:G
Last Name:ORR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3270
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0366
Mailing Address - Country:US
Mailing Address - Phone:509-529-9876
Mailing Address - Fax:509-343-3222
Practice Address - Street 1:1229 MADISON ST STE 1600
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3590
Practice Address - Country:US
Practice Address - Phone:206-860-5582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2014-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00079119207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAOR1224OtherREGENCE
WAOR5691OtherINDIVIDUAL BLUE SHIELD