Provider Demographics
NPI:1568679421
Name:ORCUTT, BARBARA MCCALLUM (RN MN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MCCALLUM
Last Name:ORCUTT
Suffix:
Gender:F
Credentials:RN MN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4548 52ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3842
Mailing Address - Country:US
Mailing Address - Phone:206-523-4887
Mailing Address - Fax:
Practice Address - Street 1:2200 24TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-3050
Practice Address - Country:US
Practice Address - Phone:206-720-0511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00060406163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant