Provider Demographics
NPI:1629457932
Name:ORRES, JULIETA
Entity Type:Individual
Prefix:
First Name:JULIETA
Middle Name:
Last Name:ORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-3318
Mailing Address - Country:US
Mailing Address - Phone:907-646-2273
Mailing Address - Fax:907-865-5956
Practice Address - Street 1:8100 GREENWOOD ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3318
Practice Address - Country:US
Practice Address - Phone:907-646-2273
Practice Address - Fax:907-865-5956
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker