Provider Demographics
NPI:1245941574
Name:OROZCO, MICHELLE MARIA (LM)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIA
Last Name:OROZCO
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W SWANEY ST
Mailing Address - Street 2:
Mailing Address - City:PORT HADLOCK
Mailing Address - State:WA
Mailing Address - Zip Code:98339-9630
Mailing Address - Country:US
Mailing Address - Phone:828-280-1323
Mailing Address - Fax:
Practice Address - Street 1:60 W SWANEY ST
Practice Address - Street 2:
Practice Address - City:PORT HADLOCK
Practice Address - State:WA
Practice Address - Zip Code:98339-9630
Practice Address - Country:US
Practice Address - Phone:828-280-1323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW61245748176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife