Provider Demographics
NPI:1649456344
Name:ORR, FRANKIE EUGENE (LMP)
Entity type:Individual
Prefix:
First Name:FRANKIE
Middle Name:EUGENE
Last Name:ORR
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13207 415TH WAY SE
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-9410
Mailing Address - Country:US
Mailing Address - Phone:425-445-0534
Mailing Address - Fax:425-831-4967
Practice Address - Street 1:113 BENDIGO BLVD. N
Practice Address - Street 2:UNIT-C
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045
Practice Address - Country:US
Practice Address - Phone:425-445-0534
Practice Address - Fax:425-831-4967
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024916225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist