Provider Demographics
NPI:1811706617
Name:SEWELL, ORION (CHAPERONE/ CAREGIVER)
Entity type:Individual
Prefix:MR
First Name:ORION
Middle Name:
Last Name:SEWELL
Suffix:
Gender:M
Credentials:CHAPERONE/ CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19511 OLIVETO COURT
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357
Mailing Address - Country:US
Mailing Address - Phone:828-487-5117
Mailing Address - Fax:
Practice Address - Street 1:4131 NW 79TH AVE
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6389
Practice Address - Country:US
Practice Address - Phone:828-487-5117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion