Basic Information
Provider Information
NPI: 1578719407
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OREC
FirstName: ROBERT
MiddleName: JOSEPH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 50095
Address2: SEATTLE, WA 98145
City: SEATTLE
State: WA
PostalCode: 981455095
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 325 9TH AVE
Address2: 6TH FLOOR, HARBORVIEW MEDICAL CENTER, BOX 359798
City: SEATTLE
State: WA
PostalCode: 981042420
CountryCode: US
TelephoneNumber: 2067443466
FaxNumber: 2067443227
Other Information
ProviderEnumerationDate: 08/12/2008
LastUpdateDate: 08/18/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XML60002074WAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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