Individual
JEREMY ORCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5215 SALAL CT, FLORENCE, OR 97439-8337
(541) 997-8787
Mailing address
5215 SALAL CT, FLORENCE, OR 97439-8337
(541) 997-8787
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DO13829
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191908
—
OR
Enumeration date
12/12/2006
Last updated
11/06/2013
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