Provider Demographics
NPI:1447060744
Name:ORSO, CHARLES RAY JR
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:RAY
Last Name:ORSO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343016 E 980 RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:OK
Mailing Address - Zip Code:74834-8613
Mailing Address - Country:US
Mailing Address - Phone:405-716-1207
Mailing Address - Fax:
Practice Address - Street 1:343016 E 980 RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:OK
Practice Address - Zip Code:74834-8613
Practice Address - Country:US
Practice Address - Phone:405-716-1207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist