Provider Demographics
NPI:1871289181
Name:ORR, JAMI LEE
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:LEE
Last Name:ORR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 TABER AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5450
Mailing Address - Country:US
Mailing Address - Phone:530-845-0642
Mailing Address - Fax:
Practice Address - Street 1:5075 OLIVEHURST AVE
Practice Address - Street 2:
Practice Address - City:OLIVEHURST
Practice Address - State:CA
Practice Address - Zip Code:95961-4023
Practice Address - Country:US
Practice Address - Phone:530-634-9970
Practice Address - Fax:530-634-9974
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83564183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician