Individual provider · Type 1 NPI

Carmen Victoria Chacon Orellana, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1689419848 Active

Practice location

1111 E Mcdowell Rd
Phoenix, AZ 85006-2612

Call (602) 839-3054 Map

Mailing address

2624 E Cactus Rd Apt 4123
Phoenix, AZ 85032-7043

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XR81674 (AZ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689419848

Carmen Victoria Chacon Orellana, MD's National Provider Identifier is 1689419848, issued on Jun 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 9, 2025.