Provider Demographics
NPI:1710789516
Name:OREBAUGH ENTERPRISES LLC
Entity type:Organization
Organization Name:OREBAUGH ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:OREBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-389-6557
Mailing Address - Street 1:1119 S MACKENZIE BEACH LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-6040
Mailing Address - Country:US
Mailing Address - Phone:509-389-6557
Mailing Address - Fax:
Practice Address - Street 1:1119 S MACKENZIE BEACH LN
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-6040
Practice Address - Country:US
Practice Address - Phone:509-389-6557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty