Individual provider · NPI-1

Paige Dorene Houde

Technician/Technologist, Optician · Salem, OR

NPI number1720198021
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720198021
Entity type
Individual (NPI-1)
Name
Paige Dorene Houde
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Other names

  • Paige Dorene Barnes (Former Name)

Practice location

2400 Lancaster Dr Ne
Salem, OR 97305-1221

Phone 503-370-4851

Mailing address

3987 Shaniko Ct Se
Salem, OR 97302-1717

Phone 503-581-3270

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