Provider Demographics
NPI:1619973088
Name:MIHO, PAIGE Y (DC)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:Y
Last Name:MIHO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9221 SW BARBUR BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5441
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9221 SW BARBUR BLVD
Practice Address - Street 2:STE 104
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-5441
Practice Address - Country:US
Practice Address - Phone:503-546-2511
Practice Address - Fax:503-546-2510
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR273472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor