Mirage Hair Systems, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

COS-BA-10119120 Issued in OR

Legal business name

MIRAGE HAIR SYSTEMS, INC.

Practice address

Suite 210 Oakway Ctr
Suite 210
Eugene, OR 97401-5618

Phone

(541) 484-2790

Fax

(541) 484-2790

NPI assigned

Oct 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janna R Strasheim, COS-BA

Title

Owner/Operater

Phone

(541) 484-2790

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1295986065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 210 OAKWAY CENTER",
            "address_2": "SUITE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-484-2790",
            "fax_number": "541-484-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 210 OAKWAY CTR",
            "address_2": "SUITE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015618",
            "telephone_number": "541-484-2790",
            "fax_number": "541-484-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE HAIR SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "STRASHEIM",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPERATER",
        "authorized_official_telephone_number": "541-484-2790",
        "authorized_official_credential": "COS-BA"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OR",
            "license": "COS-BA-10119120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Minter
• Brianna Mintz, PHD
• Scott Minyard
• Chris Mirabal
• Christie Miracle
• Kharina Miramontes
• Melissa Miranda
• Monique Miranda
• Savonna Lynn Miranda, THW
• Lacy Dawn Miron, PHARMD

• Prosthetic/Orthotic Supplier in Eugene, OR
• Providers in Eugene, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.