Paige Emily Undseth, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

312468 Issued in OR

Practice address

3959 Sheridan Ave.
North Bend, OR 97459

Phone

(541) 756-4151

Fax

(541) 751-7715

NPI assigned

Feb 5, 2014

Last updated

Feb 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Paige Emily Holte Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1497179907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY",
            "address_2": "STE. 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "971-206-5200",
            "fax_number": "971-206-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 SHERIDAN AVE.",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-756-4151",
            "fax_number": "541-751-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDSETH",
        "first_name": "PAIGE",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "312468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "HOLTE",
            "middle_name": "EMILY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John C Trapold, LPC
• Alicia Trull
• Shirley Lynn Truong
• Yi-Ting Tsai
• Marka Leigh Turner, LCSW
• Rebecca Sue Unruh
• US Coast Guard Medical Clinic North Bend
• Uscg Sector North Bend Medical Facility (Uscg North Bend Pharmacy)
• Rebekah Hope Uskoski, M.A.
• Jamie Angela Vanderhoof, RN

• Occupational Therapy Assistant in North Bend, OR
• Providers in North Bend, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.