Active NPI
Paige Huffaker
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1700191350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG 60554999
- Practice address
- 3550 SE Woodward St
Portland, OR 97202-1552 - Phone
- (503) 680-3103
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG 60554999 | WA | Primary |
Addresses
Primary practice location
3550 SE Woodward St
Portland, OR 97202-1552
Mailing address
12835 Bel Red Rd
BLDG 100 Ste 145
Bellevue, WA 98005-2631
Phone (425) 460-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG 60554999 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1700191350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12835 BEL RED RD",
"address_2": "BLDG 100 STE 145",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052631",
"telephone_number": "425-460-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 SE WOODWARD ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021552",
"telephone_number": "503-680-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFAKER",
"first_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG 60554999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.