Organization
MIRAGE HAIR SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA R STRASHEIM COS-BA (OWNER/OPERATER)
(541) 484-2790
Entity
Organization
Contact information
Practice address
SUITE 210 OAKWAY CTR, SUITE 210, EUGENE, OR 97401-5618
(541) 484-2790
(541) 484-2790
Mailing address
SUITE 210 OAKWAY CENTER, SUITE 210, EUGENE, OR 97401
(541) 484-2790
(541) 484-2790
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
COS-BA-10119120
OR
Other
Enumeration date
10/09/2008
Last updated
09/23/2009
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