MEDICARE: PAIGE MARIE OURADA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085010605	IL
2	363A00000X	Physician Assistant	PA61041668	WA
3	363AS0400X	Surgical Physician Assistant	PA.0009513	CO

General Provider Information

NPI Number	:	1124659578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE MARIE OURADA PA-C

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1665 AURORA CT
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80045-2517
Country	:	US
Telephone Number	:	720-848-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2020
Last Update Date	:	02/02/2026

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