Organization
EASON ENTERPRISES INC
Active
Other names
Foot Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EASON CERTIFIED PEDOTHIST (OWNER)
(541) 242-3668
Entity
Organization
Contact information
Practice address
1011 VALLEY RIVER WAY, SUITE 107B, EUGENE, OR 97401-2127
(541) 242-3668
(541) 542-3373
Mailing address
1011 VALLEY RIVER WAY, SUITE 107B, EUGENE, OR 97401-2127
(541) 242-3668
(541) 542-3373
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227879
—
OR
01
—
80449000
REGENCE BCBS SUPPLIER ID
OR
Enumeration date
03/13/2007
Last updated
08/22/2020
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