Individual
DANIEL EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, QMHA
Contact information
Practice address
2700 NW STEWART PKWY, ANNEX B, ROSEBURG, OR 97471-1281
(541) 440-3532
(541) 440-3554
Mailing address
2700 NW STEWART PKWY, ANNEX B, ROSEBURG, OR 97471-1281
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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