Organization
ANN A EASLY OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN A EASLY-DEBISSCHOP OD (OWNER/DOCTOR)
(541) 889-2020
Entity
Organization
Contact information
Practice address
279 SW 10TH ST, ONTARIO, OR 97914-2135
(541) 889-2020
Mailing address
PO BOX 220, ONTARIO, OR 97914-0220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1686ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992783468
NPI
OR
05
—
271296
—
OR
Enumeration date
10/05/2010
Last updated
07/27/2012
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