Individual
DR. ANN ADELE EASLY-DEBISSCHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
279 SW 10TH ST, ONTARIO, OR 97914-2135
(541) 889-2020
(541) 889-9675
Mailing address
PO BOX 220, ONTARIO, OR 97914-0220
(541) 889-2020
(541) 889-9675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1686AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271296
—
OR
Enumeration date
01/05/2006
Last updated
02/08/2008
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