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PACIFIC FOOTWEAR COMPANY INC NPI 1427385343


NPI Information

NPI: 1427385343
Provider Name: PACIFIC FOOTWEAR COMPANY, INC

Doing Business As: PRIORITY FOOTWEAR & PEDORTHIC SERVICES

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1142 WILLAGILLESPIE RD
SUITE 23
EUGENE, OR
ZIP 97401
Phone: (541) 743-0620
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PACIFIC FOOTWEAR COMPANY, INC is a customized equipment durable medical equipment medical supplies in Eugene, OR. PACIFIC FOOTWEAR COMPANY, INC NPI is 1427385343. The provider is registered as an organization entity type.
The provider Is Doing Business As Priority Footwear & Pedorthic Services.

The provider's business location address is:

1142 WILLAGILLESPIE RD
SUITE 23
EUGENE, OR
ZIP 97401-142
Phone: (541) 743-0620
Fax: (541) 743-0019

The provider's authorized official is David Reimann .
The authorized official title is President and has the following contact phone number (503) 524-9656.

The enumeration date for this NPI number is 11/13/2009 and was last updated on 11/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15518680001MEDICARE NSCOREGON
2297988MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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