PACIFIC FOOTWEAR COMPANY, INC


Address: 1142 Willagillespie Rd, Suite 23, Eugene, OR 97401-2142
Phone: 5417430620

PACIFIC FOOTWEAR COMPANY, INC (NPI# 1427385343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427385343
Entity Type Organization
Organization Name PACIFIC FOOTWEAR COMPANY, INC
Other Organization Name PRIORITY FOOTWEAR & PEDORTHIC SERVICES
Practice Address 1142 Willagillespie Rd
Suite 23
Eugene
OR 97401-2142
Mailing Address 10240 Sw Nimbus Ave
Suite L1
Portland
OR 97223-4358
Practice Telephone 5417430620
Practice Fax Number 5417430019
Mailing Telephone 5035249656
Mailing Fax Number 5035248397
Enumeration Date 2009-11-13
Last Update Date 2011-11-14
Authorized Official Name MR. DAVID REIMANN (PRESIDENT)
Authorized Official Telephone 5035249656
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OR 297988 05

Other Provider/Organization Names

Other Name Type Code
Priority Footwear & Pedorthic Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104148741 Pacific Footwear Company, Inc Durable Medical Equipment & Medical Supplies 13660 N 94th Dr, Suite F-2, Peoria, AZ 85381-4836 2010-02-24
1861632671 Pacific Footwear Company, Inc Prosthetic/Orthotic Supplier 45 North Main Street, Bountiful, UT 84010 2009-03-06

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names PACIFIC FOOTWEAR COMPANY, INC. 10240 Sw Nimbus Ave Ste L1, Portland, OR 97223

Office Location

Street Address 1142 WILLAGILLESPIE RD
SUITE 23
City EUGENE
State OR
Zip Code 97401-2142

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063494946 John K Legat Chiropractor 1142 Willagillespie Rd, Suite 10, Eugene, OR 97401-2142 2005-11-16
1255989265 Holly Ann Samel Behavioral Analyst 1142 Willagillespie Rd, Eugene, OR 97401 2019-09-03
1588916423 Anthony Cutting Chiropractor 1142 Willagillespie Rd, Suite 10, Eugene, OR 97401-2142 2012-10-02
1548557572 Heather Anne Mccarley Massage Therapist 1142 Willagillespie Rd, Suite 10, Eugene, OR 97401-2142 2011-06-28
1558593012 Jennifer Boita Specialist 1142 Willagillespie Rd, Suite 12, Eugene, OR 97401-2142 2009-08-18
1396993366 Sondra Renee Arrache Massage Therapist 1142 Willagillespie Rd, Ste. 10, Eugene, OR 97401-2142 2008-09-03

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NPI Name Taxonomy Address Enumeration
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1225676232 Aaron James Barber Massage Therapist 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 2019-12-20
1851957047 Altru Home Care LLC Nursing Care 1345 Olive St., Eugene, OR 97401 2019-05-14
1881155208 Herron Jordanna Spence Speech-Language Pathologist 385 West 2nd Ave., Eugene, OR 97401 2019-03-28
1750855094 Brandon Marshall Counselor 1158 High St Ste 202, Eugene, OR 97401 2019-01-21
1881172591 Kayla Nicole O'brien Nurse Practitioner Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 2018-08-03
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1902305956 Christine Noel Gray Peer Specialist 499 W. 4th Ave, Eugene, OR 97401 2018-02-06
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982136073 Jc Medical LLC Durable Medical Equipment & Medical Supplies 3553 Vista Heights Ln, Eugene, OR 97405-1260 2017-03-29
1285805853 Eric Alan Covely Durable Medical Equipment & Medical Supplies 1613 Oak St, Eugene, OR 97401-4022 2008-03-21
1265565832 Eason Enterprises Inc Durable Medical Equipment & Medical Supplies 1011 Valley River Way, Suite 107b, Eugene, OR 97401-2127 2007-03-13
1073677936 Care Medical Equipment, Inc. Durable Medical Equipment & Medical Supplies 1280 Charnelton St, Eugene, OR 97401-3430 2006-12-21
1306816863 Centennial Medical Equipment Inc Durable Medical Equipment & Medical Supplies 4284 West 7th Ave, Unit D, Eugene, OR 97402-5434 2006-01-25
1649534124 Andy Bennion D M D M S P C Durable Medical Equipment & Medical Supplies 2233 Willamette St Ste A, Eugene, OR 97405-2890 2012-06-28
1942520556 Willamette Hand Therapy, LLC Durable Medical Equipment & Medical Supplies 1711 Willamette St, Suite 302, Eugene, OR 97401-4014 2010-06-04

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1447757745 Rss Dain Paxton LLC Durable Medical Equipment & Medical Supplies 9735 Sw Shady Ln Ste 201, Tigard, OR 97223-5481 2018-04-12
1003318965 Norco Inc Durable Medical Equipment & Medical Supplies 2770 Sw Cedar Hills Blvd, Beaverton, OR 97005-1355 2018-03-06
1467967372 Samuel J Higdon Dds PC Durable Medical Equipment & Medical Supplies 2250 Nw Flanders St Ste 111, Portland, OR 97210-5409 2017-12-14
1508396326 Orthopedic Toe Guard Durable Medical Equipment & Medical Supplies 611 Ocean Ave., Po Box100, Manzanita, OR 97130-0100 2017-06-14
1275066417 Norco, Inc Durable Medical Equipment & Medical Supplies 655 Nw Jackpine Ave, Redmond, OR 97756 2017-04-05
1740654466 Boundless Assistive Technology, LLC Durable Medical Equipment & Medical Supplies 7490 Sw Bridgeport Rd, Portland, OR 97224 2015-11-18
1275912578 Oregon Pedorthic Services Inc Durable Medical Equipment & Medical Supplies 8301 Se 13th Ave, Portland, OR 97202-7101 2015-05-20
1467840306 Mobility Access Options Nw, Inc. Durable Medical Equipment & Medical Supplies 155 E St, Independence, OR 97351-2410 2014-12-30
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Competitor

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City EUGENE
Zip Code 97401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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