Crary Shoes

LBN: Cragon Inc
Crary Shoes is an health care organization with primary practice located at 12035 Ne Glenn Widing Dr , Portland OR 97220-9050. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Cragon Inc can be contacted via phone (503) 253-8984, or through Johanson, Meredith via phone (503) 253-8984.

Contact Information

Primary practice address
12035 Ne Glenn Widing Dr Portland OR 97220-9050
Phone: (503) 253-8984
Fax: (503) 253-2094
Website:
Map and Directions
Authorized official contact:
Name: Johanson, Meredith
Phone: (503) 253-8984

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1437250461
LBN Legal business name Cragon Inc
DBA Doing business as Crary Shoes
Authorized official Johanson, Meredith
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 12th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437250461 NPPES
Oregon Other 9039694 WASHINGTON MEDICAID
Oregon MEDICAID 063169 WASHINGTON MEDICAID
Oregon Other 875018000 WASHINGTON MEDICAID
Oregon Other 0058824 WASHINGTON MEDICAID
Oregon MEDICAID 9039694 WASHINGTON MEDICAID

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