Organization Active NPI

Go Big, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Clackamas, OR
National Provider Identifier
1023314366
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GO BIG, INC.
Practice address
15875 SE 114TH Ave Ste J
Clackamas, OR 97015-9025
Phone
(503) 252-4240
Fax
(503) 252-4246
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shelley Jeanne Whittaker
Title
President
Phone
(503) 252-4240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

15875 SE 114TH Ave Ste J
Clackamas, OR 97015-9025

Mailing address

15875 SE 114TH Ave Ste J
Clackamas, OR 97015-9025
Phone (503) 252-4240

Other names 1

  • Tri-Care Wheelchair Services, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

15875 SE 114th Ave
Ste J
Clackamas, OR 97015
Phone (503) 252-4240

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1023314366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15875 SE 114TH AVE STE J",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159025",
            "telephone_number": "503-252-4240",
            "fax_number": "503-252-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15875 SE 114TH AVE STE J",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159025",
            "telephone_number": "503-252-4240",
            "fax_number": "503-252-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO BIG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-252-4240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Care Wheelchair Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.