Northwest Medical LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

NORTHWEST MEDICAL LLC

Practice address

17933 NW Evergreen PL Ste 270
Beaverton, OR 97006-7532

Phone

(503) 234-6219

NPI assigned

Oct 5, 2020

Organization subpart

Yes

Parent organization

NORTHWEST MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Gregory J Crawford

Title

President

Phone

(859) 441-8876

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Springfield, OR
  • NPI 1417987488

  4183744196

  Same PAC ID
• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Medford, OR
  • NPI 1720329055

  4183744196

  Same PAC ID
• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Clackamas, OR
  • NPI 1770539603

  4183744196

  Same PAC ID
• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Anchorage, AK
  • NPI 1033149000

  4183744196

  Same PAC ID
• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Auburn, WA
  • NPI 1619901162

  4183744196

  Same PAC ID
• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Wasilla, AK
  • NPI 1902039373

  4183744196

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Northwest Medical LLC5 organizations share this tax ID, including this one

Part of

Northwest Medical LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Springfield, OR
  • NPI 1417987488
  NPD tax ID
• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Medford, OR
  • NPI 1720329055
  NPD tax ID
• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Clackamas, OR
  • NPI 1770539603
  NPD tax ID
• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Auburn, WA
  • NPI 1619901162
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Medical, LLC.

  • Oxygen Equipment & Supplies (DME)
  • Medford, OR
  • NPI 1720329055
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Widdison

  • Certified Respiratory Therapist
  • Anchorage, AK
  • NPI 1437668209
  NPD (past)

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1043817802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 W BROADWAY RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021886",
            "telephone_number": "480-830-7700",
            "fax_number": "480-750-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17933 NW EVERGREEN PL STE 270",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067532",
            "telephone_number": "503-234-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST MEDICAL LLC",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-441-8876"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Child Assessment, LLC
• Northwest Counseling Associates, LLC
• Northwest Counseling Collective LLC
• Northwest Dental Associates, PC
• Northwest IV, LLC
• Northwest Mobile Imaging, LLC
• Northwest Mobile Services LLC
• Northwest Occupational Medicine Center Inc.
• Northwest Regional Education Service District
• Northwest RTB9 LLC

• Oxygen Equipment & Supplies (DME) in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Oxygen Equipment & Supplies (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.