NPIMap

Organization Active NPI

Bellevue Healthcare II Inc.

Doing business as Bellevue Healthcare II Inc. Portland

  • Oxygen Equipment & Supplies (DME)
  • Milwaukie, OR
National Provider Identifier
1114355922
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BELLEVUE HEALTHCARE II INC.
Doing business as
Bellevue Healthcare II Inc. Portland
Practice address
3601 SE Concord Rd
Milwaukie, OR 97267-3909
Phone
(503) 659-1270
Fax
(503) 659-1520
NPI assigned
Oct 15, 2013
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Mr. Joel Gallion
Title
President
Phone
(425) 451-2842

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OR
Customized Equipment (DME) 332BC3200X 3775 OR
Oxygen Equipment & Supplies (DME) 332BX2000X OR Primary

Addresses

Primary practice location

3601 SE Concord Rd
Milwaukie, OR 97267-3909

Mailing address

2015 152ND Ave NE
Redmond, WA 98052-5521
Phone (425) 451-2842

Other names 1

  • Bellevue Healthcare II Inc. Portland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140106000161 OR DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 5395917298 Practice locations: Milwaukie, OR

Other NPIs with the same Medicare PAC ID 21

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

View all 21

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Bellevue Healthcare II Inc Portland3601 SE Concord Rd, Milwaukie, OR 97267-3909(503) 659-1270 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Cru… Does not accept assignmentParticipating since Sep 7, 2011

National Provider Directory

National Provider Directory
Tax ID family
Bellevue Healthcare II Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1114355922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525521",
            "telephone_number": "425-451-2842",
            "fax_number": "425-467-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SE CONCORD RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972673909",
            "telephone_number": "503-659-1270",
            "fax_number": "503-659-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE HEALTHCARE II INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "GALLION",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-451-2842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OR",
            "license": "3775",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Healthcare II Inc. Portland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellevue Healthcare II Inc. Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.