Organization Active NPI

Saffron'S Specialized Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1194921148
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
602735515 Issued in WA
Legal business name
SAFFRON'S SPECIALIZED MEDICAL, INC
Practice address
13215 SE Mill Plain Blvd
Suite C4
Vancouver, WA 98684-6963
Phone
(503) 351-3974
Fax
(360) 256-1616
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Saffron Gustafson, MBA, CMF
Title
President
Phone
(503) 351-3974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 602735515 WA Primary

Addresses

Primary practice location

13215 SE Mill Plain Blvd
Suite C4
Vancouver, WA 98684-6963

Mailing address

13215 SE Mill Plain Blvd
Suite C4
Vancouver, WA 98684-6963
Phone (503) 351-3974

Other identifiers 1

IdentifierTypeStateIssuer
602735515OtherWAUBI

Other names 1

  • Saffron's Specialized Medical Doing business as

National Provider Directory

National Provider Directory

Locations

13215 SE Mill Plain Blvd
Ste C4
Vancouver, WA 98684
Phone (360) 256-1111

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1194921148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 SE MILL PLAIN BLVD",
            "address_2": "SUITE C4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846963",
            "telephone_number": "503-351-3974",
            "fax_number": "360-256-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 SE MILL PLAIN BLVD",
            "address_2": "SUITE C4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846963",
            "telephone_number": "503-351-3974",
            "fax_number": "360-256-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFFRON'S SPECIALIZED MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "SAFFRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-351-3974",
        "authorized_official_credential": "MBA, CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602735515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "602735515",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saffron's Specialized Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.