Organization Active NPI

Zygo Industries, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Portland, OR
National Provider Identifier
1275524001
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ZYGO INDUSTRIES, INC.
Practice address
16260 SW Upper Boones Ferry Rd
Portland, OR 97224-7220
Phone
(503) 684-6006
Fax
(503) 684-6011
NPI assigned
Nov 1, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Rob A Litzau
Title
Contracts Manager
Phone
(503) 684-6006

Specialties & licenses 1

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

Addresses

Primary practice location

16260 SW Upper Boones Ferry Rd
Portland, OR 97224-7220

Mailing address

PO Box 1008
Portland, OR 97207-1008
Phone (503) 684-6006

Other identifiers 17

IdentifierTypeStateIssuer
009810290MedicaidAL
00867116MedicaidDE
9166950MedicaidSD
0174219MedicaidIA
1544191MedicaidLA
90256017MedicaidKY
DME02225FMedicaidCA
11484800MedicaidWY
200429950AMedicaidIN
290714300MedicaidMN
4226875MedicaidMI
9055419MedicaidWA
004197861MedicaidCT
200303460AMedicaidKS
S6108MedicaidNM
200013800AMedicaidOK
221226MedicaidOR

National Provider Directory

National Provider Directory

Locations

16260 SW Upper Boones Ferry Rd
Portland, OR 97224
Phone (503) 684-6006

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1275524001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071008",
            "telephone_number": "503-684-6006",
            "fax_number": "503-684-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 SW UPPER BOONES FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247220",
            "telephone_number": "503-684-6006",
            "fax_number": "503-684-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZYGO INDUSTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LITZAU",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "503-684-6006"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009810290",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00867116",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9166950",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174219",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544191",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90256017",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02225F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11484800",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200429950A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290714300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4226875",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9055419",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004197861",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200303460A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S6108",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200013800A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221226",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.