Active NPI
Cragon Inc.
- Customized Equipment (DME)
- Portland, OR
National Provider Identifier
1336387372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- CRAGON INC.
- Doing business as
- Crary Shoe Mfg. Co.
- Practice address
- 9900 SW Greenburg Rd
Suite 190
Portland, OR 97223-5502 - Phone
- (503) 670-7600
- Fax
- (503) 670-7009
- NPI assigned
- Jan 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Meredith A Johanson, C PED
- Title
- Vice President
- Phone
- (503) 253-8984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
9900 SW Greenburg Rd
Suite 190
Portland, OR 97223-5502
Mailing address
PO Box 20458
Portland, OR 97294-0458
Phone (503) 253-8984
Other names 1
- Crary Shoe Mfg. Co.
National Provider Directory
National Provider DirectoryLocations
9900 SW Greenburg Rd
Ste 190
Portland, OR 97223
Phone (503) 670-7600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277769600000",
"number": "1336387372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20458",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972940458",
"telephone_number": "503-253-8984",
"fax_number": "503-253-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 SW GREENBURG RD",
"address_2": "SUITE 190",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235502",
"telephone_number": "503-670-7600",
"fax_number": "503-670-7009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAGON INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-29",
"last_updated": "2010-06-29",
"status": "A",
"authorized_official_last_name": "JOHANSON",
"authorized_official_first_name": "MEREDITH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "503-253-8984",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "C PED"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crary Shoe Mfg. Co.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.