Columbia River Cranials Orthotics and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

COLUMBIA RIVER CRANIALS ORTHOTICS AND PROSTHETICS

Practice address

1926 S Osprey Dr
Ridgefield, WA 98642-8009

Phone

(218) 464-8019

NPI assigned

Oct 23, 2021

Last updated

Oct 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janae Buchan, LCPONPI 1891394086

Title

Owner

Phone

(218) 464-8019

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janae Christine Buchan, CPO

  • Prosthetist
  • Vancouver, WA
  • NPI 1891394086
  NPD Authorized official

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634947200000",
    "number": "1437813797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 S OSPREY DR",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986428009",
            "telephone_number": "218-464-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 S OSPREY DR",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986428009",
            "telephone_number": "218-464-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA RIVER CRANIALS ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "BUCHAN",
        "authorized_official_first_name": "JANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-464-8019",
        "authorized_official_credential": "LCPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KAREO",
            "affiliation": "N",
            "address_1": "1926 S Osprey Dr",
            "city": "Ridgefield",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986428009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.