institution
Cragon Inc
Customized Equipment (DME) in Portland, Oregon
NPI 1437250461

Cragon Inc is a Customized Equipment (DME) based in Portland, OR and is specialized in Customized Equipment. Cragon Inc practices in Portland, OR. The NPI Number for Cragon Inc is 1437250461 and holds a License No. (Oregon).

The current practice location address for Cragon Inc is 12035 Ne Glenn Widing Dr, Portland, OR and can be reached out via phone at 503-253-8984 and via fax at 503-253-2094.

Location: 12035 Ne Glenn Widing Dr, Portland, OR, 97294-0458
institution
Provider Profile Details
NPI Number
1437250461
Provider Name
Cragon Inc
Credential
Provider Entity Type
Organization
Address
12035 Ne Glenn Widing Dr, Portland, OR, 97294-0458
Phone Number
503-253-8984
Fax Number
503-253-2094
Provider Enumeration Date
09/25/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9039694 01 OR WASHINGTON MEDICAID
063169 05 OR
875018000 01 OR BLUE CROSS BLUE SHIELD
0058824 01 WA DEPARTMENT OF LABOR AND INDUSTRIES
9039694 05 WA
institution
Provider Business Practice Location Address Details
Address
12035 Ne Glenn Widing Dr
City
State
Zip
97220-9050
Phone Number
503-253-8984
Fax Number
503-253-2094
person
Provider Business Mailing Address Details
Address
12035 Ne Glenn Widing Dr
City
State
Zip
97220-9050
Phone Number
503-253-8984
Fax Number
503-253-2094
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
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Definition
Definition to come...
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