CRAGON INC. NPI 1336387372

NPI Information

  • NPI: 1336387372
  • Provider Name: CRAGON INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Doing Business As: CRARY SHOE MFG. CO.
  • Address: 9900 SW GREENBURG RD
    SUITE 190
    PORTLAND, OR
    ZIP 97223
  • Phone: (503) 670-7600

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NPI Details

CRAGON INC. is a customized equipment durable medical equipment medical supplies in Portland, OR. CRAGON INC. NPI is 1336387372. The provider is registered as an organization entity type.
The provider Is Doing Business As Crary Shoe Mfg. Co..

The provider's business location address is:

9900 SW GREENBURG RD
SUITE 190
PORTLAND, OR
ZIP 97223-502
Phone: (503) 670-7600
Fax: (503) 670-7009

The provider's authorized official is Meredith A Johanson .
The authorized official title is Vice President and has the following contact phone number (503) 253-8984.

The enumeration date for this NPI number is 1/29/2009 and was last updated on 6/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10910810002MEDICARE NSCOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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