CRARY SHOES
NPI 1437250461
Durable Medical Equipment & Medical Supplies - Customized Equipment in Portland, OR

Active since September 25, 2006
12035 NE GLENN WIDING DR, PORTLAND, OR 97220(503) 253-8984(503) 253-2094 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About CRARY SHOES

This page provides the complete NPI Profile along with additional information for Crary Shoes, a provider established in Portland, Oregon operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1437250461 assigned on September 2006. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Crary Shoes. The authorized official of this NPI record is Meredith Johanson (Vice President)

NPI
1437250461 Verify this NPI
Provider Legal Name
CRAGON INC
Other Organization Name
CRARY SHOES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12035 NE GLENN WIDING DR PORTLAND, OR 97220
Location Phone
(503) 253-8984
Location Fax
(503) 253-2094
Mailing Address
PO BOX 20458 PORTLAND, OR 97294
Mailing Phone
(503) 253-8984
Mailing Fax
(503) 253-2094
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2006
Last Update Date
07-12-2024
Code Navigator



Crary Shoes is a medicare supplier with PTAN 20639093 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MEREDITH JOHANSON

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(503) 253-8984

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9039694OTHER (01)ORWASHINGTON MEDICAID
063169MEDICAID (05)OR 
875018000OTHER (01)ORBLUE CROSS BLUE SHIELD
0058824OTHER (01)WADEPARTMENT OF LABOR AND INDUSTRIES
9039694MEDICAID (05)WA 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20639093
Accepts Medicare Assignment
YES
Specialities List
MSC With Orthotic Personnel, Orthotic Personnel.
Provider Type List
PEDORTHIC PERSONNEL.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

Reviews for CRARY SHOES

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437250461, enumerated as an "organization" on September 25, 2006.

The provider is located at 12035 NE GLENN WIDING DR PORTLAND, OR 97220 and the phone number is (503) 253-8984.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente,. Please consult your insurance carrier or call the provider to verify.