Provider Demographics
NPI:1275524001
Name:ZYGO INDUSTRIES, INC.
Entity Type:Organization
Organization Name:ZYGO INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROB
Authorized Official - Middle Name:A
Authorized Official - Last Name:LITZAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-684-6006
Mailing Address - Street 1:PO BOX 1008
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97207-1008
Mailing Address - Country:US
Mailing Address - Phone:503-684-6006
Mailing Address - Fax:503-684-6011
Practice Address - Street 1:16260 SW UPPER BOONES FERRY RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97224-7220
Practice Address - Country:US
Practice Address - Phone:503-684-6006
Practice Address - Fax:503-684-6011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004197861Medicaid
OR221226Medicaid
WA9055419Medicaid
SD9166950Medicaid
MI4226875Medicaid
WY11484800Medicaid
IN200429950AMedicaid
MN290714300Medicaid
KY90256017Medicaid
CADME02225FMedicaid
DE00867116Medicaid
AL009810290Medicaid
IA0174219Medicaid
KS200303460AMedicaid
NMS6108Medicaid
LA1544191Medicaid
OK200013800AMedicaid
OK200013800AMedicaid
KY90256017Medicaid
NE=========00Medicaid