Provider Demographics
NPI:1760686547
Name:COLUMBIA MEDICAL ALARM, INC.
Entity Type:Organization
Organization Name:COLUMBIA MEDICAL ALARM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-626-1684
Mailing Address - Street 1:12620 SW FOOTHILL DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-5512
Mailing Address - Country:US
Mailing Address - Phone:503-626-1684
Mailing Address - Fax:503-626-7725
Practice Address - Street 1:12620 SW FOOTHILL DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5512
Practice Address - Country:US
Practice Address - Phone:503-626-1684
Practice Address - Fax:503-626-7725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR30942882251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR248500Medicaid