MEDICARE: SAFEWAY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	0001283	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2078294	OTHER	PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497784433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFEWAY INC

Provider Business Mailing Address
First Line	:	250 E PARKCENTER BLVD
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-3940
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 NE SANDY BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-5255
Country	:	US
Telephone Number	:	503-280-1212
Fax Number	:	503-280-1213

Authorized Official
Title or Position	:	ENROLLMENTS MANAGER
Name	:	KATHY GIANNAKOPOULOS
Credential	:
Telephone Number	:	208-395-3954

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	04/03/2020

Similar Medicare Providers

1689974768 — MISS SARAH JANE SCHWAB RPH
Practice Location Address:

6901 NE SANDY BLVD
PORTLAND, OR
97213-5255

Practice Phone: 503-280-1212
Practice Fax: 503-280-1213

1285911610 — MR. TUAN ANH TRAN RPH
Practice Location Address:

6901 NE SANDY BLVD
PORTLAND, OR
97213-5255

Practice Phone: 503-280-1212
Practice Fax: 503-280-1213

1790269033 — DANIELA CRISAN PHARMD
Practice Location Address:

6901 NE SANDY BLVD
PORTLAND, OR
97213-5255

Practice Phone: 503-280-1212
Practice Fax:

1407627169 — 1918 WINTER STREET OPERATING CO LLC
Practice Location Address:

6901 NE SANDY BLVD
PORTLAND, OR
97213-5255

Practice Phone: 503-280-1212
Practice Fax: 503-280-1213

1740393925 — DR. SUSAN CONNIE SMITH DMD, PC
Practice Location Address:

5805 SE MILWAUKIE AVE
PORTLAND, OR
97202-5255

Practice Phone: 503-233-5825
Practice Fax: 503-239-7268

1508137340 — DR. KENNETH JANG D.D.S.
Practice Location Address:

5805 SE MILWAUKIE AVE
PORTLAND, OR
97202-5255

Practice Phone: 503-233-5825
Practice Fax:

Directions to “SAFEWAY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.