Portland Vamc

NPI #1376581371 in Salem, Oregon

Provider Information

NPI Number: 1376581371
Entity Type: Organization
Organization Name: Portland Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 2, 2006
Last Updated: Nov 1, 2017

Practice Location

Address: 1750 MCGILCHRIST ST SE
Address 2: SUITE 130
City: Salem
State: Oregon
ZIP Code: 97302-1691
Phone: (702) 341-3164

Authorized Official

Name: ERIN POTTER
Title: NPI TEAM MEMBER
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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