Department of Veterans Affairs
NPI #1386714053 in White City, Oregon
Provider Information
- NPI Number
- 1386714053
- Entity Type
- Organization
- Organization Name
- Department of Veterans Affairs
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Nov 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8495 CRATER LAKE HWY
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 826-2111
Authorized Official
- Name
- DR. MAX E MCINTOSH, PHD
- Title
- DIRECTOR
- Phone
- (541) 826-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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