Boise Vamc

NPI #1548677602 in Hines, Oregon

Provider Information

NPI Number: 1548677602
Entity Type: Organization
Organization Name: Boise Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jul 21, 2014
Last Updated: Jul 29, 2020

Practice Location

Address: 635 HIGHWAY 20 N STE 4
City: Hines
State: Oregon
ZIP Code: 97738-9462
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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