Walla Walla Vamc

NPI #1588610398 in Lewiston, Idaho

Provider Information

NPI Number: 1588610398
Entity Type: Organization
Organization Name: Walla Walla Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: May 25, 2006
Last Updated: Nov 15, 2017

Practice Location

Address: 1630 23RD AVE
Address 2: STES. 302 & 401, BLDG. 2
City: Lewiston
State: Idaho
ZIP Code: 83501-6350
Phone: (702) 341-3164

Authorized Official

Name: MS. 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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