Portland Vamc - Vancouver Campus
NPI #1679637508 in Vancouver, Washington
Provider Information
- NPI Number
- 1679637508
- Entity Type
- Organization
- Organization Name
- Portland Vamc - Vancouver Campus
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1601 E FOURTH PLAIN BLVD
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98661-3753
- Phone
- (360) 696-4061
Authorized Official
- Name
- BARBARA MAYERICK
- Title
- DIRECTOR, BUSINESS DEVELOPMENT
- Phone
- (202) 254-0339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - VA — VA |
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