State of Oregon Department of Veterans' Affairs

NPI #1679985113 in Lebanon, Oregon

Provider Information

NPI Number
1679985113
Entity Type
Organization
Organization Name
State of Oregon Department of Veterans' Affairs
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 2, 2014
Last Updated
Mar 18, 2015

Practice Location

Address
600 N. 5TH STREET
State
Oregon
ZIP Code
97355
Phone
(503) 362-5235

Authorized Official

Name
BRUCE SHRIVER
Title
CHIEF FINANCIAL OFFICER
Phone
(503) 373-2268

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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