White City Cboc

NPI #1871537258 in White City, Oregon

Provider Information

NPI Number: 1871537258
Entity Type: Organization
Organization Name: White City Cboc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 15, 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: BARBARA MAYERICK
Title: DIRECTOR, BUSINESS DEVELOPMENT
Phone: (202) 254-0339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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