Ontario Va Clinic

NPI #1881638500 in Ontario, Oregon

Provider Information

NPI Number: 1881638500
Entity Type: Organization
Organization Name: Ontario Va Clinic
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 20 SOUTHWEST 3RD
City: Ontario
State: Oregon
ZIP Code: 97914
Phone: (208) 422-1303

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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