PORTLAND VA MEDICAL CENTER NPI 1114009628

NPI Information

PORTLAND VA MEDICAL CENTER is a military hospital in Portland, OR. The provider is a health care facility operated by the Department of Defense. PORTLAND VA MEDICAL CENTER NPI is 1114009628. The provider is registered as an organization entity type.

The provider's business location address is:

3710 SW SAM JACKSON ROAD
PORTLAND, OR
ZIP 97207-034
Phone: (503) 220-8262

The provider's authorized official is Susan Plennes Schuster .
The authorized official title is Social Worker and has the following contact phone number (503) 220-8262.

The CLIA number assigned to this NPI record is 38D0988131 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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