PORTLAND VAMC NPI 1639722275

NPI Information

NPI: 1639722275
Provider Name: PORTLAND VAMC
Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
4422 NE DEVILS LAKE BLVD STE 2
LINCOLN CITY, OR
ZIP 97367
Phone: (702) 341-3164
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PORTLAND VAMC is a va clinic center in Lincoln City, OR. PORTLAND VAMC NPI is 1639722275. The provider is registered as an organization entity type.

The provider's business location address is:

4422 NE DEVILS LAKE BLVD STE 2
LINCOLN CITY, OR
ZIP 97367-000
Phone: (702) 341-3164
Fax: (702) 341-3503

The provider's authorized official is Erin Denise Potter .
The authorized official title is Npi Team Lead and has the following contact phone number (202) 382-2579.

The enumeration date for this NPI number is 7/23/2019 and was last updated on 7/23/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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