WALLA WALLA VAMC NPI 1457742538

NPI Information

NPI: 1457742538
Provider Name: WALLA WALLA VAMC

Other Name: BOARDMAN VA CLINIC

Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
2 MARINE DRIVE
SUITE 103
BOARDMAN, OR
ZIP 97818
Phone: (702) 341-3164
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WALLA WALLA VAMC is a va clinic center in Boardman, OR. WALLA WALLA VAMC NPI is 1457742538. The provider is registered as an organization entity type.
The provider Other Name Is Boardman Va Clinic.

The provider's business location address is:

2 MARINE DRIVE
SUITE 103
BOARDMAN, OR
ZIP 97818-998
Phone: (702) 341-3164

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

The enumeration date for this NPI number is 2/11/2015 and was last updated on 11/15/2017.

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: 4/28/2024

NPI Synchronization or Removal

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