Organization · Type 2 NPI
Portland Vamc
VA Clinic/Center · The Dalles, OR
NPI number
1104233295
Active
Practice location
704 Veterans Drive
The Dalles, OR 97058-9998
Mailing address
PO Box 94414
Cleveland, OH 44101-4414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
Another provider at this address
About NPI 1104233295
Portland Vamc's National Provider Identifier is 1104233295, issued on Jul 21, 2014. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in The Dalles, OR. The record was last updated on Nov 1, 2017.