Organization · Type 2 NPI
Walla Walla Vamc
VA Clinic/Center · Boardman, OR
NPI number
1457742538
Active
Practice location
2 Marine Drive, Suite 103
Boardman, OR 97818-9998
Mailing address
PO Box 94423
Cleveland, OH 44101-4423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1457742538
Walla Walla Vamc's National Provider Identifier is 1457742538, issued on Feb 11, 2015. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Boardman, OR. The record was last updated on Nov 15, 2017.