Organization · Type 2 NPI
Portland Vamc
VA Clinic/Center · Lincoln City, OR
NPI number
1639722275
Active
Practice location
1105 SE Jetty Ave Ste C
Lincoln City, OR 97367-2604
Fax (702) 341-3503
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...
3 other providers at this address
About NPI 1639722275
Portland Vamc's National Provider Identifier is 1639722275, issued on Jul 23, 2019. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Lincoln City, OR. The record was last updated on May 1, 2025.