Organization · Type 2 NPI
Portland Vamc
VA Clinic/Center · Fairview, OR
NPI number
1710174974
Active
Practice location
1800 NE Market Drive
Fairview, OR 97024-9998
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 1710174974
Portland Vamc's National Provider Identifier is 1710174974, issued on Oct 1, 2007. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Fairview, OR. The record was last updated on Nov 1, 2017.