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Organization
PORTLAND VAMC
Active
Organization
PORTLAND VAMC
Active
Other names
LINCOLN CITY VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM LEAD)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1105 SE JETTY AVE STE C, LINCOLN CITY, OR 97367-2604
(702) 341-3164
(702) 341-3503
Mailing address
PO BOX 94414, CLEVELAND, OH 44101-4414
(702) 341-3164
(702) 341-3503
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/23/2019
Last updated
05/01/2025
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