# PORTLAND VA MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730425562
- **Authorized official:** MR. ROBERT TELL LCSW (CLINIC MANAGER)
- **Authorized official phone:** (503) 220-8262

## Contact information

- **Practice address:** 3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
- **Practice address phone:** (503) 220-8262
- **Practice address fax:** (503) 721-1047
- **Mailing address:** 15660 SW WINTERGREEN ST, TIGARD, OR 97223-2617
- **Mailing address phone:** (503) 220-8262
- **Mailing address fax:** (503) 721-1047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 4833942-3501 | UT | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 12/26/2012