Organization
PORTLAND VAMC
Active
Organization
PORTLAND VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1925 NE STUCKI AVE STE 300, HILLSBORO, OR 97006-6945
(702) 341-3164
Mailing address
PO BOX 94414, CLEVELAND, OH 44101-4414
(702) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
03/08/2018
Update your record
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