Organization
PORTLAND VETERANS AFFAIRS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HOWELL (DEPENDENT CREDENTIALING SUPERVISOR)
(503) 220-8262
Entity
Organization
Contact information
Practice address
5430 SW CAMERON RD, PORTLAND, OR 97221
(503) 293-0222
Mailing address
5430 SW CAMERON RD, PORTLAND, OR 97221-1754
(503) 293-0222
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
282N00000X
OR
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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