Organization
VETRANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLETTA O'NEAL R.N. (REGISTERED NURSE)
(503) 380-9371
Entity
Organization
Contact information
Practice address
6215 NE BROADWAY ST, PORTLAND, OR 97213-4713
(503) 380-9371
Mailing address
6215 NE BROADWAY ST, PORTLAND, OR 97213-4713
(503) 380-9371
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
OR
Other
Enumeration date
10/14/2007
Last updated
10/14/2007
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