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
—
—
Other
Enumeration date
07/23/2019
Last updated
05/01/2025
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