Organization
PVAMC-NCRAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A FAUSTI PH.D (CENTER DIRECTOR)
(503) 220-8262
Entity
Organization
Contact information
Practice address
3710 SW VETERANS HOSPITAL ROAD, PORTLAND, OR 97207
(503) 220-8262
Mailing address
511 SE NEHALEM ST, PORTLAND, OR 97202-6409
(503) 234-8397
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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