Organization
PORTLAND VAMC
Active
Other names
FAIRVIEW VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1800 NE MARKET DRIVE, FAIRVIEW, OR 97024-9998
(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
10/01/2007
Last updated
11/01/2017
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