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Organization

PORTLAND VAMC

Active
Other names
Astoria VA Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization

Contact information

Practice address
3196 MARINE DR, ASTORIA, OR 97103-2734
(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
06/16/2006
Last updated
11/22/2024
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