Organization
STATE OF OREGON DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD VAN DYKE (DEPUTY DIRECTOR)
(503) 373-2387
Entity
Organization
Contact information
Practice address
700 VETERANS DR, THE DALLES, OR 97058-9757
(541) 296-7190
(541) 296-2339
Mailing address
700 SUMMER ST NE, SALEM, OR 97301-1285
(503) 373-2000
(503) 373-2362
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
800072
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73426380
OVH REGISTRY NUMBER
OR
05
—
800072
—
OR
Enumeration date
10/25/2006
Last updated
03/18/2015
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