Organization
U.S. DEPARTMENT OF VETERAN AFFAIRS
Active
Organization
U.S. DEPARTMENT OF VETERAN AFFAIRS
Active
Other names
Vet Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA EASTMAN PSYCHOLOGIST (TEAM LEADER)
(802) 295-2908
Entity
Organization
Contact information
Practice address
222 HOLIDAY DR, WHITE RIVER JUNCTION, VT 05001-2043
(802) 295-2908
Mailing address
11337 SW IRONWOOD LOOP, TIGARD, OR 97223-4200
(503) 521-6146
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RC00049914
WA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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