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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