Organization
VETERANS ADMINISTRATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUYEN BUI MT (SUPERVISOR)
(503) 220-8262
Entity
Organization
Contact information
Practice address
3710 SW US VETERANS ROAD, PORTLAND, OR 97207
(503) 220-8262
Mailing address
212 SW MEADE ST, APARTMENT #8, PORTLAND, OR 97201
(503) 224-0385
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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