Organization
ROSEBURG VAMC
Active
Organization
ROSEBURG VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
840 RAILROAD STREET, BROOKINGS, OR 97415-9998
(702) 341-3164
Mailing address
PO BOX 94419, CLEVELAND, OH 44101-4419
(702) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
12/20/2017
Update your record
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