Portland Va Medical Center

NPI 1114009628 - Military Hospital - 286500000X

NPI Details
NPI 1114009628
Enumeration Date 10/20/2006
Last Updated 08/14/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SUSAN PLENNES SUSAN
Position SOCIAL WORKER
Phone (503) 220-8262
Fax
Practice Location
3710 SW SAM JACKSON ROAD
PORTLAND OR, 97207-1034, US
Phone (503) 220-8262
Fax
Business Location
PO BOX 1034
PORTLAND OR, 97207-1034, US
Phone
Fax
Toxanomy
Taxonomy Code 286500000X
License State Oregon
License Number L3442
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According to our database, Portland Va Medical Center NPI is 1114009628, taxonomy code is 286500000X and license number is L3442, license state is located at Oregon. Portland Va Medical Center physically located at 3710 Sw Sam Jackson Road, Portland OR, 97207-1034. NPI Number 1033115704 has the healthcare provider type.

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1114009628 NPI number is provided on an as is basis without warranty of any kind. 1114009628 is maintained by the National Plan & Provider Enumeration System. The contents of Portland Va Medical Center are for informational purposes only.