PORTLAND VAMC (NPI# 1184675803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184675803 |
| Entity Type | Organization |
| Organization Name | PORTLAND VAMC |
| Other Organization Name | BEND VA CLINIC |
| Practice Address |
2650 Ne Courtney Dr Bend OR 97701-7636 |
| Mailing Address |
Po Box 94414 Cleveland OH 44101-4414 |
| Practice Telephone | 7023413164 |
| Mailing Telephone | 7023413164 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bend VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346657491 | Portland Vamc | Clinic/Center | 308 Sw 1st Ave, Suite 155, Portland, OR 97204-3400 | 2014-07-21 |
| 1104233295 | Portland Vamc | Clinic/Center | 704 Veterans Drive, The Dalles, OR 97058-9998 | 2014-07-21 |
| 1114151248 | Portland Vamc | Clinic/Center | 1925 Ne Stucki Ave Ste 300, Hillsboro, OR 97006-6945 | 2009-05-04 |
| 1710174974 | Portland Vamc | Clinic/Center | 1800 Ne Market Drive, Fairview, OR 97024-9998 | 2007-10-01 |
| 1720022940 | Portland Vamc | Clinic/Center | 91400 S Neacoxie Blvd, Building 7315, Warrenton, OR 97146-7267 | 2006-06-16 |
| 1376581371 | Portland Vamc | Clinic/Center | 1750 Mcgilchrist St Se, Suite 130, Salem, OR 97302-1691 | 2006-06-02 |
| 1639722275 | Portland Vamc | Clinic/Center | 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, OR 97367-5000 | 2019-07-23 |
| 1497162556 | Portland Vamc | Clinic/Center | 1010 Sw Coast Hwy, Newport, OR 97365-5288 | 2014-07-21 |
| 1982957510 | Portland Vamc | Clinic/Center | 1750 Blankenship Rd, Suite 300, West Linn, OR 97068-5101 | 2012-10-19 |
| 1255424685 | Portland Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2006-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORTLAND VAMC | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97207-2964 |
| Street Address |
2650 NE COURTNEY DR |
| City | BEND |
| State | OR |
| Zip Code | 97701-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172845 | Sharmy Rasheed | Social Worker | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2020-10-20 |
| 1861844029 | Christen Elaine Bales | Social Worker | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2016-07-12 |
| 1346493087 | James T Lee | Pharmacist | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2008-10-28 |
| 1275792053 | Misoo Kim Abele | Psychiatry & Neurology | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2008-06-05 |
| 1093931925 | Clear Choice Health Plans, Inc. | Point of Service | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2007-04-18 |
| 1134250566 | Joseph W Flannery | Internal Medicine | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2007-03-08 |
| 1417977042 | Danette Rai Elliott-mullens | Internal Medicine | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2006-07-19 |
| 1962440842 | Mary Ellen Kelly | Nurse Practitioner | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841714607 | Roseburg Vamc | Clinic/Center | 211 E 7th Ave Ste 220, Eugene, OR 97401-2722 | 2017-08-02 |
| 1457742538 | Walla Walla Vamc | Clinic/Center | 2 Marine Drive, Suite 103, Boardman, OR 97818-9998 | 2015-02-11 |
| 1710378898 | Walla Walla Vamc | Clinic/Center | 401 Northeast 1st Street, Suite A, Enterprise, OR 97828-1186 | 2015-02-11 |
| 1346657491 | Portland Vamc | Clinic/Center | 308 Sw 1st Ave, Suite 155, Portland, OR 97204-3400 | 2014-07-21 |
| 1104233295 | Portland Vamc | Clinic/Center | 704 Veterans Drive, The Dalles, OR 97058-9998 | 2014-07-21 |
| 1548677602 | Boise Vamc | Clinic/Center | 635 Highway 20 N Ste 4, Hines, OR 97738-9462 | 2014-07-21 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| 1114151248 | Portland Vamc | Clinic/Center | 1925 Ne Stucki Ave Ste 300, Hillsboro, OR 97006-6945 | 2009-05-04 |
| 1184812943 | Walla Walla Vamc | Clinic/Center | 202 12th St, La Grande, OR 97850-2879 | 2007-10-05 |
| 1710174974 | Portland Vamc | Clinic/Center | 1800 Ne Market Drive, Fairview, OR 97024-9998 | 2007-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.