PORTLAND VAMC (NPI# 1255424685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255424685 |
| Entity Type | Organization |
| Organization Name | PORTLAND VAMC |
| Practice Address |
1601 E 4th Plain Blvd Vancouver WA 98661-3713 |
| Mailing Address |
Po Box 94414 Cleveland OH 44101-4414 |
| Practice Telephone | 5032208262 |
| Mailing Telephone | 7023413164 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NCPDP | 4932059 | 01 |
| 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 |
| 1184675803 | Portland Vamc | Clinic/Center | 2650 Ne Courtney Dr, Bend, OR 97701-7636 | 2006-05-15 |
| 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 |
| 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 |
1601 E 4TH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922083 | Margaret A Vajdos | Internal Medicine | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 | 2005-09-16 |
| 1316546179 | Patricia Anne O'brien | Psychologist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-22 |
| 1508464546 | Julia Houle-mccabe | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-12 |
| 1346850831 | Llonnelyn Josue | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-09 |
| 1417566399 | Edwina Laverne Lyon | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-28 |
| 1770192916 | Leanne D Nething | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-23 |
| 1629686092 | Courtney Leigh Geier | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-21 |
| 1033736285 | Trevor C Miller | Recreation Therapist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
| 1265059430 | Zaharah Adam | Case Manager/Care Coordinator | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
| 1942827704 | Kelly Renee Braswell | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 332100000X |
| Grouping | Suppliers |
| Classification | Department of Veterans Affairs (VA) Pharmacy |
| Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
| Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982740502 | Eanas and Lyle Inc | Department of Veterans Affairs (VA) Pharmacy | 1005 W 9th Ave, Spokane, WA 99204-3025 | 2007-01-30 |
| 1790733285 | Seattle Vamc | Department of Veterans Affairs (VA) Pharmacy | 9600 Veterans Dr Sw, Tacoma, WA 98493-0001 | 2006-05-05 |
| 1619925807 | Seattle Vamc | Department of Veterans Affairs (VA) Pharmacy | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-05-04 |
| 1962450122 | Spokane Vamc | Department of Veterans Affairs (VA) Pharmacy | 4815 N Assembly St, Spokane, WA 99205 | 2006-05-04 |
| 1477501666 | Walla Walla Vamc | Department of Veterans Affairs (VA) Pharmacy | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2006-05-04 |
Please comment or provide details below to improve the information on PORTLAND VAMC.
| 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.