PORTLAND VAMC


Address: 1750 Mcgilchrist St Se, Suite 130, Salem, OR 97302-1691
Phone: 7023413164

PORTLAND VAMC (NPI# 1376581371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376581371
Entity Type Organization
Organization Name PORTLAND VAMC
Other Organization Name SALEM VA CLINIC
Practice Address 1750 Mcgilchrist St Se
Suite 130
Salem
OR 97302-1691
Mailing Address Po Box 94414
Cleveland
OH 44101-4414
Practice Telephone 7023413164
Mailing Telephone 7023413164
Enumeration Date 2006-06-02
Last Update Date 2017-11-01
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Salem VA Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

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
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
1255424685 Portland Vamc Department of Veterans Affairs (VA) Pharmacy 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 2006-09-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PORTLAND VAMC 3710 Sw Us Veterans Hospital Rd, Portland, OR 97207-2964

Office Location

Street Address 1750 MCGILCHRIST ST SE
SUITE 130
City SALEM
State OR
Zip Code 97302-1691

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396351367 Stacy Potter Social Worker 1750 Mcgilchrist St Se, Salem, OR 97302-1691 2020-09-16
1861054769 Chau Bui Optometrist 1750 Mcgilchrist St Se, Salem, OR 97302-1691 2019-07-01
1619534039 Katie Mersinger Dietitian, Registered 1750 Mcgilchrist St Se, Salem, OR 97302-1691 2019-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265477228 Pulaski Va Clinic Clinic/Center 1970 Roanoke Blvd, Salem, VA 24153-6404 2006-06-16
1033151980 St. Louis Jc Vamc Clinic/Center 35629 Highway 72, Salem, MO 65560-7217 2006-06-12

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City SALEM
Zip Code 97302

Improve Information

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Dataset Information

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.

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