PORTLAND VAMC


Address: 91400 S Neacoxie Blvd, Building 7315, Warrenton, OR 97146-7267
Phone: 7023413164

PORTLAND VAMC (NPI# 1720022940) 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) 1720022940
Entity Type Organization
Organization Name PORTLAND VAMC
Other Organization Name WARRENTON VA CLINIC
Practice Address 91400 S Neacoxie Blvd
Building 7315
Warrenton
OR 97146-7267
Mailing Address Po Box 94414
Cleveland
OH 44101-4414
Practice Telephone 7023413164
Mailing Telephone 7023413164
Enumeration Date 2006-06-16
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
Warrenton 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
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
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 91400 S NEACOXIE BLVD
BUILDING 7315
City WARRENTON
State OR
Zip Code 97146-7267

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629685920 Alexandroff Dmd PC Dentist 1085 E Harbor Drive, Warrenton, OR 97146 2020-09-30
1265080758 Emily Ann Brennan Pharmacist 145 South, Us-101, Warrenton, OR 97146 2019-08-28
1932643475 Janice Coughlin Dental Hygienist 1630 Se Ensign Lane, Warrenton, OR 97146 2016-12-16
1568906477 Radiant Care Afh 'llc' Custodial Care Facility 52 Nw Birch Ct, Warrenton, OR 97146 2016-12-12
1740634468 Ron Arleigh Tamayo Pharmacist 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 2016-04-19
1053781864 Kristopher Smith Counselor 65 North Highway 101, Suite 204, Warrenton, OR 97146 2015-10-06
1831577196 Elizabeth Dietrich Erikson Family Medicine 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 2015-05-07
1164774592 Tuan Anh Trinh Pharmacist 1625 E. Harbor Dr., Warrenton, OR 97146 2012-10-09
1366715054 Suzanne Marie Jagger Dental Hygienist 181 Sw Kalmia Ave, Warrenton, OR 97146 2012-02-11
1669705992 Costco Wholesale Corporation Pharmacy 1804 Se Ensign Ln, Warrenton, OR 97146 2009-09-18
Find all providers in zip 97146

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 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 WARRENTON
Zip Code 97146

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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