PORTLAND VAMC (NPI# 1982957510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982957510 |
| Entity Type | Organization |
| Organization Name | PORTLAND VAMC |
| Other Organization Name | WEST LINN VA CLINIC |
| Practice Address |
1750 Blankenship Rd Suite 300 West Linn OR 97068-5101 |
| Mailing Address |
Po Box 94414 Cleveland OH 44101-4414 |
| Practice Telephone | 7023413164 |
| Mailing Telephone | 7023413164 |
| Enumeration Date | 2012-10-19 |
| 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 |
|---|---|
| West Linn 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 |
| 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 |
| 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 |
1750 BLANKENSHIP RD SUITE 300 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891731733 | Sheri Lee Laird | Internal Medicine | 1750 Blankenship Rd, Suite 280, West Linn, OR 97068-5101 | 2006-06-21 |
| 1093201949 | Rebecca Joan Harrison | Social Worker | 1750 Blankenship Rd, West Linn, OR 97068-5101 | 2018-07-03 |
| 1992224158 | David Michael Truckey | Registered Nurse | 1750 Blankenship Rd, West Linn, OR 97068 | 2017-09-19 |
| 1255794905 | Darian Nemec | Mechanotherapist | 1750 Blankenship Rd, Ste 295, West Linn, OR 97068-5101 | 2016-03-31 |
| 1497112643 | Brittni Ramp | Chiropractor | 1750 Blankenship Rd, Suite 295, West Linn, OR 97068-5101 | 2016-01-19 |
| 1447658794 | Kamyab Ashraf | Massage Therapist | 1750 Blankenship Rd, West Linn, OR 97068-5101 | 2014-12-17 |
| 1821429366 | West Linn Pediatrics PC | Specialist | 1750 Blankenship Rd, Suite 275, West Linn, OR 97068-5101 | 2013-12-10 |
| 1194160515 | Sendant Md,inc. | Clinic/Center | 1750 Blankenship Rd, Suite 200, West Linn, OR 97068-5101 | 2013-04-30 |
| 1770837163 | Lee Hutson | Psychologist | 1750 Blankenship Rd, West Linn, OR 97068-5101 | 2012-11-06 |
| 1265783518 | Tiffany Carlson | Kinesiotherapist | 1750 Blankenship Rd, Suite 295, West Linn, OR 97068-5101 | 2012-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| 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.