Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
VA |
261QV0200X |
| NPI Number | 1497162556 |
| LBN Legal business name | PORTLAND VAMC |
| Authorized official | ERIN POTTER - (NPI TEAM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/21/2014 |
| Last updated | 03/15/2024 - About 2 years ago |
| Identifiers | n/a |
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