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Contact Information

STATE OF OREGON DEPARTMENT OF VETERANS' AFFAIRS
600 N. 5TH STREET
LEBANON, OR97355
 Phone: 503-362-5235
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for STATE OF OREGON DEPARTMENT OF VETERANS' AFFAIRS

NPI Number 1679985113
LBN Legal business name STATE OF OREGON DEPARTMENT OF VETERANS' AFFAIRS
Authorized official BRUCE SHRIVER - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2014
Last updated 03/18/2015 - About 11 years ago
Identifiers
OR Medicaid 500681197
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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