| NAME |
NORTH COAST VA CLINIC |
| STATE |
OREGON |
| STREET ADDR. 1 |
91400 S NEACOXIE BLVD BUILDING 7315 |
| CITY |
WARRENTON |
| ZIP |
97146-7267 |
| OFFICIAL VA NAME |
NORTH COAST VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WARRENTON VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1720022940
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
648GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1720022940
-
- CODING SYSTEM: VASTANUM
- ID: 648GD
-
- CODING SYSTEM: CLIA
- ID: 38D1017408
|
