| NAME |
NORTH BEND VA CLINIC |
| STATE |
OREGON |
| STREET ADDR. 1 |
2191 MARION STREET |
| CITY |
NORTH BEND |
| ZIP |
97459-2314 |
| OFFICIAL VA NAME |
NORTH BEND VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NORTH BEND VA CLINIC |
| ST. ADDR. 1 (MAILING) |
2191 MARION STREET |
| CITY (MAILING) |
NORTH BEND |
| STATE (MAILING) |
OREGON |
| ZIP (MAILING) |
97459-2314 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1841241932
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
653GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1841241932
-
- CODING SYSTEM: VASTANUM
- ID: 653GA
|