| NAME |
PORTLAND PHARMACY |
| STATE |
OREGON |
| STREET ADDR. 1 |
3710 SW US VETERANS HOSPITAL RD |
| CITY |
PORTLAND |
| ZIP |
97239-2964 |
| OFFICIAL VA NAME |
Portland Pharmacy |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PORTLAND VAMC PHARMACY |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1306804588
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 3710 SW US Veterans Hospital Rd.
- CITY (CHANGED FROM): Portland
- STATE (CHANGED FROM): OREGON
- ZIP (CHANGED FROM): 97239-2964
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1306804588
|
