PORTLAND VA MEDICAL CENTER (334)    INSTITUTION (4)

Name Value
NAME PORTLAND VA MEDICAL CENTER
STATE OREGON
STREET ADDR. 1 3710 SW US VETERANS HOSPTL RD
CITY PORTLAND
ZIP 97239-2964
OFFICIAL VA NAME PORTLAND VA MEDICAL CENTER
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PORTLAND VAMC
ST. ADDR. 1 (MAILING) 3710 SW US VETERANS HOSPTL RD
CITY (MAILING) PORTLAND
STATE (MAILING) OREGON
ZIP (MAILING) 97239-2964
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1962452441
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 648
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1962452441
  • CODING SYSTEM:   VASTANUM
    ID:   648
  • CODING SYSTEM:   CLIA
    ID:   38D0988131