EAST PORTLAND VA CLINIC (3895) INSTITUTION (4)

Name	Value
NAME	EAST PORTLAND VA CLINIC
STATE	OREGON
STREET ADDR. 1	1800 NE MARKET DRIVE
CITY	FAIRVIEW
ZIP	97024-9998
OFFICIAL VA NAME	EAST PORTLAND VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: PORTLAND VA MEDICAL CENTER
BILLING FACILITY NAME	FAIRVIEW VA CLINIC
EFFECTIVE DATE/TIME	2007-10-29 00:00:00 STATUS: ACTIVE NPI: 1710174974
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	648GE