PORTLAND VA CLINIC (3898) INSTITUTION (4)

Name	Value
NAME	PORTLAND VA CLINIC
STATE	OREGON
STREET ADDR. 1	308 SOUTHWEST 1ST AVENUE, #155
CITY	PORTLAND
ZIP	97204-3432
OFFICIAL VA NAME	PORTLAND VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: PORTLAND VA MEDICAL CENTER
BILLING FACILITY NAME	PORTLAND 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1346657491
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	648GI