PORT ANGELES VA CBOC (3978) INSTITUTION (4)

Name	Value
NAME	PORT ANGELES VA CBOC
STATE	WASHINGTON
STREET ADDR. 1	1114 GEORGIANA STREET
CITY	PORT ANGELES
ZIP	98362-4212
OFFICIAL VA NAME	PORT ANGELES VA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: SEATTLE VA MEDICAL CENTER
BILLING FACILITY NAME	PORT ANGELES VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1629485875
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	663GE