Provider First Line Business Practice Location Address:
PORTLAND VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
3710 SW U.S. VETERANS HOSPITAL RD
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-220-8262
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2006