Provider First Line Business Practice Location Address:
PORTLAND VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1034 SW VETERANS HOSPITAL ROAD
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:
503-273-5318
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2006