Provider First Line Business Practice Location Address:
DEPARTMENT OF VETERANS AFFAIRS
Provider Second Line Business Practice Location Address:
1601 E. FOURTH PLAIN BLVD. (V3CRS)
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98661
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
971-303-2237
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2019