DEPARTMENT OF VETERAN'S AFFAIR

NPI # 

Practice Address:

8495 Crater Lake Hwy

White City, OR, 97503-3011

Practice Phone:

541-826-2111

License Number:

RT-P-10136936

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

VA

Taxonomy Code:

261QV0200X