DEPARTMENT OF VETERANS AFFAIRS

NPI # 

Practice Address:

8495 Crater Lake Hwy

White City, OR, 97503-3011

Practice Phone:

541-826-2111

Practice Fax:

541-830-7485

License Number:

AA426809

License State:

MD

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adult Mental Health

Taxonomy Code:

261QM0850X

Updated by NPPES on 8/22/2020. You can view the original data set for NPI # 1386714053 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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