Portland VA Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

200670023CNS Issued in OR

Legal business name

PORTLAND VA MEDICAL CENTER

Practice address

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Phone

(503) 220-8262

NPI assigned

Oct 16, 2008

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Holmquist, CNS

Title

Infection Control CNS

Phone

(503) 220-8262

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1104078526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392964",
            "telephone_number": "503-220-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392964",
            "telephone_number": "503-220-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "HOLMQUIST",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "INFECTION CONTROL CNS",
        "authorized_official_telephone_number": "503-220-8262",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "200670023CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Therapy Solutions, LLC
• Portland Tissue Processing Laboratory, Inc.
• Portland Traditional Acupuncture
• Portland Trauma and Dissociation Specialists LLC
• Portland Trauma Recovery, LLC
• Portland VA Medical Center
• Portland VA Medical Center
• Portland VA Medical Center
• Portland VA Medical Center
• Portland Vamc

• General Acute Care Hospital in Portland, OR
• Providers in Portland, OR by specialty
• General Acute Care Hospital in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.