Active NPI
Portland VA Medical Center
- Military Hospital
- Portland, OR
National Provider Identifier
1114009628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- L3442
- Legal business name
- PORTLAND VA MEDICAL CENTER
- Practice address
- 3710 SW Sam Jackson Road
Portland, OR 97207-1034 - Phone
- (503) 220-8262
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Plennes Schuster, LCSW
- Title
- Social Worker
- Phone
- (503) 220-8262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | L3442 | OR | Primary |
Addresses
Primary practice location
3710 SW Sam Jackson Road
Portland, OR 97207-1034
Mailing address
PO Box 1034
Portland, OR 97207-1034
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1114009628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1034",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972071034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 SW SAM JACKSON ROAD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972071034",
"telephone_number": "503-220-8262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTLAND VA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "SCHUSTER",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "PLENNES",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "503-220-8262",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "OR",
"license": "L3442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.