Pvamc-Ncrar

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

PVAMC-NCRAR

Practice address

3710 SW Veterans Hospital Road
Portland, OR 97207

Phone

(503) 220-8262

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Fausti, PH.D

Title

Center Director

Phone

(503) 220-8262

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Joseph McDermott, M.A, CCC/A

  • Audiologist
  • Portland, OR
  • NPI 1821227786
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1659579878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SE NEHALEM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026409",
            "telephone_number": "503-234-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SW VETERANS HOSPITAL ROAD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97207",
            "telephone_number": "503-220-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVAMC-NCRAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "FAUSTI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "503-220-8262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Mae Putnam, CADC II
• Philip Putnam
• Jennifer Putrzenski
• Daniel Putterman, AU.D.
• Nancy Puzziferri, MD
• Matthew Pyankov
• Michael Pye
• Christina Pyktel, L.M.T.
• Abigail Pyle
• Chelsea Pyle

• 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 Jul 10, 2007; 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.