VA Portland Health Care System

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0014977 Issued in OR

Legal business name

VA PORTLAND HEALTH CARE SYSTEM

Practice address

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

Phone

(503) 220-8262

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Antoine Zogbi, PHARMD

Title

Pharmacist

Phone

(503) 707-4877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1881044832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 NW 115TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299305",
            "telephone_number": "503-707-4877"
        },
        {
            "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": "VA PORTLAND HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "ZOGBI",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-707-4877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "0014977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobby N Uzodinma, PMHNP
• Mohammed Uzzaman, MSW
• Jamar Uzzell, MD
• V. James Makker M.D.,M.B.a., P.C
• VA Medical Center
• Mary Vaandering
• Julia Marie Hanson Vaara, IBCLC
• Amity Rose Vacarella, N.D.
• Allison Vaccaro, M.S. CCC-SLP
• Anna Belle Vacheresse

• 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 Jun 20, 2016; 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.