Organization Active NPI

Portland VA Medical Center

  • General Acute Care Hospital
  • Vancouver, WA
National Provider Identifier
1881718443
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PORTLAND VA MEDICAL CENTER
Practice address
7800 NE 86TH Ave
Vancouver, WA 98662-2897
Phone
(360) 891-2719
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mrs. Diane Evelyn Jobin, AART
Title
X-Ray Tech
Phone
(360) 690-1824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

7800 NE 86TH Ave
Vancouver, WA 98662-2897

Mailing address

7800 NE 86TH Ave
Vancouver, WA 98662-2897
Phone (360) 891-2719

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1881718443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NE 86TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622897",
            "telephone_number": "360-891-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 NE 86TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622897",
            "telephone_number": "360-891-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "JOBIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "X-RAY TECH",
        "authorized_official_telephone_number": "360-690-1824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AART"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

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.

Verify at the official NPI Registry.