Veterans Affairs

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

09277 Issued in OR

Legal business name

VETERANS AFFAIRS

Practice address

8495 Crater Lake Hwy
White City, OR 97503-3011

Phone

(541) 826-2111

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Laura Hackett, MSOTR/L

Title

Physical Medicine and Rehab

Phone

(541) 826-2111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1942753231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975033011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975033011",
            "telephone_number": "541-826-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHYSICAL MEDICINE AND REHAB",
        "authorized_official_telephone_number": "541-826-2111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "OR",
            "license": "09277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Vangsness
• Vasorcc
• Michelle Diann Veltum, RN
• Vera Whole Health Wa PC
• Veteran Affairssouthern Oregon Rehabilitation Center and Clinic
• Grant Paul Walker, A.A.S., CADC
• Catherine D Wallace, RN
• Matthew Ryan Warner, PHARM,D.
• Kimberly Warren, NP
• Fletcher Watson

• Rehabilitation Hospital Unit in White City, OR
• Providers in White City, OR by specialty
• Rehabilitation Hospital Unit in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.