PORTLAND VAMC - VANCOUVER CAMPUS (NPI# 1679637508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679637508 |
| Entity Type | Organization |
| Organization Name | PORTLAND VAMC - VANCOUVER CAMPUS |
| Practice Address |
1601 E Fourth Plain Blvd Vancouver WA 98661-3753 |
| Practice Telephone | 3606964061 |
| Mailing Telephone | 3606964061 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 2022540339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Street Address |
1601 E FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962452433 | Joanne Pascarella Parker | Family Medicine | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2006-05-12 |
| 1366049389 | Keri Damsgaard | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-02 |
| 1265048219 | Lindsey Lee Bittman | Social Worker | 1601 E Fourth Plain Blvd, V3crs, Vancouver, WA 98661-3713 | 2020-09-16 |
| 1104438282 | Aydree Lee Stuart | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-19 |
| 1831716554 | Robin Lynn Miller | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-29 |
| 1033733381 | Samantha Irene Tribon | Licensed Practical Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-02 |
| 1790307163 | Sasha Micaella Rojas | Psychologist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-05-08 |
| 1174152466 | Angela Westbrooks | Counselor | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-04-07 |
| 1871121137 | Mary Alice Parker | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-03-31 |
| 1730712522 | Cadie Mae Marsh | Licensed Practical Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457890527 | Josh Hudson | Clinic/Center | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2017-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336567593 | Safe Bathtub Inc | Clinic/Center | 3047 Hedding St, Entiat, WA 98822-9713 | 2014-04-03 |
| 1346564614 | Seattle Vamc | Clinic/Center | 151 Ne Hampe Way, Lewis County Mall, Chehalis, WA 98532-2403 | 2010-03-16 |
| 1538317797 | Puget Sound Health Care System | Clinic/Center | 3205 N Shirley St, Tacoma, WA 98407-2586 | 2008-08-29 |
| 1992745723 | Walla Walla Vamc | Clinic/Center | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2006-06-08 |
| 1659311009 | Walla Walla Vamc | Clinic/Center | 825 Jadwin Ave, Suite 250 Federal Building 2nd Floor, Richland, WA 99352-3589 | 2006-06-07 |
| 1851348999 | Longview Va Clinic | Clinic/Center | 1801 1st Ave, Suite 4c, Longview, WA 98632-3270 | 2006-05-27 |
| 1477509933 | Seattle Vamc | Clinic/Center | 13033 Bel Red Rd, Bellevue, WA 98005-2633 | 2006-05-26 |
| 1649221375 | Seattle Vamc | Clinic/Center | 9177 Ridgetop Blvd Nw, Silverdale, WA 98383-8519 | 2006-05-15 |
| 1407498009 | Seattle Vamc | Clinic/Center | 12360 Lake City Way Ne Ste 200, Seattle, WA 98125-5447 | 2019-10-15 |
| 1255981452 | Seattle Vamc | Clinic/Center | 34617 11th Pl S Ste 301, Federal Way, WA 98003-8706 | 2019-09-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.