MEDICARE: VMC INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518039866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VMC INC.

Provider Business Mailing Address
First Line	:	2060 NE 238TH DR
Second Line	:
City	:	WOOD VILLAGE
State	:	OR
Zip	:	97060-1007
Country	:	US
Telephone Number	:	503-491-0553
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 NE 238TH DR
Second Line	:
City	:	WOOD VILLAGE
State	:	OR
Zip	:	97060-1007
Country	:	US
Telephone Number	:	503-491-0553
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DEREK R SALWAY
Credential	:
Telephone Number	:	503-491-0553

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	08/22/2020

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Directions to “VMC INC. ” Practice Location

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