MEDICARE: PORTLAND VETERANS AFFAIRS MEDICAL CENTER

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	282N00000X	General Acute Care Hospital	282N00000X	OR

General Provider Information

NPI Number	:	1134242506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PORTLAND VETERANS AFFAIRS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	5430 SW CAMERON RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97221-1754
Country	:	US
Telephone Number	:	503-293-0222
Fax Number	:

Provider Business Practice Location Address
First Line	:	5430 SW CAMERON RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97221
Country	:	US
Telephone Number	:	503-293-0222
Fax Number	:

Authorized Official
Title or Position	:	DEPENDENT CREDENTIALING SUPERVISOR
Name	:	DENNIS HOWELL
Credential	:
Telephone Number	:	503-220-8262

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1083567663 — MRS. MARIA MARGUERITE COLLINSWORTH
Practice Location Address:

5415 SW WESTGATE DR
PORTLAND, OR
97221-2409

Practice Phone: 503-645-3581
Practice Fax:

1497608822 — KENDRA SIDES EDM, RDN, LD
Practice Location Address:

5711 SW SEYMOUR ST
PORTLAND, OR
97221-1933

Practice Phone: 720-217-5320
Practice Fax:

1487506002 — MAX GIANCARLO COTHREN
Practice Location Address:

5457 SW CANYON CT
PORTLAND, OR
97221-2401

Practice Phone: 971-762-4663
Practice Fax:

1578415105 — RODRIGO RAMIREZ-ESPINOSA PTA
Practice Location Address:

6010 SW SHATTUCK RD
PORTLAND, OR
97221-1043

Practice Phone: 503-246-8811
Practice Fax:

1427445584 — ANDREA CHIARCHIARO
Practice Location Address:

1730 SW SKYLINE BLVD STE 126
PORTLAND, OR
97221-2548

Practice Phone: 541-363-0809
Practice Fax:

1326757790 — WILLIAM DEBICCARI
Practice Location Address:

5415 SW WESTGATE DR
PORTLAND, OR
97221-2409

Practice Phone: 503-645-3581
Practice Fax:

1215932033 — DR. MICHAEL SUKMIN LEE M.D.
Practice Location Address:

5440 SW WESTGATE DR STE 217
PORTLAND, OR
97221-2421

Practice Phone: 503-274-2121
Practice Fax: 866-843-7990

Directions to “PORTLAND VETERANS AFFAIRS MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.