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NPI Code Detail

MEDICARE: VIRGINIA GARCIA MEMORIAL HEALTH CENTER

MEDICARE: VIRGINIA GARCIA MEMORIAL HEALTH 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
13336C0002XClinic PharmacyRP0002336OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12079470OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508876319
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Provider Business Mailing Address
First Line : PO BOX 6149
Second Line :
City : ALOHA
State : OR
Zip : 97007-0149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2725 SW CEDAR HILLS BLVD STE 200
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-1435
Country : US
Telephone Number : 503-352-6006
Fax Number : 503-352-6082
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : APRIL ETHERIDGE HIGDON
Credential :
Telephone Number : 503-352-8553
Provider Enumeration Date : 08/08/2006
Last Update Date : 08/19/2023

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Directions to “VIRGINIA GARCIA MEMORIAL HEALTH CENTER ” Practice Location

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