Department Of Veteran's Affairs

Specialty details in registry · White City, OR

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At a glance

8495 Crater Lake Hwy, White City, OR 97503-3011

NPPES record updated Aug 8, 2013. Public records can lag behind changes at a practice.

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Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011
Professional details: NPI, taxonomy & registry record
NPI1730511163
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
231H00000X
Enumeration date
Aug 8, 2013
Record updated
Aug 8, 2013
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

231H00000X · Primary

License reported: AU2761 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011
Phone
(541) 826-2111
Fax
(541) 830-7485
Mailing address
8495 CRATER LAKE HWY

WHITE CITY, OR 975033011
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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