| Department Of Veterans Affairs | |
|
8495 Crater Lake Hwy White City OR 97503-3011 | |
| (541) 826-2111 | |
| (541) 830-7485 |
| Full Name | Department Of Veterans Affairs |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 8495 Crater Lake Hwy, White City, Oregon |
| Authorized Official Name and Position | Max E Mcintosh (DIRECTOR) |
| Authorized Official Contact | 5418262111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veterans Affairs 307 Gangnes Dr Talent OR 97540-6655 Ph: (541) 535-1773 | Department Of Veterans Affairs 8495 Crater Lake Hwy White City OR 97503-3011 Ph: (541) 826-2111 |
| NPI Number | 1386714053 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386714053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | AA426809 (Maryland) | Primary |
Southern Oregon Rehabilitation Center And Clinics Vha Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 Fax: 541-830-3516 |