THE DALLES VA CLINIC
NPI 1104233295
Clinic/Center - VA in The Dalles, OR

Active since July 21, 2014CLIA 38D2018183 · Accreditation
704 VETERANS DRIVE, THE DALLES, OR 97058(702) 341-3164 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About The Dalles Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE DALLES VA CLINIC (NPI 1104233295) is a healthcare organization registered as a va in The Dalles, Oregon and active in the NPI registry since July 2014. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1104233295
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NamePORTLAND VAMC
Location Address704 VETERANS DRIVEThe Dalles, OR 97058-9998
Mailing AddressPo Box 94414Cleveland, OH 44101-4414 · (702) 341-3164
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJuly 21, 2014
Last NPPES UpdateNovember 1, 2017
NPI 1104233295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
704 VETERANS DRIVE, The Dalles, OR 97058

Other Names 1

Other NameThe Dalles Va Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D2018183

The Dalles VA Outreach Clinic · The Dalles, OR
Active · expires Sep 30, 2026
CLIA Number38D2018183
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 28, 2010
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDean Fong
Laboratory Phone(503) 296-3937
Laboratory LocationThe Dalles VA Outreach Clinic704 Veterans Drive, The Dalles, OR 97058
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
704 VETERANS DRIVE
THE DALLES, OR 97058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portland Vamc's NPI number?

The NPI number for Portland Vamc is 1104233295. It was assigned to this organization in the NPPES registry on July 21, 2014. The provider is also known as The Dalles VA Clinic.

Where is Portland Vamc located?

Portland Vamc is located at 704 Veterans Drive, The Dalles, OR 97058. The listed phone number is (702) 341-3164.

What is Portland Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Portland Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 38D2018183) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Portland Vamc was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.