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PORTLAND VAMC PHARMACY
NPI 1306804588
Department of Veterans Affairs (VA) Pharmacy in Portland, OR

Active since May 03, 2006
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239(360) 696-4061(360) 905-1767 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 24, 2022, Oct 16, 2019 (2 updates tracked since 2019).

About Portland Vamc Pharmacy NPPES

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

PORTLAND VAMC PHARMACY (NPI 1306804588) is a healthcare organization registered as a department of veterans affairs (va) pharmacy in Portland, Oregon and active in the NPI registry since May 2006. The organization lists Erin Denise Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1306804588
Entity TypeOrganization
Primary Taxonomy332100000X
Legal Business NamePORTLAND VAMC
Location Address3710 SW US VETERANS HOSPITAL RDPortland, OR 97239-2964
Mailing AddressPo Box 94414Cleveland, OH 44101-4414 · (702) 341-3164
Phone(360) 696-4061
Fax(360) 905-1767
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 24, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1306804588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDepartment of Veterans Affairs (VA) PharmacySuppliers
Taxonomy Code332100000X
Definition
Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital's DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service.
3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239
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Other Names 1

Other NamePortland Vamc Pharmacy

Other Identifiers 1

Other3804007OR · Ncpdp#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

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 50D1059651

Portland Vamc - Vancouver Campus · Vancouver, WA
Expired · Sep 30, 2026
CLIA Number50D1059651
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 4, 2006
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDean Fong
Laboratory Phone(360) 696-4061
Laboratory LocationPortland Vamc - Vancouver Campus1601 East 4th Plain Blvd, Vancouver, WA 98661
CLIA data matches this NPI record on: Name Phone
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 20

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

DR. JESSICA J KHALILI PHARMD
Pharmacist
3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239
Multnomah County (503) 402-2946
MICHELLE LEA KELLER
Social Worker (Clinical)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. AMY W WAGNER PH.D.
Psychologist
3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. DAVID MORRISON DOUGLAS MD
Psychiatry & Neurology (Geriatric Psychiatry)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 721-1440
KENNETH JOHN SCALAPINO M.D.
Internal Medicine (Rheumatology)
3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239
Multnomah County (503) 220-8262
MS. LAKSHI MARIE ALDREDGE NP
Nurse Practitioner (Adult Health)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8268
GRACE CHIEN M.D.
Anesthesiology
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. MARI UCHISHIBA PHARMD, CDE
Pharmacist (Pharmacotherapy)
3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239
Multnomah County (503) 220-8262

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 1306804588. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is also known as Portland Vamc Pharmacy.

Where is Portland Vamc located?

Portland Vamc is located at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (360) 696-4061.

What is Portland Vamc's specialty?

The primary specialty registered for this NPI is Department of Veterans Affairs (VA) Pharmacy with taxonomy code 332100000X.

What insurance does Portland Vamc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 22 other insurers list Portland Vamc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portland Vamc was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.