PORTLAND VAMC
NPI 1639722275
Clinic/Center - VA in Lincoln City, OR

Q: What is Portland Vamc's NPI number?

The NPI number for Portland Vamc is 1639722275. It was assigned to this organization in the NPPES registry on July 23, 2019. The provider is also known as Lincoln City VA Clinic.

Q: What is Portland Vamc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Portland Vamc was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since July 23, 2019

1105 SE JETTY AVE STE C, LINCOLN CITY, OR 97367(702) 341-3164(702) 341-3503 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Portland Vamc NPPES

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

PORTLAND VAMC (NPI 1639722275) is a healthcare organization registered as a va in Lincoln City, Oregon and active in the NPI registry since July 2019. The organization lists Erin Denise Potter, Npi Team Lead, as its authorized official.

NPPES Registry Identity

NPI1639722275

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NamePORTLAND VAMC

Location Address1105 SE JETTY AVE STE CLincoln City, OR 97367-2604

Mailing AddressPo Box 94414Cleveland, OH 44101-4414 · (702) 341-3164 · Fax (702) 341-3503

Phone(702) 341-3164

Fax(702) 341-3503

Organization SubpartNo

Authorized OfficialErin Denise PotterNpi Team Lead · (202) 382-2579

Enumeration DateJuly 23, 2019

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1639722275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

1105 SE JETTY AVE STE C, Lincoln City, OR 97367

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Other Names 1

Other NameLincoln City Va Clinic

Other Providers at the Same Location NPPES 3

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

CASSANDRA SCHILLER RN

Registered Nurse

1105 SE JETTY AVE STE C
LINCOLN CITY, OR 97367

Lincoln County (541) 265-4947

TINA MARIE CARLSON FNP-BC

Nurse Practitioner (Family)

1105 SE JETTY AVE STE C
LINCOLN CITY, OR 97367

Lincoln County (541) 614-0482

NICOLE RIGGAN RN

Registered Nurse (Case Management)

1105 SE JETTY AVE STE C
LINCOLN CITY, OR 97367

Lincoln County (503) 815-7562

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 1639722275. It was assigned to this organization in the NPPES registry on July 23, 2019. The provider is also known as Lincoln City VA Clinic.

Where is Portland Vamc located?

Portland Vamc is located at 1105 SE Jetty Ave Ste C, Lincoln City, OR 97367. 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.

When was this NPI record last updated?

The NPPES record for Portland Vamc was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.