NPI age
20 years
Enumerated 2006-05-25
● Active Type 2 · Organization
Walla Walla Vamc
Walla Walla Vamc is 1 of 14 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Potter
Npi Team Member
Last NPPES update
2017-11-15
Source: monthly bulk 2026-05
How this organization compares
Across 14 active clinic/center providers in Idaho.
NPI age
20 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1630 23rd Ave, Stes. 302 & 401, Bldg. 2
Lewiston, ID 835016350
Mailing address
Po Box 94423
Cleveland, OH 441014423
Authorized official
Erin Potter
Npi Team Member
📞 2023822579
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Richard Allen, DPM Podiatrist NPI 1093717787
- Cory Brown, D.P.M. Podiatrist NPI 1154662948
- Cynthia Hudson, R.D. Dietitian, Registered NPI 1124250527
- Amber McKinney, PA-C Physician Assistant NPI 1700073798
- Steven Ozeran, MD Plastic Surgery NPI 1316911571
- Michael Parent, MD Specialist NPI 1578552139
- Frank Shull, MED LCPC Counselor NPI 1336138106
- Marion Smith, ARNP Nurse Practitioner NPI 1700221363
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Lewiston VA Clinic
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.