Provider First Line Business Practice Location Address:
10180 SE SUNNYSIDE ROAD
Provider Second Line Business Practice Location Address:
KSMC DEPT. OF ANESTHESIA
Provider Business Practice Location Address City Name:
CLACKAMAS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-638-2030
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006