Provider First Line Business Practice Location Address:
MID COLUMBIA MEDICAL CENTER, OPERATING ROOMS
Provider Second Line Business Practice Location Address:
1700 EAST 19TH STREET
Provider Business Practice Location Address City Name:
THE DALLES
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97058-9705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-296-1111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2009