Provider First Line Business Practice Location Address:
3600 N. INTERSTATE AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF OPTHALMOLOGY
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-331-6330
Provider Business Practice Location Address Fax Number:
503-571-5877
Provider Enumeration Date:
01/30/2007