Provider First Line Business Practice Location Address:
UMPQUA COMMUNITY HEALTH CENTER, GLIDE CLINIC
Provider Second Line Business Practice Location Address:
20170 N UMPQUA HWY
Provider Business Practice Location Address City Name:
GLIDE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-496-3504
Provider Business Practice Location Address Fax Number:
541-496-3489
Provider Enumeration Date:
07/05/2006