Provider First Line Business Practice Location Address:
600 NE 8TH ST
Provider Second Line Business Practice Location Address:
3RD FLOOR, EAST COUNTY HEALTH CENTER
Provider Business Practice Location Address City Name:
GRESHAM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-988-5155
Provider Business Practice Location Address Fax Number:
503-988-5185
Provider Enumeration Date:
11/16/2009