Provider First Line Business Practice Location Address:
19185 SW 90TH AVE
Provider Second Line Business Practice Location Address:
ADDICTION MEDICINE
Provider Business Practice Location Address City Name:
TUALATIN
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97062-7558
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-619-4261
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2013