Provider First Line Business Practice Location Address:
13160 SE 172ND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAPPY VALLEY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97086-9682
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-705-3582
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2026