Provider First Line Business Practice Location Address:
3181 SW SAM JACKSON PARK ROAD.,
Provider Second Line Business Practice Location Address:
MAIL CODE L353 OHSU DIVISION OF CARDIOTHORACIC SURGERY
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-494-7820
Provider Business Practice Location Address Fax Number:
503-494-7829
Provider Enumeration Date:
05/29/2007