Provider First Line Business Practice Location Address:
350 S 8TH
Provider Second Line Business Practice Location Address:
LEBANON REHAB
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-259-1221
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2011