Provider First Line Business Practice Location Address:
1120 SW 3RD AVE STE 358
Provider Second Line Business Practice Location Address:
JUSTICE CENTER-COMMUNITY COURT SOCIAL SERVICES
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97204-2828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-988-5090
Provider Business Practice Location Address Fax Number:
503-988-3877
Provider Enumeration Date:
11/27/2012