Provider First Line Business Practice Location Address:
180 NW WASHINGTON
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE SALMON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98672
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-493-1500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/01/2006