Provider First Line Business Practice Location Address:
1554 NE 4TH STREET
Provider Second Line Business Practice Location Address:
MIDTOWN WELLNESS CENTER
Provider Business Practice Location Address City Name:
BEND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-550-0847
Provider Business Practice Location Address Fax Number:
541-209-5570
Provider Enumeration Date:
02/22/2022