Provider First Line Business Practice Location Address:
1900 SE MCLAUGHIN
Provider Second Line Business Practice Location Address:
OREGON CITY SHOPPING CENTER #22- RITE AID PHARMACY
Provider Business Practice Location Address City Name:
OREGON CITY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-656-1020
Provider Business Practice Location Address Fax Number:
503-655-6690
Provider Enumeration Date:
03/26/2007