Provider First Line Business Practice Location Address:
IMLAY ELEMENTARY SCHOOL
Provider Second Line Business Practice Location Address:
5900 SE LOIS STREET
Provider Business Practice Location Address City Name:
HILLSBORO
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-844-1090
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2024