Provider First Line Business Practice Location Address:
1046 6TH AVE S.W.
Provider Second Line Business Practice Location Address:
PHYSICAL REHABILITATION DEPARTMENT
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97321-1999
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-812-4160
Provider Business Practice Location Address Fax Number:
541-812-4614
Provider Enumeration Date:
04/06/2007