Provider First Line Business Mailing Address:
3181 SW SAM JACKSON PARK RD
Provider Second Line Business Mailing Address:
OHSU, GENERAL SURGERY-L223A
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
97239
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-494-6900
Provider Business Mailing Address Fax Number:
503-494-8884