Provider First Line Business Practice Location Address:
344 A ST
Provider Second Line Business Practice Location Address:
SPRINGFIELD MUNICIPAL JAIL
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97477-4536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-744-4166
Provider Business Practice Location Address Fax Number:
541-744-4188
Provider Enumeration Date:
05/25/2007