Provider First Line Business Practice Location Address:
10180 SE SUNNYSIDE RD
Provider Second Line Business Practice Location Address:
KAISER SUNNYSIDE MEDICAL OFFICE
Provider Business Practice Location Address City Name:
CLACKAMAS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97015-9764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-904-2568
Provider Business Practice Location Address Fax Number:
503-571-5869
Provider Enumeration Date:
08/15/2006