Provider First Line Business Practice Location Address:
3181 SAM JACKSON PARK ROAD
Provider Second Line Business Practice Location Address:
OHSU, PEDIATRIC HEM/ONC CDRCP
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-494-0829
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/31/2006