Provider First Line Business Practice Location Address:
SERVICES AT: LEGACY EMANUEL MEDICAL TRAUMA CENTER
Provider Second Line Business Practice Location Address:
2801 N GANTENBEIN AVE
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-850-9940
Provider Business Practice Location Address Fax Number:
503-850-6709
Provider Enumeration Date:
11/12/2009