Provider First Line Business Practice Location Address:
2500 NE NEFF RD
Provider Second Line Business Practice Location Address:
ST CHARLES MEDICAL CENTER
Provider Business Practice Location Address City Name:
BEND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97701-6015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-410-2006
Provider Business Practice Location Address Fax Number:
541-385-6341
Provider Enumeration Date:
06/09/2008