Provider First Line Business Practice Location Address:
3181 SW SAM JACKSON PARK ROAD, OHSU
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EMERGENCY MEDICINE, CDW-EM
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97239-3098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-494-7008
Provider Business Practice Location Address Fax Number:
503-494-4997
Provider Enumeration Date:
04/06/2006