Provider First Line Business Practice Location Address:
2111 NE 25TH AVE INTEL HEALTH FOR LIFE CENTER
Provider Second Line Business Practice Location Address:
MS:JF-167
Provider Business Practice Location Address City Name:
HILLSBORO
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-264-8315
Provider Business Practice Location Address Fax Number:
503-264-0559
Provider Enumeration Date:
08/01/2006