Provider First Line Business Practice Location Address:
10180 SE SUNNYSIDE RD
Provider Second Line Business Practice Location Address:
PULMONOLOGY DEPARTMENT KAISER SUNNYSIDE MEDICAL OFFICE
Provider Business Practice Location Address City Name:
CLACKAMAS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97015-9764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-813-3860
Provider Business Practice Location Address Fax Number:
503-571-9443
Provider Enumeration Date:
08/25/2006