Provider First Line Business Practice Location Address:
1817 NE 17TH AVE
Provider Second Line Business Practice Location Address:
SAMARITAN COUNSELING CENTER MAIN OFFICE
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97212-4509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-281-3318
Provider Business Practice Location Address Fax Number:
503-281-0937
Provider Enumeration Date:
08/04/2006