Provider First Line Business Practice Location Address:
3750 CHEMAWA RD NE
Provider Second Line Business Practice Location Address:
CHEMAWA INDIAN HEALTH CENTER
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97305-1111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-304-7603
Provider Business Practice Location Address Fax Number:
503-304-7677
Provider Enumeration Date:
01/04/2006