Provider First Line Business Practice Location Address:
1409 NE SARATOGA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97211-4773
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-401-1636
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2009