Provider First Line Business Practice Location Address:
2801 ST ANTHONY WAY
Provider Second Line Business Practice Location Address:
NUTRITION SERVICES
Provider Business Practice Location Address City Name:
PENDLETON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97801-3800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-278-3235
Provider Business Practice Location Address Fax Number:
541-966-0504
Provider Enumeration Date:
02/24/2009