Provider First Line Business Practice Location Address:
1660 SALEM INDUSTRIAL DR NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97301-0374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-581-3855
Provider Business Practice Location Address Fax Number:
503-581-3862
Provider Enumeration Date:
02/09/2026