Provider First Line Business Practice Location Address:
3181 SW SAM JACKSON PARK RD # OP-09
Provider Second Line Business Practice Location Address:
OHSU DIVISION OF ARTHRITIS & RHEUMATIC DISEASES
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97239-3011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-494-1793
Provider Business Practice Location Address Fax Number:
503-494-1022
Provider Enumeration Date:
04/12/2007