Provider First Line Business Practice Location Address:
900 SUNSET DRIVE
Provider Second Line Business Practice Location Address:
GRANDE RHOODE HOSPITAL
Provider Business Practice Location Address City Name:
LA GRANDE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-963-1401
Provider Business Practice Location Address Fax Number:
541-963-1502
Provider Enumeration Date:
05/19/2006