Provider First Line Business Practice Location Address:
2868 WILLIAMETTE ST #100
Provider Second Line Business Practice Location Address:
VILLAGE HEALTH CLINIC
Provider Business Practice Location Address City Name:
EUGENE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-684-3988
Provider Business Practice Location Address Fax Number:
541-686-2279
Provider Enumeration Date:
04/14/2008