Provider First Line Business Practice Location Address:
665 WINTER ST.
Provider Second Line Business Practice Location Address:
SALEM HOSPITAL
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-561-5295
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2007