Provider First Line Business Practice Location Address:
803 VANDERCOOK WAY STE 2
Provider Second Line Business Practice Location Address:
LOWER COLUMBIA OCCUPATIONAL HEALTH
Provider Business Practice Location Address City Name:
LONGVIEW
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98632-4039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-414-8818
Provider Business Practice Location Address Fax Number:
360-414-8088
Provider Enumeration Date:
07/03/2006