Provider First Line Business Practice Location Address:
4560 SE INTERNATIONAL WAY
Provider Second Line Business Practice Location Address:
SUITE 100 CONSONUS HEALTHCARE
Provider Business Practice Location Address City Name:
MILWAUKIE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
971-206-5202
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/25/2007