Provider First Line Business Practice Location Address:
4560 SE INTERNATIONAL WAY SUITE #100
Provider Second Line Business Practice Location Address:
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:
971-206-5166
Provider Business Practice Location Address Fax Number:
971-206-5211
Provider Enumeration Date:
03/30/2010