Provider First Line Business Practice Location Address:
5600 HUNTINGTON RD
Provider Second Line Business Practice Location Address:
LAPINE COMMUNITY CLINIC
Provider Business Practice Location Address City Name:
LAPINE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-534-3435
Provider Business Practice Location Address Fax Number:
541-536-8047
Provider Enumeration Date:
06/14/2006