Provider First Line Business Practice Location Address:
151 WEST 7TH AVE,
Provider Second Line Business Practice Location Address:
ROOM 210 LANE COUNTY PUBLIC HEALTH
Provider Business Practice Location Address City Name:
EUGENE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97401-2676
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-682-6506
Provider Business Practice Location Address Fax Number:
541-682-3925
Provider Enumeration Date:
05/05/2011