Provider First Line Business Practice Location Address:
1011 THIRD ST
Provider Second Line Business Practice Location Address:
BAY OCEAN MEDICAL, PC
Provider Business Practice Location Address City Name:
TILLAMOOK
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-842-7533
Provider Business Practice Location Address Fax Number:
503-842-9636
Provider Enumeration Date:
08/01/2007