Provider First Line Business Practice Location Address:
KAISER SUNNYSIDE
Provider Second Line Business Practice Location Address:
10180 SE SUNNYSIDE RD
Provider Business Practice Location Address City Name:
CLACKAMAS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-652-2880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2006