Provider First Line Business Practice Location Address:
939 OAK STREET
Provider Second Line Business Practice Location Address:
NEONATAL INTENSIVE CARE FAMILY BIRTH CENTER
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97301-3919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-562-5660
Provider Business Practice Location Address Fax Number:
503-562-3074
Provider Enumeration Date:
06/25/2008