Provider First Line Business Practice Location Address:
201 PLAGEMAN
Provider Second Line Business Practice Location Address:
OREGON STATE UNIVERSITY, STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
CORVALLIS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97331-5801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-737-3106
Provider Business Practice Location Address Fax Number:
541-737-4530
Provider Enumeration Date:
08/26/2011