Provider First Line Business Practice Location Address:
2206 S KAEN RD
Provider Second Line Business Practice Location Address:
CLACKAMAS COUNTY JAIL
Provider Business Practice Location Address City Name:
OREGON CITY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97045-4048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-655-8818
Provider Business Practice Location Address Fax Number:
503-655-8573
Provider Enumeration Date:
02/01/2008