Provider First Line Business Practice Location Address:
331 SE BYERS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PENDLETON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97801-2324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-969-5148
Provider Business Practice Location Address Fax Number:
541-966-3240
Provider Enumeration Date:
02/27/2024