Provider First Line Business Practice Location Address:
176 1ST AVE N
Provider Second Line Business Practice Location Address:
OCEAN BEACH HOSPITAL - EMCARE EMERGENCY PHYSICIANS
Provider Business Practice Location Address City Name:
ILWACO
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98624-9137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-642-6410
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2007