Provider First Line Business Practice Location Address:
10250 SW GREENBURG RD.
Provider Second Line Business Practice Location Address:
FAMILY HEALTH PARTNERS 4 LINCOLN SUITE 110
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-293-4055
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2010