Provider First Line Business Practice Location Address:
LEGACY MERIDIAN PARK HOSPITAL
Provider Second Line Business Practice Location Address:
19300 SW 65TH
Provider Business Practice Location Address City Name:
TUALATIN
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97062-8854
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-692-5737
Provider Business Practice Location Address Fax Number:
503-692-5307
Provider Enumeration Date:
12/11/2006