Provider First Line Business Practice Location Address:
3455 SW US VETERANS HOSPITAL RD. MAILCODE: SN-5S
Provider Second Line Business Practice Location Address:
OREGON HEALTH & SCIENCE UNIVERSITY, SCHOOL OF NURSING
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-494-3873
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2005