Provider First Line Business Practice Location Address:
7668 SW MOHAWK ST.
Provider Second Line Business Practice Location Address:
APS HEALTHCARE
Provider Business Practice Location Address City Name:
TUALATIN
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-885-5122
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/31/2013