Provider First Line Business Practice Location Address:
OREGON STATE HOSPITAL 2600 CENTER ST NE
Provider Second Line Business Practice Location Address:
PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-221-0947
Provider Business Practice Location Address Fax Number:
503-947-1085
Provider Enumeration Date:
09/21/2016