Provider First Line Business Practice Location Address:
OREGON STATE UNIVERSITY, STUDENT HEALTH, 201 PLAGEMAN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORVALLIS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97331-5801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-737-3106
Provider Business Practice Location Address Fax Number:
541-737-4530
Provider Enumeration Date:
01/30/2007