COACHESLIBRARY
Organization (NPI-2)
Active
Clinic/Center, Student Health
Provider Information
- NPI Number
1710153044- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 14103 SW WAGONER PL, TIGARD, OR, 972241796
- Phone
- (503) 347-8042
Specialties & Taxonomies
Clinic/Center, Student Health
Primary License: OR #076036037
All Addresses
MAILING
PO BOX 23933
TIGARD, OR, 972813933