Org ID
00-05015
License ID
647549
In city limits?
Yes
County
Class
Expiration Date
UBI
601352781
Contact Name
RONALD BURBACK
call Phone: (503) 761-0989
Premises Location
3407 SE 108TH AVE
Location State
OR
Location Zip
97266
Location City
Mailing City
Mailing State
OR
Mailing Zip
97266