Phone Number:
Fax Number:
Pages Including Cover:

CONFIDENTIALITY NOTICE: The documents contained herein and any attachments may contain information that is legally privileged and confidential. If you are not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this facsimile in error, please notify the sender and permanently delete this document and any attachments immediately. You should not retain, copy, or use this information or any attachment for any purpose; nor disclose all or any part of the contents to any other person. Thank you.

655 Medical Center Dr NE   |   Salem, Oregon 97301   |   503.581.5287   |   Fax 503.386.1377   |