NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1366748550 |   |   |   | PROVIDENCE HEALTH AND SERVICES | P.O.BOX 3158 | PORTLAND | OR | 972083158 |
1174799092 | ANTIOCHOS | BRENDAN | B |   | P.O. BOX 3158 | PORTLAND | OR | 972083158 |
1649224882 | CRIHFIELD | KIMBERLY | S |   | PO BOX 3158 | PORTLAND | OR | 972083158 |
1629273594 | KLYKOV | ARKADY | A. |   | P.O. BOX 3158 | PORTLAND | OR | 972083158 |
1699921387 | SADIQ | HUMA | I |   | PO BOX 3158 | PORTLAND | OR | 972083158 |