NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1518090323				PORTLAND DENTAL ASSOCIATES PC	1890 NE 162ND AVE	PORTLAND	OR	972305642
1003142902	VAN BUREN	JOANNE	T		1890 NE 162ND AVE	PORTLAND	OR	972305642

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