NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1073879839 | BARR | JENNIFER | MARGARET |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1801456124 | FILS | JUVENAL |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1396836268 | SHEN | IRVING |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |