NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1619104676 | COMBS | JENNIFER |   |   | 1130 NW 22ND AVE | PORTLAND | OR | 972102900 |
1760706709 | LY | BEN | VIET |   | 1130 NW 22ND AVE STE 220 | PORTLAND | OR | 972102969 |
1336552751 | ROBINS | NIKOLAS |   |   | PO BOX 3777 | PORTLAND | OR | 972083777 |
1083337257 | SHOEMAKER | JAMES | SAMUEL |   | 1544 SE HAWTHORNE BLVD APT 3 | PORTLAND | OR | 972143976 |
1336460567 | WOOD | KENNA | MARIE |   | PO BOX 3777 | PORTLAND | OR | 972083777 |