NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1457320525 | BENNETT | WILLIAM | M |   | 1040 NW 22ND AVE | PORTLAND | OR | 97210 |
1235313214 | CHAMBERLAIN | JEFF |   |   | 809 NE 30TH AVE | PORTLAND | OR | 972322421 |
1447328398 | DOUZDJIAN | VIKEN |   |   | 1040 NW 22ND AVE | PORTLAND | OR | 972103057 |
1578859849 | LE | THUY | XUAN |   | 1040 NW 22ND AVE STE 480 | PORTLAND | OR | 97210 |
1114995297 | TANK | JULIA | E |   | PO BOX 3808 | PORTLAND | OR | 972083808 |
1871562892 | WALCZYK | MICHAEL | H |   | PO BOX 4037 | PORTLAND | OR | 972084037 |