NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1346420338 |   |   |   | DEPAUL TREATMENT CENTER | 4310 NE KILLINGSWORTH ST | PORTLAND | OR | 972181404 |
1952425647 | BROWN | MONICA | L |   | 4310 NE KILLINGSWORTH STREET | PORTLAND | OR | 97218 |
1417451220 | BURK | STEPHANIE | ANN |   | PO BOX 3007 | PORTLAND | OR | 972083007 |
1437356383 | BURLINGAME | JEREMY | NICHOLAS |   | 4820 SW BARBUR BLVD APT 15 | PORTLAND | OR | 972392853 |
1760501076 | DAVIS | PATTI |   |   | 906 SW 14TH ST | TROUTDALE | OR | 970601419 |
1871727370 | GADBOIS | ANDREW |   |   | 4310 NE KILLINGSWORTH ST. | PORTLAND | OR | 972083007 |
1093976672 | HERR | SUZANNE | MARIE |   | 4310 NE KILLINGSWORTH ST | PORTLAND | OR | 972181404 |
1861940157 | IBARRA | SAUL |   |   | PO BOX 3007 | PORTLAND | OR | 972083007 |
1548544109 | MAZZOLA | KRYSTAL | JOANN |   | 4310 NE KILLINGSWORTH ST | PORTLAND | OR | 972181404 |
1306206339 | MUNDEN | TONY |   |   | PO BOX 3007 | PORTLAND | OR | 972083007 |
1588996664 | SMITH | SANDRA | KAYE |   | PO BOX 3007 | PORTLAND | OR | 972083007 |