NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1316178189 | AMAVISCA | JOSEPH | ALBERT |   | 19875 SW 65TH AVE STE 100 | TUALATIN | OR | 970628353 |
1225313943 | LILIE | JAMIE | ANN |   | 100 MERLINI DR STE 2A | COLUMBIA | PA | 175129706 |
1871789024 | NORDEEN | JENNY |   |   | 19875 SW 65TH AVE | TUALATIN | OR | 970628353 |
1134385461 | OKUNS | WARREN | IKPOMOSA |   | PO BOX 3777 | PORTLAND | OR | 972083777 |