NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1265061279 |   |   |   | PROVIDENCE HEALTH & SERVICES WASHINGTON | PO BOX 4048 | PORTLAND | OR | 972084048 |
1326062431 | HERNDON | CHARLES | MICHAEL |   | PO BOX 4105 | PORTLAND | OR | 972084105 |
1194373464 | ROSE | PHYLLIS |   |   | 1660 EASTRIDGE DR APT 201 | ANCHORAGE | AK | 995015759 |
1154897429 | YAWEA | KRISTERRA | NICOLE |   | 3760 PIPER STREET SUITE 1108, | ANCHORAGE | AK | 99508 |