NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1093956278 |   |   |   | PROVIDENCE HEALTH & SERVICES WASHINGTON | PO BOX 4105 | PORTLAND | OR | 972084105 |
1841814795 |   |   |   | PROVIDENCE HEALTH & SERVICES WASHINGTON | PO BOX 4105 | PORTLAND | OR | 972084105 |