NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1912046202 |   |   |   | WELLSPRING | PO BOX 8459 | PORTLAND | OR | 972078459 |
1518003698 | DAVIS | LISA | ANN |   | 8934 SE RURAL ST | PORTLAND | OR | 972665555 |
1497800635 | MCCOY | TIMOTHY | C. |   | 6212 SE 91ST AVE | PORTLAND | OR | 972665212 |
1154526846 | WATERS | TYRONE | WAYNE |   | 101 N MORRIS ST | PORTLAND | OR | 972271572 |