NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1649555145
 
 
 
FRIDA CENTER LLC
6400 SW CANYON CT
PORTLAND
OR
972211459
1003012618
LIPTAN
GINEVRA
LOIS
 
6400 SW CANYON CT
PORTLAND
OR
972211459
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