ProviderBusinessMailingAddressFaxNumber = '5032398406'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1790138188 | BLALOCK | BRYAN | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1265680847 | CAMPBELL | MICHELLE | ROSE | | 1027 E. BURNSIDE | PORTLAND | OR | 97214 |
| 1346793783 | CANNON | EVELYN | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1114468998 | CARLSON | KAYLA | | | 1027 E BURNSIDE STREET | PORTLAND | OR | 97216 |
| 1669855342 | COLANERI | GINA | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1306382403 | CROWLEY | KIM | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1992245195 | EAST | JULIANNE | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1083903215 | EDGE | KARA | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1003538141 | EID | CAITLYN | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1114306263 | FARR | DANIELLE | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1568918621 | FORD | KELLY | | | 1027 E BURNSIDE STREET | PORTLAND | OR | 97216 |
| 1730531765 | GALVAN | ELI | TITO | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1881945103 | GORDON | SARAH | JOAN | | 1027 E. BURNSIDE ST | PORTLAND | OR | 97216 |
| 1346593605 | GREANEY | ELLEN | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1265873343 | KELLEY | JACK | DOUGLAS | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1154762037 | KERR | JEFFREY | BRIAN | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1538619283 | KUTZKE | NATASHA | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1487104915 | MORROW | DENISE | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1457891186 | PARSLEY | SHAWNA | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1407209976 | PRESJAK | TYLER | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1861938078 | QUENSTEDT | STELLA | ROSE | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1194195099 | RANDALL | SEBASTIAN RANDALL | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1255882775 | SIMONES | JESSICA | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1366983884 | THOMAS | DAMIAN | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1922487388 | UFFORD | KELSEY | M | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1942425442 | WARDEN | VALERIE | JEAN | | 1027 E BURNSIDE | PORTLAND | OR | 97214 |
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