NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780064766 | AHMAD | MADIHA |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1386915445 | BENJAMIN | CHRISTOPHER |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1457369993 | BOWEN | JUDITH | LYNN |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1023566148 | GOFF | AMELIA |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1447265939 | GREGG | JESSICA | LAMPKIN |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1427476480 | JACOBS | ZACHARY |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1700025681 | WISZNIEWSKI | WOJCIECH | KRZYSZTOF |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |