NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053815241 | BASSITT | BRITTANY | SHEA |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393098 |
1700318342 | BODOR | ROBERT | BRYAN |   | 3181 SW SAM JACKSON PARK RD # L579 | PORTLAND | OR | 972393098 |
1407273543 | CHIROUZE | JULIEN |   |   | PO BOX 3158 | PORTLAND | OR | 972083158 |
1477973386 | ESMONDE | NICK | OREM |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1538664917 | FAUSCH | ERIC | PRIBIL |   | 3181 SW SAM JACKSON PARK RD # L-579 | PORTLAND | OR | 972393098 |
1942599915 | MCCANN | KELLY | ELIZABETH |   | 5767 W CENTURY BLVD STE 420120 | LOS ANGELES | CA | 900455631 |
1306371893 | PIPALIA | AMRISH | TULSI |   | GRADUATE MEDICAL EDUCATION | PORTLAND | OR | 972393098 |
1508156217 | THOLEY | DANIELLE | MARIE |   | 3181 SW SAM JACKSON PARK RD # L579 | PORTLAND | OR | 972393011 |
1669731204 | VARLAMOV | ELENA | VLADIMIROVNA |   | 3181 SW SAM JACKSON PARK ROAD, L607 | PORTLAND | OR | 972393098 |
1861533978 | YUASA | MISUZU |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |