NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1356757108 |   |   |   | YOUTH VILLAGES | 15544 S CLACKAMAS RIVER DR | OREGON CITY | OR | 970459490 |
1144502824 | BENNETT | RYAN |   |   | 15544 S CLACKAMAS RIVER DR | OREGON CITY | OR | 970459490 |