ProviderBusinessMailingAddressFaxNumber = '5036927978'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1760488225	GAY	RICHARD	G.		1040 NW 22ND AVE	PORTLAND	OR	972103083
1962407890	TRELSTAD	DONALD	A.		1040 NW 22ND AVE	PORTLAND	OR	972103083

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