ProviderBusinessMailingAddressFaxNumber = '5038506709'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1063176352				STEPHEN J WALLACE MD PC	4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1740842467				CRAIG T GILLIS DO PC	4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1972631992				STEVEN M MADEY MD PC	4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1457531147	CLINE	LORENA	LESLIE		4103 MERCANTILE DRIVE	PORTLAND	OR	97035
1629173356	FROME	BRITTON	A		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1861755126	GILLIS	CRAIG	THOMAS		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1174136725	JOHNSON	ANTHONY	LANCE		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1629688775	KIM	PETER	SOO-HWAN		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1083719793	MADEY	STEVEN	M		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1548296593	MIRZA	AMER	J		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1528619111	RAKEBRAND	ATHENA			7300 SW CHILDS RD STE B	TIGARD	OR	972247772
1568027829	SEXTON	THOMAS	J		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1356850267	STARK	TASHA			4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1477567402	VANDE ZANDSCHULP	COREY	J		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556
1396162673	WALLACE	STEPHEN	J		4103 MERCANTILE DR	LAKE OSWEGO	OR	970352556

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