ProviderBusinessMailingAddressFaxNumber = '5039434994'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1942575774 | BLOOMBAUM | HANNAH | LYNN | | 1904 SE DIVISION ST | PORTLAND | OR | 972021146 |
| 1104069459 | CAROPRESO | ELYSSIA | ANN | | 3550 SE WOODWARD ST | PORTLAND | OR | 972021552 |
| 1992991269 | DAO | PHU | C | | 3550 SE WOODWARD ST | PORTLAND | OR | 972021552 |
| 1295976975 | DIETERLE | LESLIE | | | 3550 SE WOODWARD ST | PORTLAND | OR | 972021552 |
| 1013292036 | FENTON | KIRK | | | 1904 SE DIVISION ST | PORTLAND | OR | 972021146 |
| 1144450859 | HAMBLEN | JORDAN | JAMES | | 3550 SE WOODWARD ST | PORTLAND | OR | 972021552 |
| 1649528977 | HEINLEIN | JENNIFER | L.S. | | 1904 SE DIVISION ST | PORTLAND | OR | 972021146 |
| 1346470051 | IANNOLO | SAMANTHA | ANGELA MARIE | | 3550 SE WOODWARD ST | PORTLAND | OR | 972021552 |
| 1588993547 | KASHUBA | DINA | | | 3550 SE WOODWARD ST | PORTLAND | OR | 972021552 |
| 1124254396 | MILLER | ANNA | L | | 1904 SE DIVISION ST | PORTLAND | OR | 972021146 |
| 1356592299 | MUSSIO | ANDREW | STEVEN | | 3550 SE WOODWARD ST | PORTLAND | OR | 972021552 |
| 1013151760 | PLEASANT | JONATHAN | CLAYTON | | 3550 SE WOODWARD ST | PORTLAND | OR | 972021552 |
| 1790164481 | SINGLEDECKER | HOLLY | | | 1904 SE DIVISION ST. | PORTLAND | OR | 972021552 |
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