NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1649658766 | ABRAHAM | CHERRIE |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1114495017 | CUMMINGS | RYAN | LEROY |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1245274851 | DAAB | LEO | J |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 97239 |
1619344769 | EKIS | HEIDI |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1790780401 | FRANCIS | CAROLYN | ANNE |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393098 |
1083662647 | KOOPMANN | MATTHEW | C. |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1790882561 | LIEM | TIMOTHY | KING |   | 3181 SW SAM JACKSON PARK ROAD | PORTLAND | OR | 972393098 |
1215203252 | MACON | CONRAD | J |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393079 |
1295721728 | MCLAFFERTY | ROBERT | B |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1679581128 | MONETA | GREGORY | LOUIS |   | 3181 SW SAM JACKSON PARK RD # OP11 | PORTLAND | OR | 972393098 |
1598135782 | NOLES | JASON | KENT |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1851755060 | PATEL | RHUSHEET |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |