NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1952327926 | HARDING | CARY | OWEN |   | 707 SW GAINES ST | PORTLAND | OR | 972392901 |
1780931956 | VIALL | SARAH |   |   | 707 SW GAINES ST | PORTLAND | OR | 972392901 |
1023200821 | WESSENBERG | LEAH | BJORNSKOV |   | 707 SW GAINES ST | PORTLAND | OR | 972392901 |
1902012180 | YANG | AMY | C |   | 707 SW GAINES ST | PORTLAND | OR | 972392901 |