NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1831455211 | AUSTIN | NICHOLAS |   |   | 3181 SW SAM JACKSON PARK RD DEPT OF | PORTLAND | OR | 972393011 |
1659516177 | DE WEILLE | INGE | ALEXANDRA |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1538401088 | FARAJI | PARI |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1497772925 | HAUPT | DANIEL | W |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1003051525 | JUDGE | MATTHEW |   |   | 3181 SW SAM JACKSON PARK ROAD | PORTLAND | OR | 972393098 |
1114504768 | NGEA | VANESSA |   |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |