NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1255091955 |   |   |   | ADVANCED VASCULAR CENTERS EUGENE LLC | 1200 GATEWAY LOOP | SPRINGFIELD | OR | 974771176 |
1588283154 |   |   |   | PNW MANAGEMENT GROUP | 6958 SW VARNS ST | PORTLAND | OR | 972238281 |
1407951171 | COSTANTINO | MARY | MARCELLE |   | 6958 SW VARNS ST | PORTLAND | OR | 972230000 |
1649239278 | PHELAN | PAMELA | J |   | 6958 SW VARNS STREET | PORTLAND | OR | 972232530 |