NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1255329967 | FERNSTROM | BRUCE |   |   | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
1043207871 | KIM | JIN-HEE |   |   | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
1619137692 | LUBAHN | JESSICA | DUAN |   | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
1508032525 | MILLER | DANIEL | LYMAN |   | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
1285786210 | ROSENQUIST | ROGER | DALE |   | 501 N GRAHAM ST | PORTLAND | OR | 972271654 |