NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1740619055 | BECKER | TIMOTHY | MICHAEL |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1932392107 | MCLEAN | HEATHER | MARIE |   | 2111 EXCHANGE ST | ASTORIA | OR | 971033329 |
1225659006 | PECKENHAM-HERNANDEZ | THOMAS |   |   | 2111 EXCHANGE ST | ASTORIA | OR | 971033329 |