NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1922235738 |   |   |   | PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF BATTLE GROUND | 1480 NE VILLAGE ST | FAIRVIEW | OR | 970243827 |
1295159796 | HERNANDEZ | PAUL |   |   | 3216 SW 11TH AVE APT B | PORTLAND | OR | 972393044 |
1538605845 | HUBLER | COLTON |   |   | 1480 NE VILLAGE ST | FAIRVIEW | OR | 970243827 |
1831578400 | PUST | KEVIN | M |   | 1480 NE VILLAGE ST | FAIRVIEW | OR | 970243827 |