NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1184722795 | LEWALLEN | PATRICK | K |   | 501 N GRAHAM STREET | PORTLAND | OR | 97227 |
1346373057 | PFISTER | ROBERT |   |   | PO BOX 6095 | BEND | OR | 977086095 |
1801178215 | WISSBAUM | TERRA | BAHE |   | PO BOX 6095 | BEND | OR | 977086095 |