NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003173360 | ALLEN | NATHAN | IRA |   | 16083 SW UPPER BOONES FERRY RD | TIGARD | OR | 972247736 |
1538767231 | BANDA | TEISHA |   |   | 16083 SW UPPER BOONES FERRY RD STE 300 | TIGARD | OR | 972247736 |
1639334279 | DUPONT | COREY |   |   | 16083 SW UPPER BOONES FERRY RD | TIGARD | OR | 972247736 |
1386109239 | FARMER | DAVID |   |   | 16083 SW UPPER BOONES FERRY RD STE 300 | TIGARD | OR | 972247736 |
1336433184 | KORELL | KHRISTOPHER | EDWARD |   | 1159 E IRON EAGLE DR ST 170 | EAGLE | ID | 836166871 |
1477895498 | WAGNER | LYNSEY |   |   | 16083 SW UPPER BOONES FERRY RD | TIGARD | OR | 972247736 |