NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1407338130
BRIGGS
JONAS
PATRICK
 
4425 SE 130TH AVE
PORTLAND
OR
972363643
1285124545
PETRIE
TODD
BRADLEY
 
PO BOX 16756
PORTLAND
OR
972920756
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