NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780737106 | BLACK | JOSEPH | L |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
1043402712 | HOFKAMP | HOLLY | MILNE |   | 3303 SW BOND AVE | PORTLAND | OR | 972394501 |
1629086491 | OTTO | BETTRICIA | A |   | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 97239 |
1528142205 | WALSH | ERIC | WYATT |   | 3181 SW SAM JACKSON PARK RD. | PORTLAND | OR | 97239 |