NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1831523828 | PERELMAN | MAX | SHAW |   | 3181 SW SAM JACKSON PARK RD # L-579 | PORTLAND | OR | 972393011 |
1205094406 | WILSON | JENNY | LUPOVICI |   | 707 SW GAINES ST | PORTLAND | OR | 972392901 |
1578619169 | WRAY | CARTER |   |   | 707 SW GAINES ST | PORTLAND | OR | 972392901 |