NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1346771151 | AU | DANIEL | MICHAEL |   | 847 NE 19TH AVE STE 300 | PORTLAND | OR | 972322686 |
1104987635 | COST | GREGORY | A |   | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
1083967020 | HWEE | WON | BAHNG |   | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
1568650828 | MAUER | KRISTIN | KATHLEEN |   | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |