NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1982355921 | ADLER | ASHLEY |   |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |
1114691367 | BEAULIEU | SARAH | L |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |
1851069462 | BECKWITH-FERGUSON | CAITLIN | ALANA |   | 3324 SE WAVERLEIGH BLVD APT 2 | PORTLAND | OR | 972021973 |
1518315829 | BRADSHAW | JES | RYAN |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |
1275155889 | COLETTI | SOPHIA | KATE |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |
1487181335 | DICKMAN | EMILY | MARIE |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |
1083228530 | FITCH | ALEXIS |   |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |
1013562156 | GODDARD | ALISSA |   |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |
1093326712 | GUENTHER | JULIANNA |   |   | 4512 SE IVON ST | PORTLAND | OR | 972061644 |
1730712688 | KAMMERLOCHER | NICOLE |   |   | 1417 SW 10TH AVE | PORTLAND | OR | 972013440 |
1538619283 | KUTZKE | NATASHA |   |   | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
1619350741 | LEIGHTON | ISABELLE |   |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |
1356777080 | MEGGINSON | MAEGAN | CARNEW |   | 1601 NE HOLMAN ST | PORTLAND | OR | 972114851 |
1699325571 | PIERCE | TAYLOR |   |   | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |