NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1134761166 | HANSET | PATRICIA | JANE |   | 10564 SE WASHINGTON ST | PORTLAND | OR | 972162809 |
1821456559 | KELLY | SEAN |   |   | 2318 NE MARTIN LUTHER KING JR BLVD | PORTLAND | OR | 972123715 |
1376274613 | NELSON | HEATHER | LEA |   | 10564 SE WASHINGTON ST | PORTLAND | OR | 972162809 |