| NPI |
Provider Name |
Address |
Type |
| 1164049995 | BRENT DAVID FARE, CCP | 3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 494-1548
| Individual |
| 1417574807 | MRS. JWANA B IBSIES, CCP | 3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 505-2373
| Individual |
| 1750040879 | TERAH PARKER, CCP | 500 NE MULTNOMAH ST
PORTLAND, OR
ZIP 97232
Phone: (832) 647-7262
| Individual |
| 1598362899 | JACOB MATTHEW WOJDYLA, CCP | 500 NE MULTNOMAH ST STE 100
PORTLAND, OR
ZIP 97232
Phone: (331) 235-4375
| Individual |