| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114037652 | BACHNER | WAYNE | H | 216 VAUGHAN ST | PORTLAND | ME | 041023204 | |
| 1699884619 | CLARK | TROY | WILLIAM | 216 VAUGHAN ST | PORTLAND | ME | 041023204 | |
| 1144330671 | ELGEE | WILLIAM | ALLEN | 216 VAUGHAN ST | PORTLAND | ME | 041023204 | |
| 1730268418 | LARAIN | SHELLEY | A | 216 VAUGHAN ST | PORTLAND | ME | 041023204 | |
| 1356450225 | LEWIS | RICHARD | B | 216 VAUGHAN ST | PORTLAND | ME | 041023204 | |
| 1962512301 | MULLEN | JEANNE | MILES | 216 VAUGHAN ST | PORTLAND | ME | 041023204 |