| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1740334952 | PORTLAND DERMATOLOGY CLINIC, LLP | 1414 NW NORTHRUP ST | PORTLAND | OR | 972092798 | |||
| 1982670162 | LARSEN | WALTER | G. | 1414 NW NORTHRUP ST | PORTLAND | OR | 972092798 | |
| 1457430431 | SCHMIDT | RAINER | 2250 NW FLANDERS ST STE 205 | PORTLAND | OR | 972105410 |