| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1558790071 | GILGAN | JEROME | THOMAS | 2318 NE MLK BLVD | PORTLAND | OR | 972123715 | |
| 1063120160 | GUERRERO | LORI | ANN | 2318 NE MLK JR BLVD | PORTLAND | OR | 972123715 | |
| 1235533308 | KLEINHENZ | JOSEPH | C | 4622 NE 21ST AVE | PORTLAND | OR | 972115829 |