| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1528402229 | NIC 4 BAYSIDE TERRACE LEASING LLC | PO BOX 1700, NIC 4 BAYSIDE TERRACE LEASING LLC | LAKE OSWEGO | OR | 97035 | |||
| 1720422405 | NIC 4 BALMORAL LEASING LLC | PO BOX 1700, NIC 4 BALMORAL LEASING LLC | LAKE OSWEGO | OR | 97035 |