| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1700933173 | LEACH | MEGANNE | E | 707 S.W. GAINES ST | PORTLAND | OR | 972392984 | |
| 1851308415 | LIBERATORE | ANGELA | M | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 | |
| 1578619169 | WRAY | CARTER | 707 SW GAINES ST | PORTLAND | OR | 972392901 |