| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1750602900 | KOTHARI | JAY | S | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 | |
| 1649419805 | LANDA | GEORGIANA | MARIA | 2850 SE 12TH CT | HILLSBORO | OR | 971235257 | |
| 1629217732 | NIGG | JOEL | T | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 | |
| 1750516456 | STANLEY | MICHAEL | SEAN | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |