| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1558342212 | JOHNSON | DAVID | P | 7650 SW BEVELAND RD | PORTLAND | OR | 972238692 | |
| 1043475528 | LIN | JENNIFER | E | 7650 SW BEVELAND RD | PORTLAND | OR | 972238692 | |
| 1144246299 | WEID | SHELLEY | LYNN | 1003 PROVIDENCE DR. | NEWBERG | OR | 97132 |