| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1265870430 | HEINZE | JULIA | AMOLIA | 19500 SE STARK ST | PORTLAND | OR | 972335757 | |
| 1811989353 | HINDAHL | DAVID | SCOTT | 19500 SE STARK ST | PORTLAND | OR | 972335757 | |
| 1588793764 | PRESSON | MATTHEW | BRADLEY | 19500 SE STARK ST | PORTLAND | OR | 972335757 |