| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1134275407 | BONILLA | KATHLEEN | MULLOY | 1935 NE 57TH AVE | PORTLAND | OR | 972133551 | |
| 1336287085 | BUSHNELL | MARY | K | 2415 SE 43RD AVE | PORTLAND | OR | 972061600 | |
| 1255487633 | REES | ROBERT | 2415 SE 43RD AVE | PORTLAND | OR | 972061600 |