| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1538207287 | ANTINUCCI | MADELYN | 2415 SE 43RD AVE | PORTLAND | OR | 972061600 | ||
| 1316093966 | GARRISON | SARA | LYNN | 2415 SE 43RD AVE | PORTLAND | OR | 972061600 | |
| 1871722793 | HARRIGAN | DAVID | 4647 SE 97TH AVE | PORTLAND | OR | 972662643 | ||
| 1821249806 | HRABOVSKY | SARAH | MARIE | 2415 SE 43RD AVE | PORTLAND | OR | 972061600 |