| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1659912855 | BENNETT | ELIZABETH | ANN | 11200 N PORTLAND AVE | OKLAHOMA CITY | OK | 731205045 | |
| 1487197232 | BLACKMON | CODY | 11200 N PORTLAND AVE | OKLAHOMA CITY | OK | 731205045 | ||
| 1972800092 | DUFOUR | ERICA | LEANNE | 11200 N PORTLAND AVE. | OKLAHOMA CITY | OK | 731205045 | |
| 1124224431 | FONG | DANIEL | NELSON | 11200 N PORTLAND AVE | OKLAHOMA CITY | OK | 731205045 | |
| 1174841308 | OLDHAM | MELINDA | SUE | 11200 N PORTLAND AVE | OKLAHOMA CITY | OK | 731205045 |