| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1588195259 | GLASS | SARAH | TANAKA | 1955 NW NORTHRUP ST | PORTLAND | OR | 972091614 | |
| 1144491523 | PAGE | MICHAEL | ALLEN | 1955 NW NORTHRUP ST | PORTLAND | OR | 972091614 | |
| 1811981624 | ROLAND | NATHANIEL | 1955 NW NORTHRUP ST | PORTLAND | OR | 972091614 |