| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184387532 | MEGANEKO LLC | 7826 SW CAPITOL HWY | PORTLAND | OR | 972192466 | |||
| 1811438286 | ATLAS EYE GROUP LLC | 7826 SW CAPITOL HWY | PORTLAND | OR | 972192466 | |||
| 1467507335 | BEATTIE | JOSEPH | CANFIELD | 7826 SW CAPITOL HWY | PORTLAND | OR | 972192466 | |
| 1003168337 | HIMMELSBACH | AYLA | JADE | 7826 SW CAPITOL HWY | PORTLAND | OR | 972192466 |