| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1609133784 | KURTZMAN | MARC | FRANKLIN | 10123 SE MARKET ST | PORTLAND | OR | 972162532 | |
| 1083095897 | LAMBROU | STEVEN | ARTHUR | 10123 SE MARKET ST | PORTLAND | OR | 972162532 | |
| 1407228620 | SMITH | COLTEN | J | 10123 SE MARKET ST | PORTLAND | OR | 972162532 | |
| 1265729628 | STEVENS | MARK | CHRISTIAN | 10123 SE MARKET ST | PORTLAND | OR | 972162532 | |
| 1184011413 | TAYLOR | KYLE | B | 10123 SE MARKET ST | PORTLAND | OR | 972162532 |