| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1073802062 | BURNETT | GREGORY | PAUL | 10201 SE MAIN ST STE 10 | PORTLAND | OR | 972162937 | |
| 1083814099 | JOHNSON | JACQUELINE | MARIE | 10201 SE MAIN ST STE 10 | PORTLAND | OR | 972162937 | |
| 1366989832 | LANDER | JENNA | N | 10201 SE MAIN ST STE 10 | PORTLAND | OR | 972162937 | |
| 1477645281 | NOWOSIELSKI | CAROLYN | RUTH | 10201 SE MAIN ST STE 10 | PORTLAND | OR | 972162937 | |
| 1831185305 | RONAN | NANCY | M | PO BOX 92900 | PORTLAND | OR | 972920900 |