| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1851387666 | HUME | JENNY | L | 9155 SW BARNES RD | PORTLAND | OR | 972256625 | |
| 1407902760 | TANABE | CALVIN | 9155 SW BARNES RD | PORTLAND | OR | 972256625 | ||
| 1124014956 | WAYSON | KIM | A | 9155 SW BARNES RD | PORTLAND | OR | 972256625 |