| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1265449284 | JONES | ERIC | IVERSEN | 1040 NW 22ND AVE | PORTLAND | OR | 97210 | |
| 1457448797 | SANTESSON | DIANE | SUSAN | 1040 NW 22ND AVE | PORTLAND | OR | 972103057 | |
| 1275820714 | THANOS | ARISTOMENIS | 1040 NW 22ND AVE BLDG 2 | PORTLAND | OR | 972103057 |