| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003920182 | CARY | MARGARET | S | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 97239 | |
| 1518975051 | JOHNSON | KYLE | PATRICK | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 | |
| 1922016468 | MCKELVEY | ROBERT | SMITH | 3181 SW SAM JACKSON PARK ROAD | PORTLAND | OR | 972393098 |