| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1669637740 | BRONSON | NATHAN | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 97239 | ||
| 1144639691 | HOWARD | SHANNON | MARIE | 3181 SW SAM JACKSON PARK RD # L223 | PORTLAND | OR | 972393098 | |
| 1336502384 | NAJAFIAN | ALIREZA | 3181 SW SAM JACKSON PARK RD # L223 | PORTLAND | OR | 972393011 | ||
| 1104029768 | SARFF | MARYCLARE | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |