| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1336334135 | ASTURIAS | THOMAS | G | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1629369756 | CONNELLY | CHRISTOPHER | ROBERT | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1326304924 | SANDOVAL | VICTOR | MANUEL | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1598037251 | SELLS | MEGHAN | E. | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1356782999 | SHAH | ANUSHI | R | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1841424306 | WOODLAND | DAVID | C | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |