| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1437543188 | ARAGON | ANDREA | ROSE | | 17214 SE DIVISION ST | PORTLAND | OR | 97236 |
| 1407167307 | COGSWELL | CAREY | | | 17214 SE DIVISION ST | PORTLAND | OR | 972361282 |
| 1356750319 | HARDING | KENDRA | | | 17214 SE DIVISION STREET | PORTLAND | OR | 97236 |
| 1649771528 | HEART | SARA | ANN | | 17214 SE DIVISION ST | PORTLAND | OR | 972361282 |
| 1720220510 | RITTER | EMILY | | | 17214 SE DIVISION ST | PORTLAND | OR | 972361282 |
| 1922428564 | ROSE | ERIC | | | 17214 SE DIVISION ST | PORTLAND | OR | 972361282 |
| 1760923791 | WATERS | IGWE | | | 17214 SE DIVISION ST | PORTLAND | OR | 972361282 |
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