| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114691367 | BEAULIEU | SARAH | L | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 | |
| 1518315829 | BRADSHAW | JES | RYAN | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 | |
| 1275155889 | COLETTI | SOPHIA | KATE | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 | |
| 1487181335 | DICKMAN | EMILY | MARIE | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 | |
| 1619350741 | LEIGHTON | ISABELLE | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 | ||
| 1699325571 | PIERCE | TAYLOR | 2923 NE BROADWAY ST | PORTLAND | OR | 972321760 |