| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1427190594 | BOWMAN | DIANA | L | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1619089679 | HARDAGE | JUDY | A | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1992890164 | MOLZEN | GEORGE | W | PO BOX 3158 | PORTLAND | OR | 972083158 |