| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1518053511 | BICKER | MICAH | S. | 4555 N WILLIAMS AVE | PORTLAND | OR | 972172955 | |
| 1912123639 | GRASMEDER | HENRY | MARTIN | 4555 N WILLIAMS AVE | PORTLAND | OR | 972172955 | |
| 1639824915 | POWERS | MANDI | PO BOX 546 | GRESHAM | OR | 970300132 |