| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053862110 | BLACKINTON | TARA | PO BOX 16756 | PORTLAND | OR | 972920756 | ||
| 1649784067 | MIRACLE | KATRINA | CAREEN | PO BOX 16756 | PORTLAND | OR | 972920756 | |
| 1134688856 | SNYDER | MICHAELA | JEAN | PO BOX 16756 | PORTLAND | OR | 972920756 |