| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467454165 | GANNETT | DAVID | E | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1144375148 | HANSEN | ERIC | KEITH | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1750503132 | LEE | BRIAN | 847 NE 19TH AVE STE 300 | PORTLAND | OR | 972322686 | ||
| 1730171117 | LOUIE | JEANNIE | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | ||
| 1609869635 | WAGNER | FREDRICK | CHARLES | 975 SE SANDY BLVD | PORTLAND | OR | 972141308 |