| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1811660905 | AIDALA | HARRISON | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1811634686 | BAIER | ZACHARY | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1265680847 | CAMPBELL | MICHELLE | ROSE | | 1027 E. BURNSIDE | PORTLAND | OR | 97214 |
| 1083903215 | EDGE | KARA | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1285241018 | FORRESTER | GRACE | A | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1699423632 | GALICK | ANDREA | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1730531765 | GALVAN | ELI | TITO | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1841473907 | GELARDO | GARY | ALLEN | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1881945103 | GORDON | SARAH | JOAN | | 1027 E. BURNSIDE ST | PORTLAND | OR | 97216 |
| 1346593605 | GREANEY | ELLEN | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1033232996 | HAYES | JEFFREY | BENTON | | 34353 CHURCH RD | WARREN | OR | 970539609 |
| 1265873343 | KELLEY | JACK | DOUGLAS | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1154762037 | KERR | JEFFREY | BRIAN | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1508091521 | LOEB | SAMUEL | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1841932027 | LOWRY | REBEKAH | JORDANA | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1124436415 | MCNAMEE | TODD | | | 10564 SE WASHINGTON ST | PORTLAND | OR | 972162809 |
| 1750958245 | MOORE | JASON | LEE | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1912668856 | MOORE | JEREMY | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1538690185 | MULLEN | RACHELLE | | | 455 NE 176TH AVE | PORTLAND | OR | 972306608 |
| 1194195099 | RANDALL | SEBASTIAN RANDALL | | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1306339031 | RUNNELS | HEATHERLIN | J | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1639258346 | SHEA | ROBIN | E | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1801548961 | STRAUSS | LINDSAY | PAIGE | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1922487388 | UFFORD | KELSEY | M | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1659918886 | WARD | DEREK | LEE | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
| 1881321552 | YARGER | JUSTIN | MICHAEL | | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |
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