| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1396169603 | BRANDON | JORDAN | 16083 SW UPPER BOONES FERRY RD | TIGARD | OR | 972247736 | ||
| 1730474008 | COTTON | KESTER | PAUL | 16083 SW UPPER BOONES FERRY RD | TIGARD | OR | 972247736 | |
| 1174001887 | PROVENCIO | LYNDSAY | 16083 SW UPPER BOONES FERRY RD STE 300 | TIGARD | OR | 972247736 | ||
| 1962621318 | VAUGHN | ANNA | C | 16083 SW UPPER BOONES FERRY RD | TIGARD | OR | 972247736 |