| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1790860765 | DAMASKOS | LINDA | SUE | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1104812981 | FREEMAN | BRAIDON | FORREST | | PO BOX 421 | LIBERTY LAKE | WA | 990190421 |
| 1093701898 | O'NEILL | OISIN | RUADRI | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1114116993 | PICCOLO | LELAND | MATTHEW | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1861774713 | WELSH | TAWNY | NICOLE | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1841282357 | WINDOM | KRISTINE | JOST | | 975 SE SANDY BLVD | PORTLAND | OR | 972141308 |
| 1538155312 | YUN | JOHNNY | | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
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