| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1851308415 | LIBERATORE | ANGELA | M | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 | |
| 1831523828 | PERELMAN | MAX | SHAW | 3181 SW SAM JACKSON PARK RD # L-579 | PORTLAND | OR | 972393011 | |
| 1578619169 | WRAY | CARTER | 707 SW GAINES ST | PORTLAND | OR | 972392901 |