| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780064766 | AHMAD | MADIHA | | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1386915445 | BENJAMIN | CHRISTOPHER | | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1023566148 | GOFF | AMELIA | | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1447265939 | GREGG | JESSICA | LAMPKIN | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1427476480 | JACOBS | ZACHARY | | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |
| 1700025681 | WISZNIEWSKI | WOJCIECH | KRZYSZTOF | | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |