| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1083697635 | LARSON | WILLIAM | DAVID | 6420 SW MACADAM AVE | PORTLAND | OR | 972393507 | |
| 1588650279 | LINDQUIST | GRANT | R | 6420 S MACADAM AVE STE 160 | PORTLAND | OR | 972393517 | |
| 1992940613 | MONSON | DINELLI | 6420 SW MACADAM AVE | PORTLAND | OR | 972393507 |