| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1194712182 | KAEMPF | MICHAEL | JEROME | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1447247416 | MCCOY | GREGORY | BUEL | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1730176702 | MCEVOY | KEVIN | MICHAEL | 847 NE19TH | PORTLAND | OR | 97232 |