| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1124169495 | JECKER | MYRTICE | LAJUAN | 421 SW OAK ST | PORTLAND | OR | 972041817 | |
| 1811038193 | RADCLIFFE | CARLA | CHRISTINE | 421 SW OAK ST | PORTLAND | OR | 972041817 | |
| 1861677825 | SILVA | APOLONIA | G. | 421 SW OAK ST | PORTLAND | OR | 972041817 |