| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053862110 | BLACKINTON | TARA | PO BOX 16756 | PORTLAND | OR | 972920756 | ||
| 1730548694 | FLORES | KATHLEEN | 2600 SE BELMONT ST | PORTLAND | OR | 972142916 | ||
| 1720530264 | TELGARSKY | DANIEL | PO BOX 16756 | PORTLAND | OR | 972920756 |