| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1043207871 | KIM | JIN-HEE | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | ||
| 1619137692 | LUBAHN | JESSICA | DUAN | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1508032525 | MILLER | DANIEL | LYMAN | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1285786210 | ROSENQUIST | ROGER | DALE | 501 N GRAHAM ST | PORTLAND | OR | 972271654 |