| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1700144615 | MOORE | JULIETTE | 2111 EXCHANGE ST | ASTORIA | OR | 971033329 | ||
| 1356752919 | PHILLIPS | ZACHARY | MCKEE | 2111 EXCHANGE ST | ASTORIA | OR | 971033329 | |
| 1831209634 | ROSALES | CAMILO | 2111 EXCHANGE ST | ASTORIA | OR | 971033329 |