| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1518100734 | ACOHIDO | BLAKE | VANCE | 1040 NW 22ND AVE | PORTLAND | OR | 972103057 | |
| 1265449284 | JONES | ERIC | IVERSEN | 1040 NW 22ND AVE | PORTLAND | OR | 97210 | |
| 1871575092 | LE | PHUONG | 1025 NW COUCH ST | PORTLAND | OR | 972094131 | ||
| 1457448797 | SANTESSON | DIANE | SUSAN | 1040 NW 22ND AVE | PORTLAND | OR | 972103057 |