| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1720049299 | BUSBY | RICHARD | C | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1245406784 | FICHADIA | HETAL | KUMUDCHANDRA | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1154905750 | HOLLOWAY | ELIZABETH | 847 NE 19TH AVE STE 300 | PORTLAND | OR | 972322686 | ||
| 1184086787 | SCHMITT | MICHAEL | JOHN | 847 NE 19TH AVE STE 300 | PORTLAND | OR | 972322686 | |
| 1780661371 | WEBBER | BRUCE | RANDOLPH | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |