| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1235285214 | BARTHOLOMEW | SAMUEL | VINCENT | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1861481913 | CANEPA | CLIFFORD | STEVEN | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1811255250 | MCNALLY | RICHARD | SEAN | 847 NE 19TH AVE STE 300 | PORTLAND | OR | 972322686 |