| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1831191535 | ELLISON | CATHERINE | MARIE | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1487703450 | MARSHALL | LEON | BRUCE | 847 NE 19TH AVE | PORTLAND | OR | 972322684 | |
| 1407848831 | MCALLISTER | LESLIE | DAVIS | 975 SE SANDY BLVD | PORTLAND | OR | 972141308 | |
| 1578649224 | ROSE-INNES | ANDREW | PETER | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |