| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1891917597 | BRODT | ERIK | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 | ||
| 1013060656 | KROENING-ROCHE | OLIVIA | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 | ||
| 1831399047 | MORRIS-SINGER | ANDREW | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 972393011 |