| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1952327926 | HARDING | CARY | OWEN | 707 SW GAINES ST | PORTLAND | OR | 972392901 | |
| 1629086145 | KOELLER | DAVID | MARTIN | 707 SW GAINES ST | PORTLAND | OR | 972392901 | |
| 1780931956 | VIALL | SARAH | 707 SW GAINES ST | PORTLAND | OR | 972392901 | ||
| 1023200821 | WESSENBERG | LEAH | BJORNSKOV | 707 SW GAINES ST | PORTLAND | OR | 972392901 | |
| 1902012180 | YANG | AMY | C | 707 SW GAINES ST | PORTLAND | OR | 972392901 |