| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1588056964 | BLOMBERG | PHILLIP | SPENCER | 1027 E. BURNSIDE ST. | PORTLAND | OR | 97214 | |
| 1467873091 | DELANY | KELLY | ELAINE | 1027 E. BURNSIDE ST. | PORTLAND | OR | 97214 | |
| 1295127876 | HOFFMAN | TERI | CHRISTINE | 1027 E. BURNSIDE ST. | PORTLAND | OR | 97214 | |
| 1457742066 | OLIVER | ALEXANDER | ARELIN | 1027 E. BURNSIDE ST. | PORTLAND | OR | 97214 | |
| 1669013348 | SCHULE | KATHERINE | 1027 E BURNSIDE ST | PORTLAND | OR | 972141328 |