| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174714943 | EYEHEALTH NORTHWEST OPTICAL, LLC | 11086 SE OAK ST | MILWAUKIE | OR | 972226692 | |||
| 1407180060 | EYE HEALTH NORTHWEST, P.C. | 11086 SE OAK ST | PORTLAND | OR | 972226692 | |||
| 1578777892 | EYE HEALTH NORTHWEST OPTICAL, LLC | 11086 SE OAK ST | MILWAUKIE | OR | 972226692 | |||
| 1649387549 | LEAK | BRIAN | A | 11086 SE OAK STREET | MILWAUKIE | OR | 97222 |