| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1396477154 | BASS | LINDA | M | 3415 SE POWELL BLVD | PORTLAND | OR | 972023371 | |
| 1497051916 | CARLSON | TANUJINI | ROSALIND | 3415 SE POWELL BLVD | PORTLAND | OR | 972023371 | |
| 1508055518 | CUMMERLANDER | ROBERT | ELIGE | 3415 SE POWELL BLVD | PORTLAND | OR | 972023371 | |
| 1649581901 | MCCANN | SUZANNE | GARNET | 3415 SE POWELL BLVD | PORTLAND | OR | 972023371 | |
| 1750431649 | SHOTWELL KUBO | LANA | JOY | 3415 SE POWELL BLVD | PORTLAND | OR | 972023371 |