| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1689224362 | BUSCH | SHELBY | JANE | LEGACY GOOD SAMARITAN MEDICAL CENTER- GME | PORTLAND | OR | 97210 | |
| 1205321882 | KUKLOK | BRIAN | PATRICK | 1015 NW 22ND AVE | PORTLAND | OR | 972103025 | |
| 1083280192 | SHOOK | MATTHEW | GUY | 1015 NW 22ND AVE | PORTLAND | OR | 972103025 |