| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174832000 | BONIFAY | ALLISON | D | 32 NE 11TH AVE | PORTLAND | OR | 972323001 | |
| 1679907927 | DAUTERMAN | HAYLEY | 32 NE 11TH AVE | PORTLAND | OR | 972323001 | ||
| 1891028387 | MCKEE | JESSICA | LEIGH HALLWYLER | 32 NE 11TH AVE | PORTLAND | OR | 972323001 |