| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1295984706 | GOODNOUGH | KEVIN | | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1609025477 | GOSS | RAYMOND | | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1720347057 | GREENE | BENJAMIN | PAUL | | PO BOX 8459 | PORTLAND | OR | 972078459 |
| 1558517805 | HERBACH | JESS | | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1285880542 | KIEHL | KATELYN | | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1205084845 | MCLEAN | NICKY | | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1174851513 | ROZEE CHANDLER | LINDSAY | ALANA | | PO BOX 8459 | PORTLAND | OR | 972078459 |
| 1912156589 | SCHOLIBO | ERIK | | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
| 1528216165 | SHERMAN | MELINDA | | | 847 NE 19TH AVE | PORTLAND | OR | 972322684 |
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