| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1144255175 | COLLISTER | VICKI | PO BOX 3178 | PORTLAND | OR | 972083178 | ||
| 1215973771 | GIES | JULIA | J | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1467431452 | KENNEDY | WILLIAM | J | PO BOX 3158 | PORTLAND | OR | 972083158 |