| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1548223381 | ABRAHAM | JACOB | PO BOX 3158 | PORTLAND | OR | 972083158 | ||
| 1356585186 | BAUER | LISA | M | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1396061834 | WESTERDAHL | DANIEL | ERIC | PO BOX 3158 | PORTLAND | OR | 972083158 |