| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1245567809 | PROVIDENCE HEALTH & SERVICES - OREGON | PO BOX 3158 | PORTLAND | OR | 972083158 | |||
| 1255678439 | ANANYEV | DANIEL | ALEXANDER | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1811086762 | MYKLEBUST | MONICA | K | P.O. BOX 3158 | PORTLAND | OR | 972083158 |