| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154539203 | PROVIDENCE HEALTH & SERVICES | PO BOX 3158 | PORTLAND | OR | 972083158 | |||
| 1891026647 | PROVIDENCE HEALTH & SERVICES - OREGON | PO BOX 3158 | PORTLAND | OR | 972083158 | |||
| 1144497009 | DUNLAP | GERALD | ACHESON | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1750474490 | GOLDENBERG | RICHARD | PO BOX 3158 | PORTLAND | OR | 972083158 |