| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1730411034 | PROVIDENCE HEALTH & SERVICES - OREGON | PO BOX 3158 | PORTLAND | OR | 972083158 | |||
| 1750387049 | JOHNSON | KEVIN | RAYMOND | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1477538064 | MORGAN | SHAWN | M | PO BOX 3158 | PORTLAND | OR | 972083158 |