| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174710990 | INTERNAL MEDICINE ASSOCIATES OF PORTLAND, LLC | 10373 NE HANCOCK ST | PORTLAND | OR | 972203873 | |||
| 1568527018 | DUNHAM | THOMAS | ROBERT | 10373 NE HANCOCK ST | PORTLAND | OR | 972203873 | |
| 1861481285 | FAIRLEY | NORA | LOU | 3439 NE SANDY BLVD | PORTLAND | OR | 972321959 | |
| 1881759983 | MILLER | F. | WILLIAM | 10373 NE HANCOCK ST | PORTLAND | OR | 972203873 |