| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1942377080 | BOKAT | PAMELA | G. | 78 ATLANTIC PL | SOUTH PORTLAND | ME | 041062316 | |
| 1922491562 | FOSTER | JULIA | MW | 190 RIVERSIDE ST UNIT 6B | PORTLAND | ME | 041031073 | |
| 1063611788 | MALLO | CHARLES | J. | 78 ATLANTIC PL | SOUTH PORTLAND | ME | 041062316 |