| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1255546982 | BONCHER | NICHOLAS | A | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1912223371 | GILLESPIE | JOSEPH | ANDREW | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1194953125 | GUNSELMAN | JOHN | M | PO BOX 3158 | PORTLAND | OR | 972083158 |