| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1477102689 | BISHOP | RAQUEL | A | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1891736104 | KRISCIUNAS | VICTOR | C | PO BOX 3158 | PORTLAND | OR | 972083158 | |
| 1912014317 | WILLIAMS | PATRICK | SCOTT | PO BOX 3158 | PORTLAND | OR | 972083158 |