| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1083183370 | DEGOEDE | KELLY | D | 1435 NE 4TH ST STE B | BEND | OR | 977014268 | |
| 1225507437 | STOUT | JOHN | J | 1435 NE 4TH ST STE B | BEND | OR | 977014268 | |
| 1194294389 | TAYLOR | DAVID | C | 1435 NE 4TH ST STE B | BEND | OR | 977014268 |