NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174892301 |   |   |   | POLK COUNTY MENTAL HEALTH | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1366569998 |   |   |   | POLK COUNTY MENTAL HEALTH | 182 SW ACADEMY STREET #304 | DALLAS | OR | 973381922 |
1457477333 |   |   |   | POLK COUNTY MENTAL HEALTH | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1861616344 |   |   |   | POLK COUNTY MENTAL HEALTH | 182 SW ACADEMY ST STE 304 | DALLAS | OR | 973381900 |
1548787351 | BAGLEY | JAMIE |   |   | 182 SW ACADEMY ST STE 333 | DALLAS | OR | 973381996 |
1982723730 | BAIN | LAUREN | HILLARY |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1114371341 | BRINKMANN | ANA-LYS |   |   | 182 W. ACADEMY ST. | DALLAS | OR | 973380569 |
1659529097 | CARABALLO | STACEY | A |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1104234939 | COMBS | PHYLLIS |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1487014221 | DAVIS | KAREN |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |
1447580493 | FILLEY | SCOTT | E |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |
1447375852 | HEATHERINGTON | GEOFFREY | DOUGLAS |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1295146017 | HIGHSMITH | ALLISON |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |
1013130137 | HOWARD | KIMBERLY | DAWN |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1104361534 | JETER | TODD | B. |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |
1952999716 | JOHNSON | CONNIE | R |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |
1548669633 | LANGHOLZ | JERRY |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |
1164791588 | LURAS | DARA | LYNN |   | 450 NE A ST | DALLAS | OR | 973381377 |
1407972979 | MORRIS | PAUL | DANIEL |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1639556830 | PATTON | DANA |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1487101283 | PROFFITT | DAVID |   |   | 182 SW ACADEMY ST STE 333 | DALLAS | OR | 973381996 |
1588728901 | RENTZ | KEVIN |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |
1851878797 | RUDOLPH | DESTREE | LYNN |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |
1831387562 | SIADAL | INGRID | CHRISTINA |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1902130511 | SKILES | JACK | CHARLES |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1780833541 | STEINMETZ | MATTHEW | SCOTT |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1902014830 | STUART | DANA | LYNNE |   | 182 SW ACADEMY ST STE 304 | DALLAS | OR | 973381900 |
1710384888 | WILLCOXEN | LAURA |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1821568072 | YOUNG | SAMANTHA |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381996 |