| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1366547994 | BRITT | CORNELIUS | L | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1487940318 | CARLSON | JESSICA | R | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1245476704 | HUDSON | MELISSA | DAWN | 94220 4TH ST | GOLD BEACH | OR | 974447756 |