| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154383933 | BRUNSON | LINDA | S. | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1639107220 | LOVENGUTH | MARLENE | LOUISE | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1649495490 | PETZOLD | ROBERT | W. | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1407822802 | TROVATI | LAURA | I | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1699960310 | WARD | LUTHER | E | 94220 4TH ST | GOLD BEACH | OR | 974447756 |