ProviderBusinessMailingAddressFaxNumber = '5414122081'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1689195505 | BRANTINGHAM | STEVEN | T. | | 500 5TH ST | BROOKINGS | OR | 974159702 |
| 1740821453 | CREASER | KELLIE | MARIE | | 500 5TH ST | BROOKINGS | OR | 974159702 |
| 1629496526 | FERRIS | TYLER | M. | | 500 5TH ST | BROOKINGS | OR | 974159702 |
| 1174591879 | HARRIS | RAYMOND | MARTIN | | 500 5TH ST | BROOKINGS | OR | 974159702 |
| 1962442657 | MANUELE | KENNETH | W. | | 500 5TH ST | BROOKINGS | OR | 974159702 |
| 1548701600 | MICHAEL-HAVENS | JACKIE | B | | 500 5TH ST | BROOKINGS | OR | 974159702 |
| 1710909874 | RICKARD | MARCIA | ELLEN | | 500 5TH ST | BROOKINGS | OR | 974159702 |
| 1538319355 | SPITAEL | BRAM | | | 500 5TH ST | BROOKINGS | OR | 974159702 |
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