ProviderBusinessMailingAddressFaxNumber = '5417343638'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1346619467				PROVIDENCE HEALTH & SERVICES - OREGON	PO BOX 3158	PORTLAND	OR	972083158
1710356001				PROVIDENCE HEALTH & SERVICES - OREGON	PO BOX 3158	PORTLAND	OR	972083158
1760489181	BIERAUGEL	JEAN	T.		555 BLACK OAK DR	MEDFORD	OR	975048447
1538562749	BRAVO	CARISSA	D		PO BOX 3158	PORTLAND	OR	972083158
1013973064	CHAMBERLAND	SHIREEN	NICOLE		PO BOX 3158	PORTLAND	OR	972083158
1609986108	DELPLANCHE	CURTIS	GREGORY		PO BOX 3158	PORTLAND	OR	972083158
1952514143	DUTKIEWICZ	LAURIE			PO BOX 3158	PORTLAND	OR	972083158
1922180017	GILMOUR	DAVID	R		555 BLACK OAK DR	MEDFORD	OR	975048447
1316214281	GRIESSER	CARL	RUSSELL		555 BLACK OAK DRIVE, SUITE 100	MEDFORD	OR	97504
1073510426	MATZ	PAUL	D.		PO BOX 3158	PORTLAND	OR	972083158
1356437230	MCNEAL	TRAVIS	A		PO BOX 3158	PORTLAND	OR	972083158
1093850919	MUCHA	TERRACE	R		PO BOX 3158	PORTLAND	OR	972083158
1124025580	PEARD	GARRETT	H.		PO BOX 3158	PORTLAND	OR	972083158
1205863990	THEEN	JAMES	WILLIAM		3625 OLD CHERRY LN	MEDFORD	OR	975049476
1023050275	WEBB	ALAN	J.		PO BOX 3158	PORTLAND	OR	972083158
1447257563	WILLIAMS	KEITH	B.		555 BLACK OAK DR	MEDFORD	OR	975048447
1184621559	WINTER	TODD	A.		PO BOX 3158	PORTLAND	OR	972083158

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