| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1437109154 | AMES | STEPHAN | ANTHONY | 147 S 52ND PL | SPRINGFIELD | OR | 974786210 | |
| 1386696995 | BUTDORF | STEVEN | JOSEPH | 147 S 52ND PL | SPRINGFIELD | OR | 974786210 | |
| 1548236029 | JACKSON | KATHLEEN | ANNE | 147 S 52ND PL | SPRINGFIELD | OR | 974786210 |