| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1255367348 | BURT | TODD | B | | 190 E BANNOCK ST | BOISE | ID | 837126241 |
| 1467828186 | CAMPBELL | JOSEPH | | | 190 E BANNOCK ST | BOISE | ID | 837126241 |
| 1639306566 | CARROLL | MICHAEL | DAVID | | PO BOX 1108 | CORVALLIS | OR | 973391108 |
| 1609886449 | CITRONE | MICHAEL | J | | PO BOX 1108 | CORVALLIS | OR | 973391108 |
| 1205809852 | GRANVALL | BRIAN | E | | PO BOX 1108 | CORVALLIS | OR | 973391108 |
| 1275794935 | HARRIS | TYLER | J | | PO BOX 1108 | CORVALLIS | OR | 973391108 |
| 1295705002 | MAXFIELD | ADAM | S | | 190 E BANNOCK ST | BOISE | ID | 837126241 |
| 1043501273 | MCMAHAN | BRIAN | LANE | | PO BOX 1108 | CORVALLIS | OR | 973391108 |
| 1780878314 | MORTENSEN | WAYNE | MARCUS | | PO BOX 1108 | CORVALLIS | OR | 973391108 |
| 1578726683 | NIEDERHAUSER | BLAKE | D | | PO BOX 1108 | CORVALLIS | OR | 973391108 |
| 1083842033 | PETERSON | ANDREW | ALBERT | | 190 E BANNOCK ST | BOISE | ID | 837126241 |
| 1356694384 | PROFFITT | FRANNIE | ANN | | 190 E BANNOCK ST | BOISE | ID | 837126241 |
| 1376941914 | SHEARING | KEVIN | SCOTT | | 190 E BANNOCK ST | BOISE | ID | 837126241 |
| 1821282492 | WHITE | BARBARA | ANN | | PO BOX 1108 | CORVALLIS | OR | 973391108 |
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