NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063757250 |   |   |   | CREEKSIDE COUNSELING, INC | 2586 12TH PL SE | SALEM | OR | 97302 |
1215139720 |   |   |   | CREEKSIDE COUNSELING INC | PO BOX 4169 | SALEM | OR | 97302 |
1811417074 | BEANES | GILBERT | R |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1629256151 | COCHRAN | GARY | ALLEN |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1689104044 | CROYDON | ROSS |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1538503362 | ETZEL | TYANN |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1811513195 | GOUGE | ELISABETH | JOY |   | PO BOX 4169 | SALEM | OR | 973028169 |
1356529838 | LAHARTY | MICHAEL | LOUIS |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1639527005 | PUGMIRE | TATIANNA |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1922481506 | RAMIREZ | RAUL |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1043870124 | REGAN | JOSEPH |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1649449802 | SHERMER WAKEFIELD | RHONDA | SUE |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1407034929 | WHITE | STACEY | LYNN |   | 2586 12TH PL SE | SALEM | OR | 973022536 |