| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114961984 | EYRE | JOHN | T. | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1164464673 | SCHACHER | DONELLE | W. | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1740658236 | WHALEY | EMILY | 94220 4TH ST | GOLD BEACH | OR | 974447756 |