| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1750986097 | CARLILE | SAMANTHA | BEA | 1716 WILLIAMS HWY | GRANTS PASS | OR | 975275661 | |
| 1366438095 | ERMSHAR | JON | 1716 WILLIAMS HWY | GRANTS PASS | OR | 975275661 | ||
| 1629470661 | OKOROFSKY | LAUREL | 1716 WILLIAMS HWY | GRANTS PASS | OR | 975275661 | ||
| 1013189331 | ROSSEL | DEBORAH | LYNN | 1716 WILLIAMS HWY | GRANTS PASS | OR | 975275661 |