NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205002136 |   |   |   | SISKIYOU COMMUNITY HEALTH CENTER INC | 1701 NW HAWTHORNE AVE | GRANTS PASS | OR | 975261051 |
1518343102 | ANDERSON | JUSTIN |   |   | 1701 NW HAWTHORNE AVE | GRANTS PASS | OR | 975261257 |
1609031426 | CASTLE | KENNETH | F |   | 1701 NW HAWTHORNE AVE | GRANTS PASS | OR | 975261257 |
1952784365 | GORE | DAVID |   |   | 1701 NW HAWTHORNE AVE | GRANTS PASS | OR | 975261257 |
1528164563 | KANNAN | POONGKODI |   |   | 1701 NW HAWTHORNE AVE | GRANTS PASS | OR | 975261051 |
1780034629 | NELSON | DEVIN |   |   | 1701 NW HAWTHORNE AVE | GRANTS PASS | OR | 975261257 |
1407022775 | STANGER | SERENA | TERESA |   | 2116 SW FORD ST | GRANTS PASS | OR | 975268324 |
1063958924 | TRIPP | AMY |   |   | 1701 NW HAWTHORNE AVE | GRANTS PASS | OR | 975261257 |
1477613636 | VARRO | CYNTHIA | RACHEL |   | 1701 NW HAWTHORNE AVENUE | GRANTS PASS | OR | 97526 |