| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1437430550 | MILLER | TODD | RANDALL | 835 CRATER LAKE AVE | MEDFORD | OR | 975046505 | |
| 1366739047 | POTTER | ANNA | M | 835 CRATER LAKE AVE | MEDFORD | OR | 975046505 | |
| 1003070251 | VAN SCOY | PATRICIA | 835 CRATER LAKE AVE | MEDFORD | OR | 975046505 | ||
| 1700048444 | WRIGHT | SUE | R | 835 CRATER LAKE AVE | MEDFORD | OR | 975046505 |