NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1154447068 |   |   |   | POLK COUNTY MENTAL HEALTH | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1639295694 |   |   |   | POLK COUNTY MENTAL HEALTH | 182 SW ACADEMY ST STE 304 | DALLAS | OR | 973381900 |
1861616963 | CABELL | JODI | L |   | 182 SW ACADEMY ST STE 304 | DALLAS | OR | 973381900 |
1003935446 | HUNTLEY | RACHEL |   |   | 182 SW ACADEMY ST STE 204 | DALLAS | OR | 973381922 |
1013132893 | JORSTAD | JEDONNE |   |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |
1053538355 | MARTINEZ | CORINA | ISABEL |   | 182 SW ACADEMY ST | DALLAS | OR | 973381922 |