| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1659863215 | DE LA ROSA | DOROTHY | R | 9605 GRAND RONDE RD | GRAND RONDE | OR | 973479712 | |
| 1407839384 | FAIRFAX | CAROLYN | S | 9605 GRAND RONDE RD | GRAND RONDE | OR | 973479712 | |
| 1720656655 | MCCLELLAN | AUTUMN | 1990 NW 21ST ST | MCMINNVILLE | OR | 971286769 | ||
| 1215241708 | SAMPSON | ANNETTE | N | 9615 GRAND RONDE RD | GRAND RONDE | OR | 973479712 |