| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1619568995 | JOHNSON | OLIVIA | 1744 E MCANDREWS RD STE D | MEDFORD | OR | 975045576 | ||
| 1205427572 | MARY | CRYSTAL | 1744 E MCANDREWS RD STE D | MEDFORD | OR | 975045576 | ||
| 1386235653 | SORENSON | JEAN | 1744 E MCANDREWS RD STE D | MEDFORD | OR | 975045576 | ||
| 1508457888 | WADDELL | TAYLER | 1744 E MCANDREWS RD STE D | MEDFORD | OR | 975045576 |