| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1962831834 | HAGGANS | JOSH | 715 SW RAMSEY AVE | GRANTS PASS | OR | 97527 | ||
| 1376987230 | SMALL | JESSIE | LANE | 345 RUBY AVE. | EUGENE | OR | 97401 | |
| 1477981181 | SMITH | SHAWN | 715 SW RAMSEY AVE | GRANTS PASS | OR | 975275500 | ||
| 1497161442 | WEISBART | DAVID | 715 SW RAMSEY AVE | GRANTS PASS | OR | 975275500 |