| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1598775173 | BAKER | KALANI | 94220 4TH ST | GOLD BEACH | OR | 974447756 | ||
| 1154383933 | BRUNSON | LINDA | S. | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1508840851 | MILLS | TRUDY | LYNN | 94220 4TH ST | GOLD BEACH | OR | 974447756 | |
| 1649495490 | PETZOLD | ROBERT | W. | 94220 4TH ST | GOLD BEACH | OR | 974447756 |