NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538446315 |   |   |   | SOUTHERN OREGON WELLNESS CLINIC, LLC | 1744 E MCANDREWS RD | MEDFORD | OR | 97504 |
1154686020 | ERICKSON | BRONWEN | KAYE |   | 675 N 5TH ST | JACKSONVILLE | OR | 975309659 |
1588255822 | GILBERT | VANESSA |   |   | 1744 E MCANDREWS RD STE D | MEDFORD | OR | 975045576 |