NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063757250 |   |   |   | CREEKSIDE COUNSELING, INC | 2586 12TH PL SE | SALEM | OR | 97302 |
1215139720 |   |   |   | CREEKSIDE COUNSELING INC | PO BOX 4169 | SALEM | OR | 97302 |
1811417074 | BEANES | GILBERT | R |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1396080933 | CASEY | DAVID | JAMES |   | 51377 SW OLD PORTLAND RD | SCAPPOOSE | OR | 970564023 |
1629256151 | COCHRAN | GARY | ALLEN |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1518472356 | COWGER | TROY | STEPHEN |   | 8045 SW PETERS RD | PORTLAND | OR | 972247081 |
1689104044 | CROYDON | ROSS |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1538503362 | ETZEL | TYANN |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1811513195 | GOUGE | ELISABETH | JOY |   | PO BOX 4169 | SALEM | OR | 973028169 |
1396479143 | HALDERMAN | ALLYCIA |   |   | 1549 WHITAKER DR SE APT 143 | SALEM | OR | 973175967 |
1255987459 | JANSEN | CASEY |   |   | 4928 TURQUOISE AVE SE APT 202 | SALEM | OR | 973174116 |
1356529838 | LAHARTY | MICHAEL | LOUIS |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1588075568 | MCLEER | KIMBERLY |   |   | 14600 NW CORNELL RD | PORTLAND | OR | 972295442 |
1023256005 | MENDOZA | JOHN | HARDY |   | 1161 3RD ST NW | SALEM | OR | 973044009 |
1437671781 | MILLER | RONALD | LEE |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1891308219 | PERRY | SARA |   |   | 1345 W 5TH ST | HALSEY | OR | 973489670 |
1639527005 | PUGMIRE | TATIANNA |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1922481506 | RAMIREZ | RAUL |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1043870124 | REGAN | JOSEPH |   |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1649449802 | SHERMER WAKEFIELD | RHONDA | SUE |   | 2586 12TH PL SE | SALEM | OR | 973022536 |
1407034929 | WHITE | STACEY | LYNN |   | 2586 12TH PL SE | SALEM | OR | 973022536 |