| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1861457384 | BLOME | RANDALL | E | | 9605 GRAND RONDE RD | GRAND RONDE | OR | 973479712 |
| 1407839384 | FAIRFAX | CAROLYN | S | | 9605 GRAND RONDE RD | GRAND RONDE | OR | 973479712 |
| 1932180734 | LOBERG | LANCE | GREGORY | | 1002 BELLEVUE ST SE | SALEM | OR | 973014006 |
| 1720656655 | MCCLELLAN | AUTUMN | | | 1990 NW 21ST ST | MCMINNVILLE | OR | 971286769 |
| 1215241708 | SAMPSON | ANNETTE | N | | 9615 GRAND RONDE RD | GRAND RONDE | OR | 973479712 |
| 1578101762 | WING | BRIANNA | | | 9605 GRAND RONDE RD | GRAND RONDE | OR | 973479712 |
| 1952450843 | WRIGHT | SUSAN | M | | 27155 SALMON RIVER HWY | GRAND RONDE | OR | 973479729 |
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