| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1821763137 | BANKS | MARET | 9605 GRAND RONDE RD | GRAND RONDE | OR | 973479712 | ||
| 1093073439 | ESTRADA | NICOLE | MARIE | 9615 GRAND RONDE RD | GRAND RONDE | OR | 973479712 | |
| 1023534252 | HICINBOTHOM | HEIDI | KATHLEEN | 9605 GRAND RONDE RD | GRAND RONDE | OR | 973479712 |