NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1326513367 |   |   |   | CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON | 9615 GRAND RONDE RD | GRAND RONDE | OR | 973479712 |
1659863215 | DE LA ROSA | DOROTHY | R |   | 9605 GRAND RONDE RD | GRAND RONDE | OR | 973479712 |