NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1336485846 |   |   |   | ROGUE FUNCTIONAL WELLNESS LLC | 761 GOLF VIEW DR | MEDFORD | OR | 975049655 |
1194089490 | JEX | JASON | D |   | 761 GOLF VIEW DR | MEDFORD | OR | 975049655 |
1689280620 | MORGAN | DANNA | RAE |   | 539 N BARNEBURG RD | MEDFORD | OR | 975046678 |