NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1881955771 | BETZA | RAFFAELLA | SAPPE |   | PO BOX 3290 | LA GRANDE | OR | 978507290 |
1073995999 | FOWLER | TRACYE |   |   | PO BOX 3290 | LA GRANDE | OR | 978507290 |
1396151940 | HADDOCK | JAMIE | JO |   | PO BOX 3290 | LA GRANDE | OR | 978507290 |
1629333976 | MCILMOIL | ROBERT | CALEB |   | 900 SUNSET DR | LA GRANDE | OR | 978501387 |