NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1295998920 | CRAMER | PAULA | JO |   | 150 NE KENNETH FORD DR | ROSEBURG | OR | 974701042 |
1083741946 | DELOHERY-DART | MALIA | P. |   | PO BOX 100 | ALBANY | OR | 973210031 |
1437338928 | JEFFERS | STEVEN | W |   | 150 NE KENNETH FORD DR | ROSEBURG | OR | 974701042 |
1225214489 | RICHARDS | JAY | JONATHAN |   | 150 NE KENNETH FORD DR | ROSEBURG | OR | 974701042 |
1396132775 | SMITH | KIM | ANNETTE |   | 150 NE KENNETH FORD DR | ROSEBURG | OR | 974701042 |