NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245757772 |   |   |   | SOUTH LANE MENTAL HEALTH SERVICES, INC | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1306905831 |   |   |   | SOUTH LANE MENTAL HEALTH SERVICES, INC | 410 N 9TH ST | COTTAGE GROVE | OR | 974241307 |
1528327830 | BARKEMEYER | LARRY | D |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1194096388 | BOONSTOPPEL | TIFFANY | D |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1982926432 | BURROWS | AMY | M |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1689004533 | CALKINS | LARAE | AMERICA |   | 1215 SW G ST | GRANTS PASS | OR | 975262544 |
1265664528 | CUMMINS | SEAN | KEITH |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1316146624 | DEVANEY | JAMES | JOSEPH |   | 1200 HILYARD ST | EUGENE | OR | 974018122 |
1326716242 | DOMKA | MADISON | ELIZABETH |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1093141871 | GREEN | ALYSHA | JOYE |   | 1790 W 11TH AVE | EUGENE | OR | 974023758 |
1033407705 | GRZESIAK | SUSAN |   |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1831758887 | HARP | AMANDA |   |   | PO BOX 5 | COTTAGE GROVE | OR | 974240001 |
1699144840 | HOPKINS | ANDREA | M |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1629141080 | HOWELL | SHIRLEY | DAINE |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1316359698 | HUGO | CHELSIE | MAEGAN |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1043642408 | JOBE | PEARL | ANN |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1396231395 | KAYSER | VIRGINIA | GRACE |   | PO BOX 5 | COTTAGE GROVE | OR | 974240001 |
1871913657 | KEMP | SUSAN |   |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1033455233 | LEE | ROBERT | H |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1659612448 | MAHONEY | MICHAEL | D |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1003059296 | MASTIN | THERESE | N |   | 410 N 9TH ST | COTTAGE GROVE | OR | 974241307 |
1083987135 | MCCLARY | JULIE | A |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1700282001 | MCCONNELL | PATRICIA |   |   | 3810 KINCAID ST | EUGENE | OR | 974054572 |
1912329277 | MCCOURT | CYNTHIA | LYNN |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1770919433 | MORTON | KIMBERLY | SUE |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1417462813 | NELSON | SHANE | LEE |   | 4943 E ST | SPRINGFIELD | OR | 974786047 |
1508130212 | NIRENSTEIN-RICH | FELICE | M |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1932597093 | ODELL | ELISHA |   |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1841606522 | PABERZS | CHERYL |   |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1376917971 | PRATT | TERRY | LEE |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1750784740 | PYLE | EMILY |   |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1144530726 | RADLEY | MONICA | G |   | 1117 E. CHAMBERLIAN AVE | COTTAGE GROVE | OR | 97424 |
1235721820 | ROWLETT | KELLY | ARLYNNE |   | PO BOX 5 | COTTAGE GROVE | OR | 974240001 |
1558639724 | SERRANO | HOLLY | M |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1477831923 | SHRUM | BO | P. |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1972735942 | TAFOYA | SAM | R |   | PO BOX 1108 ACP 0033-19 | SALEM | OR | 97308 |
1467736538 | WASKOW | KAREN | T. |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1134554686 | WHARTON | JEREMIE | JAY |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |
1295903680 | WHITE | MONICA |   |   | 1345 BIRCH AVE | COTTAGE GROVE | OR | 974241416 |