| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780610071 | CARBOL | COURTLAND | REID | 880 W QUINN RD | CHUBBUCK | ID | 832022454 | |
| 1548517972 | KARROUM | BRANDI | B | 880 W QUINN RD | POCATELLO | ID | 832022454 | |
| 1356094148 | MILLER | LISA | MARIE | 11850 SW 67TH AVE STE 105 | TIGARD | OR | 972238963 |