| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1649247578 | DRAPER | CHERYL | A. | 4525 3RD AVE SE | LACEY | WA | 985031010 | |
| 1659378941 | GOLDBERG | RONALD | S | 4525 3RD AVE SE | LACEY | WA | 985031010 | |
| 1609873397 | GORTON | STEVEN | J | 4525 3RD AVE SE | LACEY | WA | 985031010 |