| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174754071 | EVERGREEN COUNSELING SERVICES, PC | 1104 MAIN ST | VANCOUVER | WA | 986602999 | |||
| 1831180728 | BARNARD | CHARLES | E. | 1104 MAIN ST | VANCOUVER | WA | 986602999 | |
| 1578773685 | WOTRING | DALE | EDWARD | 1104 MAIN ST | VANCOUVER | WA | 986602999 |