| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1417343971 | KONDE | ANISH | S | 4525 3RD AVE SE STE 200 | LACEY | WA | 985031010 | |
| 1689846198 | LI | BOJIA | 4525 3RD AVE SE STE 200 | LACEY | WA | 985031010 | ||
| 1407489974 | STROJAN | MICHELLE | JEAN | 4525 3RD AVE SE | LACEY | WA | 985031010 |