| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1386050714 | HAYES | ROBERT | ALLEN | 1014 BURRELL AVE | LEWISTON | ID | 835015589 | |
| 1730389131 | SCHMIDT | JOHANNE | L | 1014 BURRELL AVE | LEWISTON | ID | 835015472 | |
| 1144572561 | SKOLRUD | SELENA | LEANNE | 1014 BURRELL AVE | LEWISTON | ID | 83501 |