| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1952739815 | BALBIN | MICHAEL | 2430 N 13TH ST | SHELTON | WA | 985841213 | ||
| 1164826566 | DEPEW | JENNIFER | 2430 N 13TH ST | SHELTON | WA | 985841213 | ||
| 1972765246 | HARMON | KATHLEEN | P | 2430 N 13TH ST | SHELTON | WA | 985841213 | |
| 1306274345 | LI | JESSICA | HOI TUNG | 2430 N 13TH ST | SHELTON | WA | 985841213 | |
| 1114189339 | MIJANOVICH | MARY | ANN | 2430 N 13TH ST | SHELTON | WA | 985841213 |