| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1982667333 | BOUNKEUA | PHOUMY | BOBBY | PO BOX 900 | SHELTON | WA | 985840974 | |
| 1457666489 | CRAIG | JANE | ANN | 2321 W DAYTON AIRPORT RD | SHELTON | WA | 985846319 | |
| 1760700678 | LARSEN | ERIC | 2321 W DAYTON AIRPORT RD | SHELTON | WA | 985846319 |