| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1104811207 | EVERGREEN WASHINGTON HEALTHCARE FRONTIER, L.L.C. | 4601 NE 77TH AVE | VANCOUVER | WA | 986626736 | |||
| 1205096773 | ATENCIO | MATTHEW | STEPHEN | 3858 PENNSYLVANIA ST APT 55 | LONGVIEW | WA | 986325236 | |
| 1912965484 | OSTROM | RICHARD | 9340 NE 76TH ST | VANCOUVER | WA | 986623721 | ||
| 1952563652 | THOMAS | JAYME | L | 803 N 23RD AVE | KELSO | WA | 986265304 |