NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174754071 |   |   |   | EVERGREEN COUNSELING SERVICES, PC | 1104 MAIN ST | VANCOUVER | WA | 986602999 |
1831180728 | BARNARD | CHARLES | E. |   | 1104 MAIN ST | VANCOUVER | WA | 986602999 |
1578773685 | WOTRING | DALE | EDWARD |   | 1104 MAIN ST | VANCOUVER | WA | 986602999 |