| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1922434893 | GAZENDAM | JOOST | PO BOX 262 | LIBERTY LAKE | WA | 990190262 | ||
| 1366870206 | PETERSEN | JEDIDIAH | ALLEN | PO BOX 262 | LIBERTY LAKE | WA | 990190262 | |
| 1497017313 | ROSS | RYAN | CHARLES | 6 13TH AVE E | POLSON | MT | 598605315 |