NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1598739716 | BERGSTROM | THEODORE | J |   | 55 W TIETAN ST | WALLA WALLA | WA | 993624445 |
1033183256 | BOLDUC | JENNIFER | L |   | 55 W TIETAN ST | WALLA WALLA | WA | 993624445 |
1881668887 | CARMODY | ROBERT | W |   | 55 W TIETAN ST | WALLA WALLA | WA | 993624445 |
1831193747 | HENDERSON | KAREN |   |   | 55 W TIETAN ST | WALLA WALLA | WA | 993624445 |
1447224571 | KIRBY | ALISON | E |   | 55 W TIETAN ST | WALLA WALLA | WA | 993624445 |
1427287572 | MILLER | CHERYL |   |   | 55 W TIETAN ST | WALLA WALLA | WA | 993624498 |