| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033229307 | BLOOM | JOAN | M | 30544 HIGHWAY 200, SUITE 102 | PONDERAY | ID | 83852 | |
| 1679644397 | DIBENEDETTO | MICHAEL | RAYMOND | 30544 HIGHWAY 200 | PONDERAY | ID | 838525005 | |
| 1891969606 | FISHER | JONATHAN | DONALD | 30544 HIGHWAY 200 | PONDERAY | ID | 838525005 | |
| 1861774291 | SCHICKER | MICHAEL | DAVID | 30544 HIGHWAY 200 STE 102 | PONDERAY | ID | 838525005 | |
| 1255597811 | TAYLOR | TRAVIS | LEE | 335 S LAVINA AVE | SANDPOINT | ID | 838641721 |