| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1083990089 | BODAGALA | JAYASREE | 914 S SCHEUBER RD | CENTRALIA | WA | 985319027 | ||
| 1609187103 | HOLTAN | NICHOLAS | STEPHEN | PO BOX 3360 | PORTLAND | OR | 972083360 | |
| 1942432869 | KAUSHAL | RAJIT | 914 S SCHEUBER RD | CENTRALIA | WA | 985319027 | ||
| 1942260427 | PATHI | HARI | P | PO BOX 3360 | PORTLAND | OR | 972083360 | |
| 1972700656 | SONG | JAEKYUNG | PO BOX 3360 | PORTLAND | OR | 972083360 |