| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1225420847 | BURTON | DILLON | 1608 ROAD 44 | PASCO | WA | 993012667 | ||
| 1811595499 | COOLIDGE | LAURA | 1608 ROAD 44 | PASCO | WA | 993012667 | ||
| 1700317310 | GOODMAN | KEITH | 1608 ROAD 44 | PASCO | WA | 993012667 | ||
| 1134778681 | NGUYEN | HIEP | 1608 ROAD 44 | PASCO | WA | 993012667 | ||
| 1366407181 | SPENCER | MARK | 1608 ROAD 44 | PASCO | WA | 993012667 |