| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1437539582 | BLEYBERG | MICHAEL | 9040 JACKSON AVE | TACOMA | WA | 984310001 | ||
| 1841369899 | PRAYNER | TRACI | LYNN | 9040 JACKSON AVE | TACOMA | WA | 984310001 | |
| 1750780441 | SCHLAM | MARK | 9040 JACKSON AVE | TACOMA | WA | 984310001 | ||
| 1942464748 | SKINNER | LINDSAY | PAIGE | 9040 JACKSON AVE | TACOMA | WA | 984310001 |