| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1548529837 | BLISS | LACEY | M | PO BOX 50095 | SEATTLE | WA | 981455095 | |
| 1790771947 | DY | EDWARD | PO BOX 50095 | SEATTLE | WA | 981455095 | ||
| 1447693247 | LAVALLE | JASON | MUNIZ | PO BOX 50095 | SEATTLE | WA | 981455095 |