| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1508020801 | JOSHI | KAMAL | RAJ | 500 LILLY RD NE STE 100 | OLYMPIA | WA | 985065195 | |
| 1417581992 | KIM-AGUILAR | IVY | PO BOX 3360 | PORTLAND | OR | 972083360 | ||
| 1679782676 | LARSON | TIMOTHY | STEPHEN | PO BOX 3360 | PORTLAND | OR | 972083360 | |
| 1700547205 | WORLEY | ANDREW | PO BOX 3360 | PORTLAND | OR | 972083360 |