| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629279005 | FRITCH | APRIL | 9040 JACKSON AVE | TACOMA | WA | 984310001 | ||
| 1265671283 | REPKE | DIANA | MARIE | 9040 JACKSON AVUE | TACOMA | WA | 984310001 | |
| 1386690832 | SHURAK | NOAL | R | 9040 JACKSON AVENUE | TACOMA | WA | 984310001 |