Provider Directory Directorio De Proveedores

CSWA.15.999.21.9.007

Washington

Provider Directory Directorio de proveedores

Mason and/y Thurston Counties/Condados For members enrolled in these programs:/Para los miembros inscritos en estos programas: Washington Apple Health Managed Care Washington Apple Health Behavioral Health Services Only

Member Services / Servicios para Miembros 1-877-542-8997, TTY 711

CSWA18MC4372176_006

8/3/2021 CSWA.15.999.21.9.007

Welcome to UnitedHealthcare Community Plan

Welcome

This directory will help you find doctors and hospitals in your area who work with UnitedHealthcare Community Plan in Washington. We work with primary care physicians (PCPs), hospitals, specialists, behavioral health providers, and other providers for your health care needs. We are a health plan partner with the Health Care Authority (HCA). Your health care will be provided by doctors who are in our provider network. You can find a current list of providers on our website at UHCCommunityPlan.com or myuhc.com/CommunityPlan. If you need help finding a doctor or using this directory, call Member Services at the number below. We'll be happy to help you.

We provide Washington Apple Health and Behavioral Health Services Only (BHSO).

Apple Health coverage includes both physical and behavioral health care services.

BHSO members receive physical health care through one of the following: • Medicare or private health insurance • Indian Health Centers

Behavioral health care beneﬁts

Apple Health members get behavioral health or substance use disorder treatment services through any of the below: • Your primary care provider (PCP) • A community mental health center or substance use disorder agency • Another behavioral health or substance use disorder provider

Providers listed in this directory are current as of the date listed on the cover. Information is subject to change.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Apple Health members and BHSO members get these behavioral health and substance use disorder beneﬁts: • Evaluation and assessment • Medication management and monitoring • Individual and group counseling • Peer support • Family counseling • Education about mental health, treatments and medications • Rehab case management • Withdrawal management (detox) • Opiate replacement treatment • Case management • Substance use disorder treatment services • And more

To learn more about your beneﬁts, go to UHCCommunityPlan.com.

If you have an emergency, call 911 for help, or go to the nearest emergency room.

Member Services 1-877-542-8997, TTY 711

Our oﬃce is closed on these major holidays: New Year's Day (observed) Labor Day Martin Luther King Jr. Day Thanksgiving Day Memorial Day Day after Thanksgiving Independence Day Christmas Day (observed)

Language assistance services, including interpreters and translation of printed materials, are available free of charge. Call 1-877-542-8997, TTY 711.

Si necesita ayuda para traducir o entender este texto, llame al teléfono 1-877-542-8997, TTY 711.

UHCCommunityPlan.com CSWA.15.999.21.9.007

How to use this directory

Choosing a Primary Care Physician (PCP)

Apple Health members need a primary care provider (PCP). There are several types of PCPs in this directory. Each covered family member may choose a diﬀerent PCP in UnitedHealthcare Community Plan. Except in an emergency, your PCP and staﬀ will give or manage all your health care. This includes referrals to specialists. PCPs may be family or general practitioners, internists, pediatricians, or other providers approved by UnitedHealthcare Community Plan.

Changing your PCP

If you want to change your PCP, call Member Services. They will help you pick a new PCP. You may change your PCP during the year. You may also contact a provider to ﬁnd out if the provider contracts with UnitedHealthcare Community Plan. When you call, be sure to mention UnitedHealthcare Community Plan. Ask if the provider is taking new patients.

Seeing another doctor or specialist

Your PCP might want you to go to a specialist. A specialist is a doctor who treats a special problem, like a dermatologist or a heart doctor. Your doctor will help you ﬁnd the right specialist. If you have a complex illness, you may need to see the specialist many times. You may see your specialist as often as needed. If you have complex care needs, a specialist can be your PCP. If you need this, call Member Services. We will help you ﬁnd a specialist who can meet your needs.

Women's health care services

If you are female, you may want to see a provider in our network who oﬀers women's health care. You can get these services from an in-network women's health care provider without a PCP referral.

These women's health services are covered without a PCP referral or health plan preauthorization: • Maternity care, including prenatal, delivery, and postnatal care • Routine gynecological exams • Examination and treatment of disorders of the female reproductive system • Other health problems treated during a woman's health care visit, if the treatment is within the provider's scope of practice and the service is not excluded

If you need to see a women's health provider who is not in our network, you must get a referral from your PCP. UHCCommunityPlan.com CSWA.15.999.21.9.007

Behavioral health services

As a UnitedHealthcare Community Plan member, you're eligible for behavioral health services, including mental health and substance use disorder treatment services. Mental health providers are listed in this provider directory. They can help you with personal problems that may aﬀect you and/or your family. These problems may be stress, depression, anxiety or using drugs or alcohol.

Apple Health members get behavioral health or substance use disorder treatment services through any of the below: • Your primary care provider (PCP) • A Community Mental Health Center or substance use disorder agency • Another behavioral health provider

Talk to your PCP today about any health or behavioral health problems you have. Your PCP will refer you to a behavioral health provider with UnitedHealthcare Community Plan. They can refer you to specialists, and other facilities, such as hospitals and substance use and treatment services. Your PCP will stay involved with you through the stages of recovery: Health, Home, Purpose and Community.

Apple Health members and Behavioral Health Services Only members get these behavioral health and substance use disorder beneﬁts: • Evaluation and assessment • Medication management and monitoring • Individual and group counseling • Peer support • Family counseling • Substance use disorder services • Education about mental health, treatments and medications • Rehab case management • Withdrawal management (detox) • Opiate replacement treatment • Case management • And more

You don't need a referral from your PCP to see behavioral health specialists in your plan. There are some treatments and services that need preapproval before you can get them. To learn more, talk to your doctor.

UHCCommunityPlan.com CSWA.15.999.21.9.007

What if I have a behavioral health crisis?

Crisis services If you think you have an emergency, no matter where you are, call 911 or go to the nearest hospital location where emergency providers can help you. As soon as possible, call your doctor or behavioral health provider to arrange for follow-up care after the emergency is over.

Mental health crisis If you or someone you know is experiencing a mental health crisis, call the number listed below for the applicable county.

A mental health crisis is a moment when someone's behavior can put themselves or others in danger, especially if they do not get help.

Some examples of a mental health crisis are: • Threatens to or talks about hurting or killing themselves • Feels like there is no way out, trapped • Threatens to harm others • Increases alcohol or drug use • Feels rage or uncontrolled anger • Feels anxious, agitated or unable to sleep • Encounters dramatic mood changes • Sees no reason for living

Grant County – Beacon Health Options ...... 1-800-852-2923, TTY 855-644-7361 Grays Harbor County – Great Rivers BHO ...... 1-800-803-8833 Island County – North Sound BHASO ...... 1-800-584-3578 Jeﬀerson County – Salish BHO ...... 1-888-910-0416 King County – Crisis Connections ...... 1-866-427-4747 or 206-461-3222 Kitsap County – Salish BHO ...... 1-888-910-0416 Kittitas County – Greater Columbia BHASO ...... 1-888-544-9986 Klickitat County – Beacon Health Options ...... 1-800-626-8137, TTY 866-835-2755 Lewis County – Great Rivers BHO ...... 1-800-803-8833 Lincoln County – Regional Behavioral Health ...... 1-877-266-1818 Mason County – Thurston-Mason BHO ...... 1-800-270-0041 or 1-360-754-1338 Okanogan County – Beacon Health Options ...... 1-800-852-2923, TTY 855-644-7361 Paciﬁc County – Great Rivers BHO ...... 1-800-803-8833 Pend Oreille County – Regional Behavioral Health ...... 1-877-266-1818 Pierce County – Beacon Health Options ...... 1-800-576-7764, TTY 711 San Juan County – North Sound BHASO ...... 1-800-584-3578 Skagit County – North Sound Community Crisis Line ...... 1-800-584-3578 and 1-800-747-8654 Skamania County – Beacon Health Options ...... 1-800-626-8137, TTY 866-835-2755 Snohomish County – North Sound Community Crisis Line ...... 1-800-584-3578 and 1-800-747-8654 Spokane County – Regional Behavioral Health ...... 1-877-266-1818 Stevens County – Regional Behavioral Health ...... 1-877-266-1818 Thurston County – Thurston-Mason BHO ...... 1-800-270-0041 or 1-360-754-1338 Wahkiakum County – Great Rivers BHO ...... 1-800-803-8833 Walla Walla County – Greater Columbia BHASO ...... 1-888-544-9986 Whatcom County – North Sound Community Crisis Line ...... 1-800-584-3578 and 1-800-747-8654 Whitman County – Greater Columbia BHASO ...... 1-888-544-9986 Yakima County – Greater Columbia BHASO ...... 1-888-544-9986

UHCCommunityPlan.com CSWA.15.999.21.9.007

Here are additional behavioral health services and crisis intervention contacts: For a State Crisis Lines directory, visit ...... https://www.hca.wa.gov/mental-health-crisis-lines#crisis-lines Washington Recovery Help Line ...... 1- 866 -789 -1511 Online ...... http://www.waRecoveryHelpLine.org Teen Link ...... 1-866-833-6546 Online ...... http://www.866teenlink.org/ Suicide Prevention ...... 1-800-273-8255 TTY users ...... 1-800-799-4TTY (4889) Online ...... http://www.suicidepreventionlifeline.org/

Out-of-network providers

You or your PCP might decide that you need to see a doctor or provider that is not in our network. Your PCP will need to call us for an okay for these services before they will be covered. This is called a Prior Authorization.

Pharmacy

For locations of pharmacies, call Member Services at 1-877-542-8997, TTY 711. Behavioral Health Services Only members will have access to their pharmacy beneﬁt through their medical carrier.

What if I need medical care when I am out of town?

We will pay for routine care out-of-area only if: • You need to obtain family planning services. You can self-refer to in-network or out-of-network providers. • You call your PCP ﬁrst and he or she says that it is important that you get care before you return home • Your PCP must then call us to get approval • If you do not speak to your PCP before you get routine care when you are away from home, you may have to pay for care yourself. If you cannot reach your PCP, call Member Services. • Any doctor you see must agree to accept Washington Medicaid payment as payment in full

This means if you or your family members are on vacation and need routine care, we will pay only if you get our approval ﬁrst. If you need emergency care when you are out of town, go immediately to the nearest Emergency Room (ER) or urgent care facility. You do not need a referral from your PCP. Call your PCP as soon as you can after getting ER or urgent care services.

UHCCommunityPlan.com CSWA.15.999.21.9.007

No medical coverage outside of the United States

Any health care services you get while out of the country will not be covered by UnitedHealthcare Community Plan. Medicaid cannot pay for any medical services you get outside of the United States.

Language help

We can give you member materials in a language or format that is easier for you to understand. We have interpreters if your doctor does not speak your language. This is free when you talk to us or your doctors. If you do not speak English and need help, call Member Services at 1-877-542-8997, TTY 711.

Emergency care

In an emergency, you do not need a prior authorization. Call 911 or go to the nearest emergency room. You can get emergency care 24 hours a day, 7 days a week.

Reporting incorrect information

To report incorrect information, email [email protected].

This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) data elements identiﬁed on the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider's oﬃce to verify all directory demographic data.

Individuals can also report potential inaccuracies via phone. UnitedHealthcare Community Plan members should call the number on the back of their member ID card. Non-UnitedHealthcare Community Plan members can call 1-888-638-6613.

Providers should use the UHC Provider Portal at UHCProvider.com or use the upgraded My Practice Proﬁle on Link. Contractual issues should be addressed through your UnitedHealthcare Community Plan Network contact.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Sample provider listings

Primary Care Physicians

Family practice: Adults and children

Internal medicine: Adults

Pediatrician: Children

To find a provider, go to the table of contents and find the listing for your county. The providers are listed by their specialty. When you find the specialty you want, go to the page listed. Then you can pick the provider who meets your needs. Members may get care from a resident physician or a certified registered nurse practitioner under the supervision of a PCP.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Description of provider listings

Sample provider and hospital listings are listed below: 1. Board certification Board certification shows a physician's expert knowledge in a medical specialty. Certification involves a process of testing and evaluation by specialists in the specific area of medicine. A boardcertified specialist participates in continuing education to learn about the latest advances in medical science and technology in his/her specialty. You can check the provider's board certifications on the American Board of Medical Specialists (ABMS) website. Go to www.abms.org and click on “Is Your Doctor Certified?” 2. Languages other than English spoken by the provider. 3. A list of hospitals the provider uses. 4. Limitations of the practice. An example is Closed Panel (not accepting new patients). 5. Wheelchair picture tells you the provider is wheelchair-accessible.

Provider listing

Listing: Example:

Provider name John Smith, MD 5 Address 123 Main Street Health Valley, WA 54321 Phone number 222-222-2222 1 Board certification Board Certified: Family 2 Languages Spanish 3 Hospital affiliations Palmetto Health Richland Palmetto Health Baptist 4 Limitations Closed Panel

Hospital listing

Hospital name GoodCare Hospital

Hospital address 123 Main Street Health Valley, WA 54321

Hospital phone number 222-222-2222

UnitedHealthcare veriﬁes this information when these providers join our network and every three years (or sooner) when the provider is re-credentialed.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Bienvenido a UnitedHealthcare Community Plan

Bienvenido

Este directorio le ayudará a encontrar los doctores y hospitales en su área que trabajan con el UnitedHealthcare Community Plan en Washington. Nosotros trabajamos con Médicos de Atención Primaria (PCPs), hospitales, especialistas, proveedores de salud conductual y otros proveedores para cubrir sus necesidades de salud. Somos socios en su plan de salud con la Health Care Authority (HCA). Los cuidados de salud para usted serán provistos por doctores que se encuentran dentro de nuestra red. Usted puede consultar la lista de nuestros proveedores acudiendo a la red al sitio UHCCommunityPlan.com o myuhc.com/CommunityPlan. Si usted requiere de ayuda para encontrar a un doctor o en cómo usar este directorio, llame a Servicios para Miembros al número abajo anotado. Con mucho gusto le ayudaremos.

Nosotros proporcionamos los programas de Washington Apple Health y Behavioral Health Services Only (BHSO).

La cobertura de Apple Health incluye servicios de salud física y conductual.

Los miembros de BHSO reciben atención de salud física a través de uno de los siguientes: • Medicare o seguro de salud privado • Centros de salud para nativos americanos Beneﬁcios de atención de salud conductual

Los miembros de Apple Health reciben atención de salud conductual o servicios de tratamiento para los trastornos por el uso de sustancias a través de cualquiera de los siguientes: • Su proveedor de atención primaria (PCP) • Un Centro comunitario de salud mental o una agencia para el trastorno del uso de sustancias • Otro proveedor de trastornos de salud conductual o uso de sustancias

La información acerca de los proveedores anotados en este directorio está vigente hasta la fecha anotada en la cubierta. Esta información está sujeta a cambios.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Los miembros de Apple Health y los miembros de BHSO obtienen estos beneﬁcios de salud conductual y de trastorno por el uso de sustancias: • Evaluación y asesoramiento • Manejo y monitoreo de medicamentos • Asesoramiento individual y grupal • Apoyo de los compañeros • Asesoramiento familiar • Educación sobre salud mental, tratamientos y medicamentos • Manejo de casos de rehabilitación • Manejo de desintoxicación • Tratamiento de reemplazo opiáceo • Manejo de casos • Servicios de tratamiento para el trastorno del uso de sustancias • Y más

Para obtener más información acerca de sus beneﬁcios, vaya a UHCCommunityPlan.com.

Si tiene una emergencia, llame al 911 para obtener ayuda o acuda a la sala de emergencias más cercana.

Servicios para Miembros 1-877-542-8997, TTY 711

Nuestra oﬁcina está cerrada en estos días feriados importantes: Día de Año Nuevo (observado) Día del Trabajo Día de Martin Luther King Jr. Día de Acción de Gracias Día de los Caídos (Memorial Day) Día después de Acción de Gracias Día de la Independencia Navidad (observado)

Los servicios de asistencia lingüística, incluidos los intérpretes y la traducción de materiales impresos, están disponibles sin cargo. Llame al 1-877-542-8997, TTY 711.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Cómo se debe emplear este directorio

Para escoger a un doctor de atención primaria (PCP, Primary Care Physician)

Los miembros de Apple Health necesitan un proveedor de atención primaria (PCP). Hay varios tipos de PCP en este directorio. Cada uno de los miembros de la familia puede escoger a un PCP diferente en UnitedHealthcare Community Plan. Con la excepción de emergencias, su PCP y el personal que le asiste le proporcionarán o le ayudarán al manejo de cuidados de su salud. Esto incluye referencias a especialistas que usted pueda necesitar. Los PCPs pueden ser médicos familiares o doctores en medicina general, internistas, pediatras o cualquier otro tipo de proveedor que sea aprobado por el UnitedHealthcare Community Plan.

Para cambiar su PCP

Si usted desea cambiar a su PCP, llame a Servicios para Miembros. Ahí le ayudarán a escoger a un nuevo PCP. Usted puede cambiar de PCP en cualquier momento del año. Usted también puede llamar a cualquier proveedor y preguntar si tiene un contrato con UnitedHealthcare Community Plan. Cuando usted llame, asegúrese de mencionar UnitedHealthcare Community Plan. También pregunte si el proveedor está tomando nuevos pacientes.

Para consultar con otro doctor o especialista

Es posible que su PCP quiera que usted consulte con un especialista. Un especialista es un doctor que trata problemas médicos especiales, como un dermatólogo o un doctor para el corazón. Su doctor le ayudará a encontrar el especialista correcto que necesita. Si usted tiene una enfermedad compleja, es posible que sea necesario que vea un especialista muchas veces. Usted puede ver el especialista tan a menudo como sea necesario. Si su caso requiere de cuidados complejos, el especialista puede ser su PCP. Si eso es lo que se requiere, usted puede llamar a Servicios Para Miembros. Nosotros le ayudaremos a encontrar un especialista que pueda satisfacer sus necesidades.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Servicios para los cuidados de salud para la mujer

Si usted como mujer quiere ser examinada por un proveedor de nuestra red que ofrezca cuidados de salud para mujeres, usted puede obtener esos servicios sin necesidad de ser referida a ellos por un PCP.

Esos servicios de salud para mujeres que se cubren sin necesidad de una referencia de un PCP o sin necesidad de una preautorizacion del plan de salud son: • Cuidados de maternidad, incluyendo los prenatales, parto y cuidados de postparto • Exámenes de rutina ginecológicos • Examen y tratamientos de problemas del sistema reproductor femenino • Otros problemas de salud que se han observado durante las consultas para los cuidados de salud femeninas, si el tratamiento se encuentra dentro de la esfera de acción del proveedor y si ese servicio no está excluido

Si usted necesita consultar con un proveedor de salud para la mujer que no se encuentre dentro de nuestra red, usted debe obtener una referencia de parte de su PCP.

Servicios de salud conductual

Como miembro de UnitedHealthcare Community Plan, usted es elegible para los servicios de salud conductual, incluyendo los servicios de salud mental y tratamiento para trastornos del uso de sustancias. Los proveedores de salud mental se enumeran en este directorio de proveedores. Pueden ayudarlo con problemas personales que pueden afectarlo a usted y/o a su familia. Estos problemas pueden ser estrés, depresión, ansiedad o consumo de drogas o alcohol.

Los miembros de Apple Health reciben atención de salud conductual o servicios de tratamiento para trastorno por el uso de sustancias a través de cualquiera de los siguientes: • Su proveedor de atención primaria (PCP) • Un Centro comunitario de salud mental o una agencia para el trastorno del uso de sustancias • Otro proveedor de salud conductual

Hable con su PCP hoy mismo sobre cualquier problema de salud o de salud conductual que tenga. Su PCP lo derivará a un proveedor de salud conductual de UnitedHealthcare Community Plan. Pueden derivarlo a especialistas y a otras instalaciones, como hospitales y servicios de tratamiento y uso de sustancias. Su PCP se mantendrá involucrado con usted durante las etapas de recuperación: Salud, Hogar, Propósito y Comunidad.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Los miembros de Apple Health y los miembros de Servicios de salud conductual solo obtienen estos beneﬁcios de salud conductual y trastorno por abuso de sustancias: • Evaluación y asesoramiento • Manejo y monitoreo de medicamentos • Asesoramiento individual y grupal • Apoyo de los compañeros • Asesoramiento familiar • Servicios para el trastorno del uso de sustancias • Educación sobre salud mental, tratamientos y medicamentos • Manejo de casos de rehabilitación • Manejo de desintoxicación • Tratamiento de reemplazo opiáceo • Manejo de casos • Y más

No necesita una referencia de su PCP para ver especialistas en salud conductual en su plan. Existen algunos tratamientos y servicios que requieren preaprobación antes de poder obtenerlos. Para obtener más información, hable con su médico.

¿Qué pasa si tengo una crisis de salud conductual?

Servicios de crisis Si cree que tiene una emergencia, sin importar dónde se encuentre, llame al 911 o vaya al hospital más cerca donde los proveedores de emergencia puedan ayudarlo. Tan pronto como sea posible, llame a su médico o proveedor de salud conductual para coordinar los cuidados de seguimiento una vez que la emergencia haya terminado.

Crisis de salud mental Si usted o alguien que usted conoce está experimentando una crisis de salud mental, llame al número que ﬁgura a continuación para el condado correspondiente.

Una crisis de salud mental es un momento en que la conducta de alguien puede poner a los demás en peligro, especialmente si no reciben ayuda.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Algunos ejemplos de crisis de salud mental son: • Amenaza o habla de lastimarse o suicidarse • Siente que no hay salida, atrapado • Amenaza dañar a otros • Aumenta el uso de alcohol o drogas • Siente ira o ira incontrolada • Se siente ansioso, agitado o no puede dormir • Cambios de humor dramáticos • No ve razón para vivir

Adams County – Regional Behavioral Health ...... 1-877-266-1818 Asotin County – Greater Columbia BHASO...... 1-888-544-9986 Benton County – Greater Columbia BHASO ...... 1-888-544-9986 Chelan County – Beacon Health Options ...... 1-800-852-2923, TTY 855-644-7361 Clallam County – Salish BHO ...... 1-888-910-0416 Clark County – Beacon Health Options ...... 1-800-626-8137, TTY 866-835-2755 Columbia County – Greater Columbia BHASO ...... 1-888-544-9986 Cowlitz County – Great Rivers BHO ...... 1-800-803-8833 Douglas County – Beacon Health Options ...... 1-800-852-2923, TTY 855-644-7361 Ferry County – Regional Behavioral Health ...... 1-877-266-1818 Franklin County – Greater Columbia BHASO ...... 1-888-544-9986 Garﬁeld County – Greater Columbia BHASO ...... 1-888-544-9986 Grant County – Beacon Health Options ...... 1-800-852-2923, TTY 855-644-7361 Grays Harbor County – Great Rivers BHO ...... 1-800-803-8833 Island County – North Sound BHASO ...... 1-800-584-3578 Jeﬀerson County – Salish BHO ...... 1-888-910-0416 King County – Crisis Connections ...... 1-866-427-4747 o 206-461-3222 Kitsap County – Salish BHO ...... 1-888-910-0416 Kittitas County – Greater Columbia BHASO ...... 1-888-544-9986 Klickitat County – Beacon Health Options ...... 1-800-626-8137, TTY 866-835-2755

UHCCommunityPlan.com CSWA.15.999.21.9.007

Lewis County – Great Rivers BHO ...... 1-800-803-8833 Lincoln County – Regional Behavioral Health ...... 1-877-266-1818 Mason County – Thurston-Mason BHO ...... 1-800-270-0041 o 1-360-754-1338 Okanogan County – Beacon Health Options ...... 1-800-852-2923, TTY 855-644-7361 Paciﬁc County – Great Rivers BHO ...... 1-800-803-8833 Pend Oreille County – Regional Behavioral Health ...... 1-877-266-1818 Pierce County – Beacon Health Options ...... 1-800-576-7764, TTY 711 San Juan County – North Sound BHASO ...... 1-800-584-3578 Skagit County – North Sound Community Crisis Line ...... 1-800-584-3578 y 1-800-747-8654 Skamania County – Beacon Health Options ...... 1-800-626-8137, TTY 866-835-2755 Snohomish County – North Sound Community Crisis Line ...... 1-800-584-3578 y 1-800-747-8654 Spokane County – Regional Behavioral Health ...... 1-877-266-1818 Stevens County – Regional Behavioral Health ...... 1-877-266-1818 Thurston County – Thurston-Mason BHO ...... 1-800-270-0041 o 1-360-754-1338 Wahkiakum County – Great Rivers BHO ...... 1-800-803-8833 Walla Walla County – Greater Columbia BHASO ...... 1-888-544-9986 Whatcom County – North Sound Community Crisis Line ...... 1-800-584-3578 y 1-800-747-8654 Whitman County – Greater Columbia BHASO ...... 1-888-544-9986 Yakima County – Greater Columbia BHASO ...... 1-888-544-9986

Aquí hay otros servicios de salud conductual y contactos de intervención en caso de crisis: Para un directorio de Líneas de Crisis estatales, visite ...... https://www.hca.wa.gov/mental-health-crisis-lines#crisis-lines Línea de ayuda de recuperación de (Washington Recovery Help Line) ...... 1- 866 -789 -1511 Internet ...... http://www.waRecoveryHelpLine.org Teen Link ...... 1-866-833-6546 Internet ...... http://www.866teenlink.org/ Prevención de suicidio ...... 1-800-273-8255 Usuarios de TTY ...... 1-800-799-4TTY (4889) Internet ...... http://www.suicidepreventionlifeline.org/

UHCCommunityPlan.com CSWA.15.999.21.9.007

19 Proveedores fuera de nuestra red

Usted o su PCP pueden decidir que usted necesita consultar con un doctor o un proveedor de salud que no se encuentra dentro de nuestra red. Su proveedor necesitará llamarnos para que nosotros autoricemos estos servicios antes de poder cubrirlos. A esto se le llama “Autorización Previa”.

Farmacia

Para conocer la ubicación de farmacias, llame al Servicios para Miembros al 1-877-542-8997, TTY 711. Los miembros de Servicios de Salud Conductual Solo (Behavioral Health Services Only) tendrán acceso a sus beneﬁcios de farmacia a través de su seguro médico.

¿Qué pasa si necesito atención médica cuando estoy fuera de la ciudad?

Nosotros cubriremos el costo de cuidados de salud de rutina en sitios fuera de su área solamente si: • Usted necesita obtener servicios de planiﬁcación familiar. Puede auto referirse a proveedores dentro o fuera de la red. • Usted llama primero a su PCP y él o ella dice que es importante que usted reciba tratamiento antes de que retorne a su casa • Su PCP entonces debe llamarnos para obtener aprobación • Si usted no se comunica con su PCP antes de obtener cuidados de salud de rutina cuando se encuentra fuera de su área, es posible que usted tenga que cubrir el costo de estos servicios. Si usted no puede comunicarse con su PCP, llame a Servicios para Miembros. • Cualquier doctor con el que consulte tiene que estar de acuerdo con aceptar el pago de Washington Medicaid como pago total

Eso signiﬁca que si usted o cualquier miembro de su familia se encuentran de vacaciones y necesitan de cuidados rutinarios de salud, nosotros pagaremos por ellos solamente si usted obtiene una autorización. Si usted requiere de servicios de emergencia cuando se encuentre fuera de la ciudad, acuda inmediatamente a la sala de emergencias (ER) o centro de cuidados de urgencia más cercana. Usted no necesita ser referido por su PCP. Llame a su PCP en cuanto sea posible después de obtener asistencia de los servicios de emergencia o cuidados urgentes.

No hay cobertura médica fuera de los Estados Unidos

Cualquier servicio médico que usted reciba mientras se encuentre fuera de los Estados Unidos no será cubierto por UnitedHealthcare Community Plan. Medicaid no puede pagar por los servicios médicos que usted reciba cuando se encuentre fuera de los Estados Unidos.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Ayuda con el idioma

Nosotros podemos proporcionarle información acerca de su membrecía en un idioma o formato que usted entienda con mayor facilidad. Tenemos intérpretes si su doctor no habla su idioma. Este servicio es gratuito cuando usted habla con nosotros o con sus doctores. Si usted no habla inglés y necesita ayuda, llame a Servicios para Miembros al 1-877-542-8997, TTY 711.

Servicios de emergencia

En una emergencia usted no necesita solicitar previa autorización. Llame al 911 o acuda a la sala de emergencias más cercana. Usted puede obtener servicios de emergencia las 24 horas del día, los 7 días de la semana.

Informar información incorrecta

Para informar información incorrecta, envíe un correo electrónico a provider_directory_invalid_ [email protected].

Este buzón de correo electrónico es para que los miembros informen posibles inexactitudes en los elementos de datos demográficos (dirección, teléfono, etc.) identificados en los directorios en línea o impresos. Informar problemas a través de este buzón de correo resultará en un acercamiento a la oficina del proveedor para verificar todos los datos demográficos del directorio.

Las personas también pueden informar posibles inexactitudes por teléfono. Los miembros de UnitedHealthcare Community Plan deben llamar al número que ﬁgura en el reverso de su tarjeta de identiﬁcación de miembro. Los miembros que no pertenecen a UnitedHealthcare Community Plan pueden llamar al 1-888-638-6613.

Los proveedores deben usar el Portal de proveedores de UHC en UHCProvider.com o usar el perﬁl actualizado de My Practice Proﬁle en Link. Para los problemas contractuales deben consultar con su contacto de la red de UnitedHealthcare Community Plan.

UHCCommunityPlan.com CSWA.15.999.21.9.007

21 Ejemplo de la lista de proveedor

Doctores de Atención Primaria

Medicina de familia: Adultos y niños

Medicina interna: Adultos

Pediatras: Niños

Para encontrar un proveedor, consulte los cuadros para encontrar su condado. Los proveedores se encuentran anotados de acuerdo a su especialidad. Cuando usted encuentre la especialidad que busca, vaya a la página indicada. Ahí, escoja al proveedor que llene sus necesidades. Los miembros podrán obtener asistencia por parte de médicos residentes o enfermeras practicantes certiﬁcadas bajo la supervisión de un PCP.

UHCCommunityPlan.com CSWA.15.999.21.9.007

Descripción de la lista de proveedores

Una lista con ejemplos de doctores y hospitales se anota a continuación: 1. Certificación de la Junta Certificación de la junta demuestra conocimiento experto de un médico en una especialidad médica. La certificación implica un proceso de prueba y evaluación por especialistas en el área específica de medicina. Un especialista certificado por la Junta participa en la educación continua para aprender acerca de los últimos avances en la ciencia médica y la tecnología en su especialidad. Usted puede comprobar las certificaciones de la Junta del proveedor en el sitio web de la Junta Americana de Especialistas Médicos (American Board of Medical Specialists – ABMS). Acuda al www.abms.org y haga clic en “¿Es su doctor certificado?” 2. Otros idiomas además del inglés que hable el proveedor. 3. Una lista de los hospitales con que el proveedor está afiliado. 4. Limitaciones de la práctica. Por ejemplo, un Panel cerrado (en donde no se aceptan nuevos pacientes). 5. Una fotografía de una silla de ruedas le indica que el proveedor ofrece acceso para pacientes en sillas de ruedas.

Lista de proveedores

Listado: Ejemplo:

Nombre del proveedor John Smith, MD 5 Dirección del proveedor 123 Main Street Health Valley, WA 54321 Teléfono del proveedor 222-222-2222 1 Certificación de la Junta Certificación de la Junta: Medicina familiar 2 Idiomas Español 3 Hospitales con que está afiliado Palmetto Health Richland Palmetto Health Baptist 4 Limitaciones Panel Cerrado

Listas de hospitales

Nombre del Hospital GoodCare Hospital Dirección del Hospital 123 Main Street Health Valley, WA 54321 Teléfono 222-222-2222

UnitedHealthcare veriﬁca esta información cuando los proveedores se unen a nuestra red y después se actualiza cada tres años (a veces más a menudo), cuando se acredita al proveedor. UHCCommunityPlan.com CSWA.15.999.21.9.007

UnitedHealthcare Community Plan complies with all Federal civil rights laws that relate to healthcare services. UnitedHealthcare Community Plan oﬀers healthcare services to all members without regard to race, color, national origin, age, disability, or sex. UnitedHealthcare Community Plan does not exclude people or treat them diﬀerently because of race, color, national origin, age, disability, or sex. This includes gender identity, pregnancy and sex stereotyping.

UnitedHealthcare Community Plan also complies with applicable state laws and does not discriminate on the basis of creed, gender, gender expression or identity, sexual orientation, marital status, religion, honorably discharged veteran or military status, or the use of a trained dog guide or service animal by a person with a disability.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608, Salt Lake City, UTAH 84130 [email protected]

You can call or write us about a complaint at any time. We will let you know we received your complaint within two business days. We will try to take care of your complaint right away. We will resolve your complaint within 45 calendar days and tell you how it was resolved.

If you need help with your complaint, please call 1-877-542-8997, TTY 711, 8 a.m. – 5 p.m., Monday – Friday.

You can also file a complaint with the U.S. Dept. of Health and Human Services. Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD) Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue SW, Room 509F, HHH Building Washington, D.C. 20201

If you need help with your complaint, please call 1-877-542-8997, TTY 711. We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call 1-877-542-8997, TTY 711, 8 a.m. – 5 p.m., Monday – Friday.

CSWA21MC4928007_000 CSWA.15.999.21.9.007

UnitedHealthcare Community Plan cumple con todos los requisitos de las leyes Federales de los derechos civiles relativas a los servicios de los cuidados para la salud. UnitedHealthcare Community Plan ofrece servicios para los cuidados de salud a todos los miembros sin distinción de su raza, color, origen nacional, edad, discapacidad o sexo. UnitedHealthcare Community Plan no excluye a personas ni les da un tratamiento diferente basado en su raza, color, origen nacional, edad, discapacidad o sexo. Esto incluye su identiﬁcación de sexo, su estado de embarazo o el estereotipo sexual que tengan.

UnitedHealthcare Community Plan también cumple con los requisitos de las leyes estatales pertinentes y no discrimina en base a sus creencias, sexo, expresión de sexo o identidad, orientación sexual, estado civil, religión, veterano dado de alta honorablemente o por su actual condición militar o por el empleo de perros o animales entrenados como guías o para servicios necesarios para una persona con una discapacidad.

Si usted piensa que ha sido tratado injustamente por razones como su sexo, edad, raza, color, discapacidad u origen nacional, puede enviar una queja a: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608, Salt Lake City, UTAH 84130 [email protected]

Usted puede llamarnos o escribirnos sobre una queja en cualquier momento. Le informaremos que recibimos su queja dentro de dos días hábiles. Trataremos de atender su queja de inmediato. Resolveremos su queja dentro de 45 días calendario y le informaremos cómo se resolvió.

Si usted necesita ayuda con su queja, por favor llame al 1-877-542-8997, TTY 711, de 8 a.m. a 5 p.m., de lunes a viernes.

Usted también puede presentar una queja con el Departamento de Salud y Servicios Humanos de los Estados Unidos. Internet: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Formas para las quejas se encuentran disponibles en: http://www.hhs.gov/ocr/oﬃce/ﬁle/index.html Teléfono: Llamada gratuita, 1-800-368-1019, 1-800-537-7697 (TDD) Correo: U.S. Department of Health and Human Services 200 Independence Avenue SW, Room 509F, HHH Building Washington, D.C. 20201

Si necesita ayuda para presentar su queja, por favor llame al 1-877-542-8997, TTY 711. Ofrecemos servicios gratuitos para ayudarle a comunicarse con nosotros. Tales como, cartas en otros idiomas o en letra grande. O bien, puede solicitar un intérprete. Para pedir ayuda, por favor llame al 1-877-542-8997, TTY 711, de 8 a.m. a 5 p.m., de lunes a viernes. CSWA.15.999.21.9.007

25 English: If the enclosed information is not in your primary language, please cEnallg lish:Unit edHealthcare Community Plan at 1-877-542-8997, If the enclosed information is not in your primary language, please TTY 711. call UnitedHealthcare Community Plan at 1-877-542-8997, TTY 711.

Hmong: Yog cov ntaub ntawv no tsis yog sau ua koj hom lus, thov hu rau UnitedHealthcare Community Plan ntawm 1-877-542-8997, TTY 711.

Samoan: Afai o fa’amatalaga ua tuuina atu e le’o tusia i lau gagana masani, fa’amolemole fa’afesoota’i mai le vaega a le UnitedHealthcare Community Plan ile telefoni 1-877-542-8997, TTY 711.

Russian: Если прилагаемая информация представлена не на Вашем родном языке, позвоните представителю UnitedHealthcare Community Plan по тел. 1-877-542-8997, телетайп 711.

Ukranian: Якщо інформацію, що додається, подано не Вашою рідною мовою, зателефонуйте представнику UnitedHealthcare Community Plan за телефоном 1-877-542-8997, телетайп 711.

Korean: 동봉한 안내 자료가 귀하의 모국어로 준비되어 있지 않으면 1-877-542-8997, TTY 711로 UnitedHealthcare Community Plan에 전화주십시오.

Romanian: Dacă informațiile alăturate nu sunt în limba dumneavoastră principală, vă rugăm să sunați la UnitedHealthcare Community Plan, la numărul 1-877-542-8997, TTY 711.

Amharic: ተያይዞ ያለው መረጃ በቋንቋዎ ካልሆነ፣ እባክዎ በሚከተለው ስልክ ቁጥር ወደ UnitedHealthcare Community Plan ይደውሉ፡1-877-542-8997፣መስማት ለተሳናቸው/TTY፡ 711

Tigrinya: ተተሓሒዙ ዘሎ ሓበሬታ ብቋንቋኹም እንተዘይኮይኑ፣ ብኽብረትኩም በዚ ዝስዕብ ቁጽሪ ስልኪ ናብ UnitedHealthcare Community Plan ደውሉ፡ 1-877-542-8997፣ ንፀማማት/TTY፡711

Spanish: Si la información adjunta no está en su lengua materna, llame a UnitedHealthcare Community Plan al 1-877-542-8997, TTY 711. CSWA.15.999.21.9.007

Lao: ຖ ້ າ ຂໍ ້ ມູ ນ ທີ ່ ຕິ ດ ຄັ ດ ມ າ ນ້ີ ບໍ ່ ແມ່ ນພາສາຕົ້ ນ ຕໍ ຂ ອ ງ ທ ່ າ ນ , ກະລຸ ນາໂທຫາ UnitedHealthcare Community Plan ທີ ່ ເ ບີ 1-877-542-8997, TTY:711.

Vietnamese: Nếu ngôn ngữ trong thông tin đính kèm này không phải là ngôn ngữ chánh của quý vị, xin gọi cho Unitedhealthcare Community Plan theo số 1-877-542-8997, TTY 711.

Traditional Chinese: 若隨附資訊的語言不屬於您主要使用語言，請致電 UnitedHealthcare Community Plan，電話號碼為 1-877-542-8997（聽障專線 (TTY) 為 711）

Khmer: បសនបរពត៌័ នែដល រមកបេនះមនដមនភ ែបមេប សូេម◌ូរស័ពទមកន់UnitedHealthcareCommunity Plan ប

លខ1-877-542-8997 បរអកថងTTY: 711។

Tagalog: Kung ang nakalakip na impormasyon ay wala sa iyong pangunahing wika, mangyaring tumawag sa UnitedHealthcare Community Plan sa 1-877-542-8997, TTY 711.

Farsi: ﺩﺭ ﺻﻭﺭﺕ ﺍﻳﻧﮑﻪ ﺍﻁﻼﻋﺎﺕ ﭘﻳﻭﺳﺕ ﺑﻪ ﺯﺑﺎﻥ ﺍﻭﻟﻳﻪ ﺷﻣﺎ ﻧﻣﻳﺑﺎﺷﺩ، ﻟﻁﻔﺎ ﺑﺎ UnitedHealthcare Community Plan ﺑﺎ ﺍﻳﻥ ﺷﻣﺎﺭﻩ ﺗﻣﺎﺱ ﺣﺎﺻﻝ ﻧﻣﺎﻳﻳﺩ: 8997-542-877-1 ﻭﺳﻳﻠﻪ ﺍﺭﺗﺑﺎﻁﯽ ﺑﺭﺍی ﻧﺎﺷﻧﻭﺍﻳﺎﻥ TTY: 711

CSWA.15.999.21.9.007

27 CSWA.15.999.21.9.007

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29 Table Of Contents

National Vendors ...... 31 Hospitals ...... 38 Primary Care Providers...... 39 Specialists...... 112 Behavioral Health Providers...... 266 Pediatric Behavioral Health Providers ...... 334 Behavioral Health Facilities...... 340 Vision...... 341 Pharmacy...... 345 Ancillary Providers...... 352 Highline Medical Service (HMS)...... 360 Northwest Physicians Network (NPN)...... 361 Areas of Expertise Index ...... 363 Index...... 373

IMPORTANT: Providers listed in this directory are current as of August 3, 2021. Information is subject to change. Please contact Member Services at 1-877-542-8997 or (TTY/TDD 711). CSWA.15.999.21.9.007

This page left intentionally blank. CSWA.15.999.21.9.007National Vendors

National Vendors The following national vendors are available to provide services to UnitedHealthcare customers throughout the United States regardless of where you receive the services.

Provider(s) Phone Number Website Cardiac Diagnostic - Cardiac monitoring services Medi-Lynx Cardiac Monitoring 1-855-847-0780 www.medilynx.com Cardiac Diagnostic - Cardiac Monitoring Services & Home INR Monitor/test strips CardioNet 1-888-312-2328 www.cardionet.com Dialysis DaVita Dialysis 1-866-475-7757 ext. www.davita.com 253706 Fresenius Medical Care 1-866-434-2597 www.fmcna.com DME - AED - wearable defibrillator ZOLL Lifecore 1-800-543-3267 www.zoll.com DME - Ambulatory Infusion Pumps InfuSystem Inc 1-800-962-9656 www.infusystem.com DME - Bone Growth Stimulator Bioventus 1-800-396-4325 www.bioventusglobal.com DJO 1-800-321-9549 www.djortho.com EBI 1-800-526-2579 www.biomet.com Orthofix 1-800-535-4492 www.orthofix.com DME - Breast pump purchase Byram Healthcare 1-877-902-9726 www.byramhealthcare.com Edgepark Medical Supplies 1-888-394-5375 www.edgepark.com Medline Industries 1-800-633-5463 www.medline.com DME - Cochlear Implant Replacement Parts Cochlear Americas 1-800-483-3123 Cochlearamericas.com DME - CPM/Continuous Passive Motion Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com DME - DME - Breast pump purchase AdaptHealth 855-406-7867 https://pcs.adapthealth.com/products/bre ast-pumps/ CSWA.15.999.21.9.007

Provider(s) Phone Number Website DME - DME Ostomy Supplies Urinary Catheters Mastectomy Prostheses and Bras (NO diabetic supplies) Liberator Medical Supply 1-888-244-0789 https://www.liberatormedical.com/ DME - Dynamic Splinting; Bracing & Orthotics Dynasplint Systems 1-800-638-6771 www.dynasplint.com DME - Incontinence, diapers, soft goods and wound care supplies Medline Industries 1-800-633-5463 www.medline.com DME - Mail order disposable medical supplies including Medicare-covered diabetic supplies (blood glucose monitors, test strips and lancets) Byram Healthcare 1-877-902-9726 www.byramhealthcare.com DME - Mobility products - custom/complex power wheelchairs and seating systems Numotion 1-888-232-1333 https://www.numotion.com/locations DME - Mobility products custom/complex power wheelchairs and seating systems National Seating & Mobility See website www.nsm-seating.com DME - Negative pressure wound pump and wound care surfaces KCI USA 1-800-275-4524 https://www.acelity.com/about-kci DME - Orthotics and Prosthetics Linkia Orthotics & Prosthetics 1-877-754-6542 www.linkia.com DME - Pnuematic Compression Devices Tactile Technology Systems 1-866-435-3948 www.tactilemedical.com DME - Respiratory high frequency chest compression oscillation system (vest) Advanced Respiratory 1-800-826-4224 https://respiratorycare.hill-rom.com/ Electromed 1-800-462-1045 www.smartvest.com RespirTech 1-800-793-1261 www.respirtech.com DME - Speech generating device Prentke Romich 1-800-268-5224 www.prentrom.com Tobii Dynavox Systems 1-800-344-1778 http://www.tobiidynavox.com/ DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, home PT/INR, negative pressure wound care, oxygen, respiratory Lincare - may be known See website www.lincare.com locally by a different name; refer to website DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, negative pressure wound care, oxygen, respiratory CSWA.15.999.21.9.007

Provider(s) Phone Number Website Apria Healthcare 1-800-277-4288 www.apria.com DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, oxygen, respiratory Rotech Healthcare - may be See website www.rotech.com known locally by a different name; refer to website DME - TENS units Zynex Medical 1-800-495-6670 www.zynexmed.com DME - Wound care supplies for residents of nursing homes Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com Home Health Innovative Senior Care See website www.brookdaleliving.com Maxim Health Care Services 1-800-899-9525 www.maximhomecare.com PSA Healthcare 1-770-441-1580 www.psahealthcare.com Home Infusion Basic Home Infusion 1-888-822-7428 www.basichomeinfusion.com Laboratory - Anatomic pathology - including dermatopathology Bako Integrated Physician 1-877-376-7284 www.bakocts.com Solutions Laboratory - Anatomic pathology - including dermatopathology, gastroenterology, genitourinary, hematology and gynecological pathology AmeriPath* 1-800-354-3449 www.ameripath.com Laboratory - Clinical Tribal Diagnostics 1-405-896-2978 www.tribaldiagnostics.com Laboratory - Clinical, pathology and genetic testing ARUP Labs 1-800-522-2787 www.aruplab.com BioReference Laboratories* 1-800-229-5227 www.bioreference.com Laboratory Corporation of 1-888-522-2677 (1-888- www.labcorp.com America* LABCORP) Lineagen, Inc 1-801-931-6200 www.lineagen.com Mayo Clinic Laboratories* 1-800-533-1710 www.mayomedicallaboratories.com Quest Diagnostics See website www.questdiagnostics.com Incorporated* Laboratory - Genetic testing Ambry Genetics 1-866-262-7943 www.ambrygen.com CSWA.15.999.21.9.007

Provider(s) Phone Number Website GeneDx 1-301-519-2100 www.genedx.com Natera, Inc 1-650-249-9090 www.natera.com Laboratory - Genetic testing (OncotypeDx) Genomic Health 1-888-662-6897 (1-888- www.genomichealth.com ONCOTYPE) Laboratory - Laboratory - Anatomic pathology - including dermatopathology, gastroenterology, genitourinary, hematology and gynecological pathology Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com Laboratory - Laboratory - Clinical Nationwide Laboratory 1-888-377-3522 www.nationwidelab.com Services Precision Diagnostics 1-800-635-6901 www.precisiondxlab.com Laboratory - Laboratory - Genetic testing Ariosa Diagnostics 1-855-927-4672 www.ariosadx.com Eurofins NTD, LLC 1-888-762-4000 www.perkinelmer.com Myriad Genetic Laboratories 1-800-469-7423 www.myriad.com NeoGenomics Laboratories, 1-866-776-5907 www.neogenomics.com Inc Laboratory - Laboratory - Genetic testing (Afirma) Veracyte 1-888-9AFIRMA www.veracyte.com Laboratory - Specialty genetic testing Invitae Corporation* 1-800-436-3037 www.invitae.com Laboratory - Therapeutic medication monitoring, drug testing Aegis Sciences Corporation 1-800-533-7052 www.aegislabs.com Millennium Health* 1-877-451-3534 www.milleniumlaboratories.com Other Specialty Services - Optical services - medical benefits only Shopko Eyecare 1-800-791-7333 www.shopko-optical.com Specialty Pharmacy Orsini Pharmaceutical 1-800-672-0869 www.orsinihealthcare.com Services Specialty Pharmacy - Behavioral Health Genoa Healthcare 1-800-519-1139 www.genoahealthcare.com Specialty Pharmacy - Limited Distribution Specialty Drugs CSWA.15.999.21.9.007

Provider(s) Phone Number Website Biologics 1-800-856-1984 www.biologicsinc.com Caremark 1-877-287-1234 www.cvsspecialty.com Specialty Pharmacy - Xiaflex, Brineura US Bioservices 1-888-518-7246 www.usbioservices.com Specialty Pharmacy and Home Infusion - Limited Distribution Drugs Option Care 1-866-827-8203 https://optioncarehealth.com Specialty Pharmacy and Home Infusion - Limited Distribution Drugs - Zolgensma, Luxturna Accredo 1-800-803-2523 www.accredo.com Urgent Care - In-Home Urgent Care Dispatch Health See website www.dispatchhealth.com Vaccine Program - Available at Retail Pharmacy or Worksite Clinic Harris Teeter See website www.harristeeter.com Vaccine Program - Vaccine Services - Influenza Shingles, Tdap, Varicella, TDAP (age 11 and up) Available at Retail Pharmacy or Worksite Clinic Safeway, Inc. (d/b/a Safeway, 1-877-723-3929 www.safeway.com Carrs, Pak'N Save, Pavilions, Randalls, Tom Thumb, Vons) Vaccine Program - Vaccine Services - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV, MMR, MMRV, Varicella, TDAP (age 11 and up) Available at Retail Pharmacy or Worksite Clinic CVS Pharmacy (d/b/a CVS 1-888-358-7468 www.cvs.com Pharmacy, Long’s Drug, CarePlus Pharmacy) Rite Aid Pharmacy 1-800-RITEAID / 1-800- www.riteaid.com 748-3243 The Kroger Co See website www.kroger.com United Supermarkets (d/b/a 1-877-276-9637 www.unitedsupermarkets.com United Supermarket, Albertsons Market, Amigos, Market Street) Vaccine Program - Vaccine Services - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV, MMR, MMRV, Varicella, TDAP (age 3 and up) Available at Retail Pharmacy or Worksite Clinic Kmart Pharmacy 1-800-349-0764 www.pharmacy.kmart.com Vaccine Program - Vaccine Services -Influenza, Pneumonia, Shingles,Tdap, Meningitis,Hepatitis B, HPV, TDAP (age 3 and up) Worksite Clinics and Retail locations CSWA.15.999.21.9.007

Provider(s) Phone Number Website Walgreens Immunization 1-800-925-4733 www.walgreens.com (d/b/a Walgreens, Duane Reade)

DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by your doctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IV infusion pump, oxygen equipment, nebulizer, and walker. HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel that can provide health care services in the home. Services include but are not limited to nursing visits for infusion services or wound care. LABORATORY means diagnostic testing including routine blood and urine analysis, anatomic pathology, surgical pathology, and specialty or esoteric services. SPECIALTY PHARMACY PROVIDER provides specific drug products directly to customers or physicians. WOMEN'S HEALTH is limited to home uterine monitoring services. CSWA.15.999.21.9.007

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Hospitals Washington - Thurston

Hospitals

Washington Providence St Peter Hospital

Provider ID: 000262756001 Mason NPI: 1346250594

413 Lilly Rd Ne Acute Care Hospital Olympia, WA 98506

(360) 493-7060 EB, P, R Mason General Hospital Provider ID: 000221529001 Providence St Peter Hospital NPI: 1760568752 Provider ID: 000262756001 901 Mountain View Dr NPI: 1346250594 Shelton, WA 98584 4800 College St Se Lacey, WA 98503 (360) 426-1611 EB, P, R Web address: www.masongeneral.c (800) 332-0465 EB, P, R om Web address: www.washington.pro vidence.org St Michael Medical Center Provider ID: 000291464003 Seattle Children's Hospital NPI: 1518912609 Provider ID: 000322620001 21 Ne Romance Hill Rd Ste 105 NPI: 1467536276 Belfair, WA 98528 615 Lilly Rd Ne Ste 140 Olympia, WA 98506 (360) 277-2975 EB, P, R Web address: www.chifranciscan.or (360) 459-5009 EB, P, R g Web address: seattlechildrens.org

Thurston

Acute Care Hospital

Multicare Capital Medical Center Provider ID: 002025317001 NPI: 1841258639 3900 Capitol Mall Dr Sw Olympia, WA 98502

(360) 754-5858 E, EB, G, IB, P, PL, R, RE, S, T Web address: capitalmedical.com

Multicare Capital Medical Center Provider ID: 002025317001 NPI: 1841258639 601 Mcphee Road Sw Bldg 2 Olympia, WA 98502

(360) 570-3018 EB, P, R Web address: capitalmedical.com

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Primary Care Providers

Washington Pavich, Deborah, NP, (F) Pavich, Deborah, NP, (F)

Group Name: Public Hospital Group Name: Public Hospital Mason District No 1 Of Mason C District No 1 Of Mason C

Provider ID: 007000669004 Provider ID: 007000669003 Advanced Registered Nurse NPI: 1255602199 NPI: 1255602199 Practitioner 1812 N 13th Loop Rd 2300 Kati Ct Ste C

Shelton, WA 98584 Shelton, WA 98584

Cowell, Marnie L, NP, (F) (360) 426-3862 EB, P, R (360) 426-8717 EB, P, R Group Name: Franciscan Medical Does Not Accept New Patients Does Not Accept New Patients Group Ages: 0-99 Ages: 0-99 Provider ID: 005224034019 NPI: 1528469004 Pavich, Deborah, NP, (F) Pavich, Deborah, NP, (F) 21 Ne Romance Hill Rd Ste 105 Group Name: Public Hospital Group Name: Public Hospital Belfair, WA 98528 District No 1 Of Mason C District No 1 Of Mason C Provider ID: 007000669005 Provider ID: 007000669006 (360) 277-2975 EB, P, R Ages: 0-99 NPI: 1255602199 NPI: 1255602199 Hospital Affiliations: 221 Professional Way 237 Professional Way Tacoma General Allenmore Shelton, WA 98584 Shelton, WA 98584 (360) 426-2500 E, EB, G, P, R, (360) 426-2500 EB, G, R, RE, S, Hansen, Thomas M, NP, (M) RE, S, T T Group Name: Franciscan Medical Does Not Accept New Patients Does Not Accept New Patients Group Ages: 0-99 Ages: 0-99 Provider ID: 002786699004 NPI: 1710030952 Pavich, Deborah, NP, (F) Pavich, Deborah, NP, (F) 21 Ne Romance Hill Rd Ste 105 Group Name: Public Hospital Group Name: Public Hospital Belfair, WA 98528 District No 1 Of Mason C District No 1 Of Mason C Provider ID: 007000669002 Provider ID: 007000669001 (360) 277-2975 EB, P, R Ages: 0-99 NPI: 1255602199 NPI: 1255602199 Hospital Affiliations: 2300 Kati Ct Ste A 24261 N Us Highway 101 Overlake Hospital Medical Center Shelton, WA 98584 Hoodsport, WA 98548 (360) 426-0955 E, EB, IB, P, R, (360) 432-7781 E, EB, G, IB, P, Kehl, Marian K, NP, (F) S, T PL, R, RE, S, T Group Name: Franciscan Medical Does Not Accept New Patients Does Not Accept New Patients Group Ages: 0-99 Ages: 0-99 Provider ID: 003415793014 NPI: 1447537337 21 Ne Romance Hill Rd Ste 105 Belfair, WA 98528

(360) 277-2975 EB, P, R Languages Spoken: Provider: German Ages: 0-99

= Wheelchair = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = THS/Telemedicine = 24-hour CSWA.15.999.21.9.007

Primary Care Providers Washington - Mason

Pavich, Deborah, NP, (F) Harvison, Sara M, FNP, (F) Bruce, Ann B, MD, (F) Group Name: Public Hospital Group Name: Franciscan Medical Group Name: Peninsula District No 1 Of Mason C Group Community Health Provider ID: 007000669007 Provider ID: 003518882015 Provider ID: 006474050005 NPI: 1255602199 NPI: 1750669081 NPI: 1225143670 939 Mountain View Dr 21 Ne Romance Hill Rd Ste 105 627 W Franklin St Shelton, WA 98584 Belfair, WA 98528 Shelton, WA 98584

(360) 427-9549 E, EB, G, IB, P, (360) 277-2975 EB, P, R (360) 377-3776 EB, P, R PL, R, RE, S, T Cultural Competency: Y Web address: www.pchsweb.org Does Not Accept New Patients Web address: www.kadlec.org Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Family Nurse Practitioner Sunnyside Community Hospital Swedish Medical Center

Kadlec Regional Medical Center Areas of Expertise: MAT1 Coots, David B, NP, (M)

Group Name: Franciscan Medical Family Practice Burris, Daniel J, MD, (M), B

Group Group Name: Hoodsport Family Provider ID: 005331063024 Bruce, Ann B, MD, (F) Clinic NPI: 1962738435 Group Name: Peninsula Provider ID: 006793262007 21 Ne Romance Hill Rd Ste 105 Community Health NPI: 1801277637 Belfair, WA 98528 Provider ID: 006474050014 1701 N 13th St

(360) 277-2975 EB, P, R NPI: 1225143670 Shelton, WA 98584 Cultural Competency: Y 31 Ne State Route 300 Ste 200 (360) 426-2653 E, EB, G, IB, P, Ages: 0-99 Belfair, WA 98528 PL, R, RE, S, T

(360) 377-3776 EB, P, R Does Not Accept New Patients Erickson, Mark S, NP, (M) M-F 7:30 AM-6:00 PM Ages: 0-99 Group Name: Franciscan Medical Web address: www.pchsweb.org Hospital Affiliations: Group Does Not Accept New Patients Mason General Hospital Provider ID: 007538749005 Ages: 0-99 NPI: 1295332286 Burris, Daniel J, MD, (M), B Hospital Affiliations: 21 Ne Romance Hill Rd Ste 105 Group Name: Hoodsport Family Swedish Medical Center Belfair, WA 98528 Clinic

(360) 277-2975 EB, P, R Provider ID: 006793262002 Ages: 0-99 NPI: 1801277637 1812 N 13th Loop Rd Shelton, WA 98584

(360) 426-3862 EB, P, R Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Mason General Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Burris, Daniel J, MD, (M), B Burris, Daniel J, MD, (M), B Cuevas, Darren M, DO, (M), B Group Name: Hoodsport Family Group Name: Hoodsport Family Group Name: Public Hospital Clinic Clinic District No 1 Of Mason C Provider ID: 006793262003 Provider ID: 006793262006 Provider ID: 006854486007 NPI: 1801277637 NPI: 1801277637 NPI: 1023497310 221 Professional Way 939 Mountain View Dr 1701 N 13th St Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 426-2500 E, EB, G, P, R, (360) 426-2653 (360) 426-2653 E, EB, G, IB, P, RE, S, T Does Not Accept New Patients PL, R, RE, S, T Does Not Accept New Patients Ages: 0-99 M-Sa 8:00 AM-5:00 PM Ages: 0-99 Hospital Affiliations: Web address: https://www.masonge Hospital Affiliations: Mason General Hospital neral.com/ Mason General Hospital Does Not Accept New Patients Burris, Daniel J, MD, (M), B Ages: 0-99 Burris, Daniel J, MD, (M), B Group Name: Hoodsport Family Hospital Affiliations: Group Name: Hoodsport Family Clinic Mason General Hospital Clinic Provider ID: 006793262005 Provider ID: 006793262004 NPI: 1801277637 Cuevas, Darren M, DO, (M), B NPI: 1801277637 939 Mt View Dr Group Name: Public Hospital 237 Professional Way Shelton, WA 98584 District No 1 Of Mason C

Shelton, WA 98584 (360) 426-2653 E, EB, G, IB, P, Provider ID: 006854486003

(360) 426-2500 EB, G, R, RE, S, PL, R, RE, S, T NPI: 1023497310 T Does Not Accept New Patients 1812 N 13th Loop Rd Does Not Accept New Patients Ages: 0-99 Shelton, WA 98584

Ages: 0-99 Hospital Affiliations: (360) 426-3562 EB, P, R Hospital Affiliations: Mason General Hospital Web address: www.masongeneral.c Mason General Hospital om Catausan, Michael T, MD, (M) Does Not Accept New Patients Burris, Daniel J, MD, (M), B Group Name: Healthy Schools Ages: 0-99 Group Name: Hoodsport Family Washington Hospital Affiliations: Clinic Provider ID: 003023917008 Mason General Hospital Provider ID: 006793262001 NPI: 1932326071 NPI: 1801277637 350 E University Ave 24261 N Us Highway 101 Shelton, WA 98584

Hoodsport, WA 98548 (904) 379-5997 EB, P, R

(360) 462-7781 E, EB, G, IB, P, Does Not Accept New Patients PL, R, RE, S, T Ages: 0-99 Web address: https://www.masonge Hospital Affiliations: neral.com/ Saint Lukes South Hospital Ages: 0-99 Hospital Affiliations: Mason General Hospital

Primary Care Providers Washington - Mason Does Not Accept New Patients Cuevas, Darren M, DO, (M), B Cuevas, Darren M, DO, (M), B Ages: 0-99 Group Name: Public Hospital Group Name: Public Hospital Hospital Affiliations: District No 1 Of Mason C District No 1 Of Mason C Mason General Hospital Provider ID: 006854486004 Provider ID: 006854486002 NPI: 1023497310 NPI: 1023497310 Dominguiano, Raul P, MD, (M), B 221 Professional Way 24261 N Us Highway 101 Group Name: Franciscan Medical Shelton, WA 98584 Hoodsport, WA 98548 Group

(360) 426-1611 E, EB, G, P, R, (360) 462-7781 E, EB, G, IB, P, Provider ID: 003093634004 RE, S, T PL, R, RE, S, T NPI: 1083731947 Web address: www.masongeneral.c Web address: www.masongeneral.c 21 Ne Romance Hill Rd om om Belfair, WA 98528

Does Not Accept New Patients Does Not Accept New Patients (360) 277-2950 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Harrison Medical Center St Michael Medical Center Cuevas, Darren M, DO, (M), B Cuevas, Darren M, DO, (M), B Group Name: Public Hospital Group Name: Public Hospital Dominguiano, Raul P, MD, (M), B District No 1 Of Mason C District No 1 Of Mason C Group Name: Franciscan Medical Provider ID: 006854486001 Provider ID: 006854486008 Group NPI: 1023497310 NPI: 1023497310 Provider ID: 003093634006 237 Professional Way 247 Professional Way NPI: 1083731947 Shelton, WA 98584 Shelton, WA 98584 21 Ne Romance Hill Rd Ste 105

(360) 426-2500 EB, G, R, RE, S, (360) 426-2653 EB, P, R Belfair, WA 98528

T Web address: www.masongeneral.c (360) 277-2975 EB, P, R Web address: www.masongeneral.c om Ages: 0-99 om Does Not Accept New Patients Hospital Affiliations: Does Not Accept New Patients Ages: 0-99 Harrison Medical Center Ages: 0-99 Hospital Affiliations: St Michael Medical Center Hospital Affiliations: Mason General Hospital Dropp, Lisa S, MD, (F) Mason General Hospital Cuevas, Darren M, DO, (M), B Group Name: Peninsula Group Name: Public Hospital Community Health District No 1 Of Mason C Provider ID: 005920726009 Provider ID: 006854486006 NPI: 1689834905 NPI: 1023497310 300 E Campus Dr 939 Mt View Dr Belfair, WA 98528

Shelton, WA 98584 (360) 377-3776 EB, P, R

(360) 426-2653 E, EB, G, IB, P, M-F 7:30 AM-4:00 PM PL, R, RE, S, T Web address: www.pchsweb.org M-Sa 8:00 AM-5:00 PM Does Not Accept New Patients Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Dropp, Lisa S, MD, (F) Hagerman, Rodney S, DO, (M), B Hansen, Thomas M, NP, (M) Group Name: Peninsula Group Name: The Doctors Clinic Group Name: Franciscan Medical Community Health Provider ID: 006261525005 Group Provider ID: 005920726011 NPI: 1831162940 Provider ID: 002786699004 NPI: 1689834905 21 Ne Romance Hill Rd Ste 105 NPI: 1710030952 31 Ne State Route 300 Ste 200 Belfair, WA 98528 21 Ne Romance Hill Rd Ste 105

Belfair, WA 98528 (360) 277-2975 EB, P, R Belfair, WA 98528

(360) 377-3776 EB, P, R Web address: www.nkfamilypractic (360) 277-2975 EB, P, R M-F 7:30 AM-6:00 PM e.com Ages: 0-99 Web address: www.pchsweb.org Ages: 0-99 Hospital Affiliations: Does Not Accept New Patients Overlake Hospital Medical Center Hamilton, Michelle D, DO, (F), B Ages: 0-99 Group Name: Mgh Shelton Havers, Courtenay N, MD, (F) Dropp, Lisa S, MD, (F) Family Medicine & Orthopedic Group Name: Franciscan Medical Group Name: Peninsula Provider ID: 006631213009 Group Community Health NPI: 1982084216 Provider ID: 002290174008 Provider ID: 005920726014 1701 N 13th St NPI: 1619913100 NPI: 1689834905 Shelton, WA 98584 21 Ne Romance Hill Rd Ste 105

627 W Franklin St (360) 426-2653 E, EB, G, IB, P, Belfair, WA 98528

Shelton, WA 98584 PL, R, RE, S, T (360) 277-2975 EB, P, R

(360) 377-3776 EB, P, R M 8:00 AM-5:30 PM Languages Spoken: Web address: www.pchsweb.org Tu,W,Th,F 8:00 AM-5:00 PM Provider: Spanish Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Areas of Expertise: MAT1 Harrison Medical Center Gambee, Carden K, DO, (M), B St Michael Medical Center Group Name: Franciscan Medical Hamilton, Michelle D, DO, (F), B Areas of Expertise: E112 Group Group Name: Mgh Shelton Provider ID: 006087112003 Family Medicine & Orthopedic In, Heung, DO, (M), B NPI: 1619218567 Provider ID: 006631213004 Group Name: Mgh Shelton 21 Ne Romance Hill Rd Ste 105 NPI: 1982084216 Family Medicine Belfair, WA 98528 939 Mountain View Dr Provider ID: 007466825006

(360) 277-2975 EB, P, R Shelton, WA 98584 NPI: 1215389515

Ages: 0-99 (360) 426-2653 P, PL, R, RE, S, 1701 N 13th St T, E, EB, G, IB Shelton, WA 98584

Does Not Accept New Patients (360) 426-2653 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Areas of Expertise: MAT1 Ages: 0-99 Hospital Affiliations: Mason General Hospital

Primary Care Providers Washington - Mason

In, Heung, DO, (M), B In, Heung, DO, (M), B Kwon, Andrew O, MD, (M), B Group Name: Mgh Shelton Group Name: Mgh Shelton Group Name: Mgh Shelton Family Medicine Family Medicine Family Medicine & Orthopedic Provider ID: 007466825002 Provider ID: 007466825001 Provider ID: 001744944008 NPI: 1215389515 NPI: 1215389515 NPI: 1326190448 24261 N Us Highway 101 939 Mountain View Dr Ste 100 1701 N 13th St Hoodsport, WA 98548 Shelton, WA 98584 Shelton, WA 98584

(360) 432-7781 E, EB, G, IB, P, (360) 427-0663 EB, P, R (360) 426-2653 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Web address: www.masongeneral.c Hospital Affiliations: Mason General Hospital om Mason General Hospital Does Not Accept New Patients Kwan, Trevor S, DO, (M) Ages: 0-99 In, Heung, DO, (M), B Group Name: Mason General Hospital Affiliations: Group Name: Mgh Shelton Hospital Mason General Hospital Family Medicine Provider ID: 007413363003 St Clare Hospital Provider ID: 007466825004 NPI: 1184144768 Areas of Expertise: MAT1 NPI: 1215389515 1701 N 13th St 247 Professional Way Shelton, WA 98584 Kwon, Andrew O, MD, (M), B

Shelton, WA 98584 (360) 426-2653 E, EB, G, IB, P, Group Name: Mgh Shelton

(360) 426-2653 EB, P, R PL, R, RE, S, T Family Medicine & Orthopedic Ages: 0-99 Does Not Accept New Patients Provider ID: 001744944002 Hospital Affiliations: Ages: 0-99 NPI: 1326190448 Mason General Hospital 939 Mountain View Dr Kwan, Trevor S, DO, (M) Shelton, WA 98584 In, Heung, DO, (M), B Group Name: Mason General (360) 426-2653 E, EB, G, IB, P, Group Name: Mgh Shelton Hospital PL, R, RE, S, T Family Medicine Provider ID: 007413363004 Does Not Accept New Patients Provider ID: 007466825005 NPI: 1184144768 Ages: 0-99 NPI: 1215389515 901 Mountain View Dr Hospital Affiliations: 901 Mountain View Dr Shelton, WA 98584 Mason General Hospital Shelton, WA 98584 (360) 426-3653 St Clare Hospital (360) 426-2653 Does Not Accept New Patients Areas of Expertise: MAT1 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Mason General Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Millard, Allen L, MD, (M), B Mower, Amie E, DO, (F), B Mower, Amie E, DO, (F), B Group Name: Public Hospital Group Name: Mgh Family Health Group Name: Mgh Family Health District No 1 Of Mason C Ankle And Foot Ankle And Foot Provider ID: 000791155010 Provider ID: 007171328008 Provider ID: 007171328002 NPI: 1669468351 NPI: 1235493784 NPI: 1235493784 1701 N 13th St 1701 N 13th St 237 Professional Way Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 426-2653 E, EB, G, IB, P, (360) 426-2653 E, EB, G, IB, P, (360) 426-2500 EB, G, R, RE, S, PL, R, RE, S, T PL, R, RE, S, T T Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Mason General Hospital Providence St Peter Hospital Mower, Amie E, DO, (F), B Mower, Amie E, DO, (F), B Millard, Allen L, MD, (M), B Group Name: Mgh Family Health Group Name: Mgh Family Health Group Name: Public Hospital Ankle And Foot Ankle And Foot District No 1 Of Mason C Provider ID: 007171328004 Provider ID: 007171328005 Provider ID: 000791155004 NPI: 1235493784 NPI: 1235493784 NPI: 1669468351 1812 N 13th Loop Rd 24261 N Us Highway 101 24261 N Us Highway 101 Shelton, WA 98584 Hoodsport, WA 98548

Hoodsport, WA 98548 (360) 426-3862 EB, P, R (360) 432-7781 E, EB, G, IB, P,

(360) 432-7781 E, EB, G, IB, P, Does Not Accept New Patients PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Does Not Accept New Patients Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Ages: 0-99 Mason General Hospital Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mower, Amie E, DO, (F), B Mason General Hospital Group Name: Mgh Family Health Mower, Amie E, DO, (F), B Providence St Peter Hospital Ankle And Foot Group Name: Mgh Family Health Millard, Allen L, MD, (M), B Provider ID: 007171328001 Ankle And Foot Group Name: Public Hospital NPI: 1235493784 Provider ID: 007171328009 District No 1 Of Mason C 221 Professional Way NPI: 1235493784 Provider ID: 000791155006 Shelton, WA 98584 247 Professional Way

NPI: 1669468351 (360) 426-2500 E, EB, G, P, R, Shelton, WA 98584

939 Mountain View Dr RE, S, T (360) 426-2653 EB, P, R Shelton, WA 98584 Does Not Accept New Patients Does Not Accept New Patients

(360) 426-2653 EB, P, R Ages: 0-99 Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Mason General Hospital Mason General Hospital Hospital Affiliations: Mason General Hospital Providence St Peter Hospital

Primary Care Providers Washington - Mason

Mower, Amie E, DO, (F), B Nhan, Tuyen T, DO, (F) Proudfoot, Jacqueline J, MD, (F), Group Name: Mgh Family Health Group Name: Franciscan Medical B Ankle And Foot Group Group Name: Peninsula Provider ID: 007171328006 Provider ID: 007072051007 Community Health NPI: 1235493784 NPI: 1275927832 Provider ID: 006514412013 939 Mountain View Dr 21 Ne Romance Hill Rd Ste 105 NPI: 1407261001 Shelton, WA 98584 Belfair, WA 98528 31 Ne State Route 300 Ste 200

(360) 426-2653 (253) 277-2975 EB, P, R Belfair, WA 98528

Does Not Accept New Patients Does Not Accept New Patients (360) 377-3776 EB, P, R Ages: 0-99 Ages: 0-99 M-F 7:30 AM-6:00 PM Hospital Affiliations: Web address: www.pchsweb.org Park, Yoojin, MD, (F), B Mason General Hospital Does Not Accept New Patients Group Name: Franciscan Medical Ages: 0-99 Mower, Amie E, DO, (F), B Group Hospital Affiliations: Group Name: Mgh Family Health Provider ID: 005600886007 Providence Redwood Memorial Ankle And Foot NPI: 1417212812 Hospital Provider ID: 007171328007 21 Ne Romance Hill Rd Ste 105 NPI: 1235493784 Belfair, WA 98528 Romascan, Christine, DO, (F), B

939 Mt View Dr (360) 277-2975 EB, P, R Group Name: Franciscan Medical Shelton, WA 98584 Web address: www.peacehealth.org Group

(360) 426-2653 E, EB, G, IB, P, Ages: 0-99 Provider ID: 002735263010 PL, R, RE, S, T Hospital Affiliations: NPI: 1811956923 Web address: https://www.masonge Peacehealth St John Medical 21 Ne Romance Hill Rd Ste 105 neral.com Center Belfair, WA 98528

Does Not Accept New Patients (360) 277-2975 EB, P, R Penoyar, Christopher W, DO, Ages: 0-99 Ages: 0-99 (M), B Hospital Affiliations: Hospital Affiliations: Group Name: Mgh Family Health Mason General Hospital Harrison Medical Center Ankle And Foot St Michael Medical Center Nguyen, Maria, MD, (F) Provider ID: 000765484001 Group Name: Franciscan Medical NPI: 1184627259 Group 1812 N 13th Loop Rd Provider ID: 005738163006 Shelton, WA 98584

NPI: 1629325568 (360) 426-3862 EB, P, R 21 Ne Romance Hill Rd Ste 105 Web address: www.masongeneral.c Belfair, WA 98528 om

(360) 277-2975 EB, P, R Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Nanticoke Memorial Hospital Mason General Hospital Providence St Peter Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Rubio-Reyes, Carlos, MD, (M), B Rubio-Reyes, Carlos, MD, (M), B Rubio-Reyes, Carlos, MD, (M), B Group Name: Mgh Family Health Group Name: Mgh Family Health Group Name: Mgh Family Health Ankle And Foot Ankle And Foot Ankle And Foot Provider ID: 006526634008 Provider ID: 006526634004 Provider ID: 006526634006 NPI: 1033525852 NPI: 1033525852 NPI: 1033525852 1701 N 13th St 24261 N Us Highway 101 939 Mountain View Dr Shelton, WA 98584 Hoodsport, WA 98548 Shelton, WA 98584

(360) 426-2653 E, EB, G, IB, P, (360) 432-7781 E, EB, G, IB, P, (360) 426-2653 PL, R, RE, S, T PL, R, RE, S, T Web address: www.masongeneral.c Web address: www.masongeneral.c Web address: www.masongeneral.c om om om Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Mason General Hospital Boone Hospital Center Boone Hospital Center Boone Hospital Center Rubio-Reyes, Carlos, MD, (M), B Rubio-Reyes, Carlos, MD, (M), B Rubio-Reyes, Carlos, MD, (M), B Group Name: Mgh Family Health Group Name: Mgh Family Health Group Name: Mgh Family Health Ankle And Foot Ankle And Foot Ankle And Foot Provider ID: 006526634007 Provider ID: 006526634005 Provider ID: 006526634009 NPI: 1033525852 NPI: 1033525852 NPI: 1033525852 939 Mt View Dr 1812 N 13th Loop Rd 247 Professional Way Shelton, WA 98584

Shelton, WA 98584 Shelton, WA 98584 (360) 426-2653 E, EB, G, IB, P,

(360) 426-3862 EB, P, R (360) 426-2653 EB, P, R PL, R, RE, S, T Web address: https://www.masonge Web address: www.masongeneral.c Web address: https://www.masonge neral.com/ om neral.com/ Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Mason General Hospital Boone Hospital Center Boone Hospital Center Boone Hospital Center

Primary Care Providers Washington - Mason

Saulitis, Mara V, MD, (F), B Skoblar, Eric, MD, (M), B Taseva, Adriana, MD, (F), B Group Name: Franciscan Medical Group Name: Skokomish Health Group Name: Peninsula Group Clinic Community Health Provider ID: 001331008008 Provider ID: 002448820007 Provider ID: 006472663009 NPI: 1134143209 NPI: 1770509036 NPI: 1821405762 21 Ne Romance Hill Rd Ste 105 100 N Tribal Center Rd 31 Ne State Route 300 Ste 200 Belfair, WA 98528 Skokomish Nation, WA 98584 Belfair, WA 98528

(360) 277-2975 EB, P, R (360) 426-5755 PL (360) 377-3776 EB, P, R Languages Spoken: Ages: 0-99 M-F 7:30 AM-6:00 PM Provider: Latvian, Spanish Hospital Affiliations: Web address: www.pchsweb.org Ages: 0-99 Ucsd Medical Center Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Spieker, Michael R, MD, (M) Southwestern Vermont Med Ctr Group Name: Franciscan Medical Taseva, Adriana, MD, (F), B Santa Rosa Memorial Hospital Group Group Name: Peninsula Providence Santa Rosa Memorial Provider ID: 002975184006 Community Health Hospital NPI: 1710968672 Provider ID: 006472663005 Cape Cod Hospital 21 Ne Romance Hill Rd NPI: 1821405762 Swedish Medical Center Belfair, WA 98528 627 W Franklin St Singh, Parminder, MD, (M), B (360) 277-2950 EB, P, R, RE, T Shelton, WA 98584

Group Name: Franciscan Medical Cultural Competency: Y (360) 377-3776 EB, P, R Group Accepting Existing Patients Only Web address: www.pchsweb.org Provider ID: 002738938011 Ages: 0-99 Does Not Accept New Patients NPI: 1336337153 Hospital Affiliations: Ages: 0-99 21 Ne Romance Hill Rd Ste 105 Harrison Medical Center Areas of Expertise: MAT1 Belfair, WA 98528 St Michael Medical Center Truesdale, Kelly A, DO, (F), B (360) 277-2975 EB, P, R Taseva, Adriana, MD, (F), B Group Name: Franciscan Medical Languages Spoken: Group Name: Peninsula Group Provider: Hindi, Panjabi, Community Health Provider ID: 003542641006 Russian, Urdu, Punjabi Provider ID: 006472663010 NPI: 1154618882 Cultural Competency: Y NPI: 1821405762 21 Ne Romance Hill Rd Ages: 0-99 300 E Campus Dr Belfair, WA 98528 Hospital Affiliations: Belfair, WA 98528 (360) 277-2950 EB, P, R, RE, T Tacoma General Allenmore (360) 377-3776 EB, P, R Ages: 0-99 M-F 7:30 AM-4:00 PM Hospital Affiliations: Web address: www.pchsweb.org Harrison Medical Center Does Not Accept New Patients St Michael Medical Center Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Valenzuela, Kristoffer, MD, (M), Federally Qualified Health Care Peninsula Community Health B Agency Services

Group Name: Peninsula Group Name: Peninsula Community Health Peninsula Community Health Community Health Provider ID: 006101122011 Services Provider ID: 003542515019 NPI: 1659712842 Group Name: Peninsula NPI: 1205886934 300 E Campus Dr Community Health 627 W Franklin St Belfair, WA 98528 Provider ID: 003542515027 Shelton, WA 98584 (360) 377-3776 EB, P, R NPI: 1205886934 (360) 377-3776 EB, P, R M-F 7:30 AM-4:00 PM 300 E Campus Dr Web address: www.pchsweb.org Web address: www.pchsweb.org Belfair, WA 98528 Ages: 0-99

Does Not Accept New Patients (360) 377-3776 EB, P, R Ages: 0-99 M-F 7:30 AM-4:00 PM General Practice

Ages: 0-99 Valenzuela, Kristoffer, MD, (M), Dropp, Lisa S, MD, (F) B Peninsula Community Health Group Name: Peninsula Group Name: Peninsula Services Community Health Community Health Group Name: Peninsula Provider ID: 005920726009 Provider ID: 006101122010 Community Health NPI: 1689834905 NPI: 1659712842 Provider ID: 003542515017 300 E Campus Dr 31 Ne State Route 300 Ste 200 NPI: 1205886934 Belfair, WA 98528

Belfair, WA 98528 31 Ne State Route 300 (360) 377-3776 EB, P, R (360) 377-3776 EB, P, R Belfair, WA 98528 M-F 7:30 AM-4:00 PM

M-F 7:30 AM-6:00 PM (360) 377-3776 EB, P, R Web address: www.pchsweb.org Web address: www.pchsweb.org M-F 7:30 AM-6:00 PM Does Not Accept New Patients Does Not Accept New Patients Web address: www.pchsweb.org Ages: 0-99 Ages: 0-99 Ages: 0-99 Dropp, Lisa S, MD, (F) Valenzuela, Kristoffer, MD, (M), Peninsula Community Health Group Name: Peninsula B Services Community Health Group Name: Peninsula Group Name: Peninsula Provider ID: 005920726011 Community Health Community Health NPI: 1689834905 Provider ID: 006101122006 Provider ID: 003542515021 31 Ne State Route 300 Ste 200 NPI: 1659712842 NPI: 1205886934 Belfair, WA 98528

627 W Franklin St 31 Ne State Route 300 Ste 200 (360) 377-3776 EB, P, R Shelton, WA 98584 Belfair, WA 98528 M-F 7:30 AM-6:00 PM

(360) 377-3776 EB, P, R (360) 377-3776 EB, P, R Web address: www.pchsweb.org Web address: www.pchsweb.org M-F 7:30 AM-6:00 PM Does Not Accept New Patients Does Not Accept New Patients Web address: www.pchsweb.org Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1

Primary Care Providers Washington - Mason

Dropp, Lisa S, MD, (F) Internal Medicine Anderson, David E, MD, (M), B

Group Name: Peninsula Group Name: Mason General Community Health Anderson, David E, MD, (M), B Hospital Provider ID: 005920726014 Group Name: Mason General Provider ID: 003771968007 NPI: 1689834905 Hospital NPI: 1780909556 627 W Franklin St Provider ID: 003771968014 237 Professional Way Shelton, WA 98584 NPI: 1780909556 Shelton, WA 98584 (360) 377-3776 EB, P, R 1701 N 13th St (360) 426-2500 EB, G, R, RE, S, Web address: www.pchsweb.org Shelton, WA 98584 T

Does Not Accept New Patients (360) 426-2653 E, EB, G, IB, P, Does Not Accept New Patients Ages: 0-99 PL, R, RE, S, T Ages: 17-99 Does Not Accept New Patients Hospital Affiliations: Indian Health Services Clinic Ages: 17-99 Inova Fairfax Hospital

Hospital Affiliations: Mason General Hospital Skokomish Health Clinic Inova Fairfax Hospital Sibley Memorial Hospital Provider ID: 007229991002 Mason General Hospital NPI: 1316056096 Anderson, David E, MD, (M), B Sibley Memorial Hospital 100 N Tribal Center Rd Group Name: Mason General Skokomish Nation, WA 98584 Anderson, David E, MD, (M), B Hospital

(360) 426-5755 PL Group Name: Mason General Provider ID: 003771968004 Web address: www.skokomish.org Hospital NPI: 1780909556 Ages: 0-99 Provider ID: 003771968006 24261 N Us Highway 101 NPI: 1780909556 Hoodsport, WA 98548 Skokomish Health Clinic 221 Professional Way (360) 432-7781 E, EB, G, IB, P, Provider ID: 007229991001 Shelton, WA 98584 PL, R, RE, S, T NPI: 1316056096 (360) 426-2500 E, EB, G, P, R, Does Not Accept New Patients 561 N Tribal Center Rd RE, S, T Ages: 17-99 Skokomish Nation, WA 98584 Does Not Accept New Patients Hospital Affiliations: (360) 426-7788 EB, P, R Ages: 17-99 Inova Fairfax Hospital Web address: www.skokomish.org Hospital Affiliations: Mason General Hospital Ages: 0-99 Inova Fairfax Hospital Sibley Memorial Hospital Squaxin Island Health Clinic Mason General Hospital Provider ID: 007192502001 Sibley Memorial Hospital NPI: 1588747059 90 Se Klah Che Min Dr Shelton, WA 98584

(360) 427-9006 EB, P, R Web address: squaxinisland.org Accepting Existing Patients Only Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Anderson, David E, MD, (M), B Schlauderaff, Mark L, MD, (M), Schlauderaff, Mark L, MD, (M), Group Name: Mason General B B Hospital Group Name: Mgh Surgery Clinic Group Name: Mgh Surgery Clinic Provider ID: 003771968013 Provider ID: 000221870010 Provider ID: 000221870005 NPI: 1780909556 NPI: 1487651667 NPI: 1487651667 247 Professional Way 1701 N 13th St 237 Professional Way Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 426-2653 EB, P, R (360) 426-2653 E, EB, G, IB, P, (360) 426-2500 EB, G, R, RE, S, Does Not Accept New Patients PL, R, RE, S, T T Ages: 17-99 Web address: www.masongeneral.c Web address: www.masongeneral.c Hospital Affiliations: om om Inova Fairfax Hospital Does Not Accept New Patients Does Not Accept New Patients Mason General Hospital Ages: 0-99 Ages: 0-99 Sibley Memorial Hospital Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Anderson, David E, MD, (M), B Group Name: Mason General Schlauderaff, Mark L, MD, (M), Schlauderaff, Mark L, MD, (M), Hospital B B Provider ID: 003771968008 Group Name: Mgh Surgery Clinic Group Name: Mgh Surgery Clinic NPI: 1780909556 Provider ID: 000221870004 Provider ID: 000221870008 939 Mountain View Dr NPI: 1487651667 NPI: 1487651667 Shelton, WA 98584 221 Professional Way 939 Mountain View Dr

(360) 426-2653 E, EB, G, IB, P, Shelton, WA 98584 Shelton, WA 98584

PL, R, RE, S, T (360) 426-2500 E, EB, G, P, R, (360) 426-2653 E, EB, G, IB, P, Does Not Accept New Patients RE, S, T PL, R, RE, S, T Ages: 17-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Staff: Spanish Staff: Spanish Inova Fairfax Hospital Web address: www.masongeneral.c Web address: www.masongeneral.c Mason General Hospital om om Sibley Memorial Hospital Does Not Accept New Patients Does Not Accept New Patients Ages: 18-99 Ages: 18-99 Newman, Jennifer A, MD, (F), B Hospital Affiliations: Hospital Affiliations: Group Name: Franciscan Medical Mason General Hospital Mason General Hospital Group Provider ID: 001739684009 NPI: 1417127093 21 Ne Romance Hill Rd Ste 105 Belfair, WA 98528

(360) 277-2975 EB, P, R Ages: 13-99 Hospital Affiliations: Harrison Medical Center St Michael Medical Center

Primary Care Providers Washington - Mason

Wesson, Jimmy R, MD, (M), B Wesson, Jimmy R, MD, (M), B Wesson, Jimmy R, MD, (M), B Group Name: Public Hospital Group Name: Public Hospital Group Name: Public Hospital District No 1 Of Mason C District No 1 Of Mason C District No 1 Of Mason C Provider ID: 006424230006 Provider ID: 006424230001 Provider ID: 006424230005 NPI: 1407262496 NPI: 1407262496 NPI: 1407262496 1701 N 13th St 237 Professional Way 939 Mountain View Dr Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 426-2653 E, EB, G, IB, P, (360) 426-2500 EB, G, R, RE, S, (360) 426-2653 E, EB, G, IB, P, PL, R, RE, S, T T PL, R, RE, S, T Web address: https://www.masonge Web address: https://www.masonge Accepting Existing Patients Only neral.com/ neral.com/ Ages: 17-99 Accepting Existing Patients Only Accepting Existing Patients Only Hospital Affiliations: Ages: 17-99 Ages: 17-99 Mason General Hospital Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Nurse Practitioner

Wesson, Jimmy R, MD, (M), B Wesson, Jimmy R, MD, (M), B Amin, Karen C, NP, (F) Group Name: Public Hospital Group Name: Public Hospital Group Name: Franciscan Medical District No 1 Of Mason C District No 1 Of Mason C Group Provider ID: 006424230002 Provider ID: 006424230007 Provider ID: 003401696013 NPI: 1407262496 NPI: 1407262496 NPI: 1801175575 221 Professional Way 247 Professional Way 21 Ne Romance Hill Rd Ste 105 Shelton, WA 98584 Shelton, WA 98584 Belfair, WA 98528

(360) 426-2653 E, EB, G, P, R, (360) 426-3102 EB, P, R (360) 277-2975 EB, P, R RE, S, T Web address: https://www.masonge Languages Spoken: Web address: https://www.masonge neral.com/ Provider: Gujarati, Spanish neral.com/ Accepting Existing Patients Only Ages: 0-99 Accepting Existing Patients Only Ages: 17-99 Hospital Affiliations: Ages: 17-99 Hospital Affiliations: Harborview Medical Center Hospital Affiliations: Mason General Hospital Anderson, Erin T, NP, (F) Mason General Hospital Wesson, Jimmy R, MD, (M), B Group Name: Public Hospital Group Name: Public Hospital District No 1 Of Mason C District No 1 Of Mason C Provider ID: 006602630004 Provider ID: 006424230003 NPI: 1487190138 NPI: 1407262496 237 Professional Way 901 Mountain View Dr Shelton, WA 98584

Shelton, WA 98584 (360) 426-2500 EB, G, R, RE, S, (360) 426-3102 EB, P, R T Accepting Existing Patients Only Does Not Accept New Patients Ages: 17-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mason General Hospital Tacoma General Allenmore

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Budiselic, Zackary J, NP, (M) Coots, David B, NP, (M) Cummings, Thomas C, NP, (M) Group Name: Peninsula Group Name: Franciscan Medical Group Name: Public Hospital Community Health Group District No 1 Of Mason C Provider ID: 003568946010 Provider ID: 005331063024 Provider ID: 002957957007 NPI: 1063756989 NPI: 1962738435 NPI: 1841450699 300 E Campus Dr 21 Ne Romance Hill Rd Ste 105 1812 N 13th Loop Rd Belfair, WA 98528 Belfair, WA 98528 Shelton, WA 98584

(360) 377-3776 EB, P, R (360) 277-2975 EB, P, R (360) 426-3862 EB, P, R M-F 7:30 AM-4:00 PM Cultural Competency: Y Does Not Accept New Patients Web address: www.pchsweb.org Ages: 0-99 Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Cowell, Marnie L, NP, (F) Ages: 0-99 Tacoma General Allenmore Group Name: Franciscan Medical Budiselic, Zackary J, NP, (M) Group Cummings, Thomas C, NP, (M) Group Name: Peninsula Provider ID: 005224034019 Group Name: Public Hospital Community Health NPI: 1528469004 District No 1 Of Mason C Provider ID: 003568946009 21 Ne Romance Hill Rd Ste 105 Provider ID: 002957957008 NPI: 1063756989 Belfair, WA 98528 NPI: 1841450699

31 Ne State Route 300 Ste 200 (360) 277-2975 EB, P, R 221 Professional Way Belfair, WA 98528 Ages: 0-99 Shelton, WA 98584

(360) 377-3776 EB, P, R Hospital Affiliations: (360) 426-2500 E, EB, G, P, R, M-F 7:30 AM-6:00 PM Tacoma General Allenmore RE, S, T Web address: www.pchsweb.org Does Not Accept New Patients Cummings, Thomas C, NP, (M) Does Not Accept New Patients Ages: 0-99 Group Name: Public Hospital Ages: 0-99 Hospital Affiliations: District No 1 Of Mason C Tacoma General Allenmore Collins-Vazquez Atecas, Leigh A, Provider ID: 002957957010 NP, (F) NPI: 1841450699 Cummings, Thomas C, NP, (M) Group Name: The Country Clinic 1701 N 13th St Group Name: Public Hospital Provider ID: 006967181004 Shelton, WA 98584 District No 1 Of Mason C

NPI: 1437645892 (360) 426-2653 E, EB, G, IB, P, Provider ID: 002957957009 627 W Railroad Ave PL, R, RE, S, T NPI: 1841450699 Shelton, WA 98584 Does Not Accept New Patients 237 Professional Way

(360) 462-5030 EB, P, R Ages: 0-99 Shelton, WA 98584

Languages Spoken: Hospital Affiliations: (360) 426-2500 EB, G, R, RE, S, Provider: Spanish Tacoma General Allenmore T Tu,W,Th,F,Sa 8:00 AM-4:30 PM Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore

Primary Care Providers Washington - Mason

Cummings, Thomas C, NP, (M) Greenlee, Cynthia Leah L, NP, Hansen, Thomas M, NP, (M) Group Name: Public Hospital (F) Group Name: Franciscan Medical District No 1 Of Mason C Group Name: Peninsula Group Provider ID: 002957957006 Community Health Provider ID: 002786699004 NPI: 1841450699 Provider ID: 003532096011 NPI: 1710030952 24261 N Us Highway 101 NPI: 1740434547 21 Ne Romance Hill Rd Ste 105 Hoodsport, WA 98548 300 E Campus Dr Belfair, WA 98528

(360) 432-7781 E, EB, G, IB, P, Belfair, WA 98528 (360) 277-2975 EB, P, R

PL, R, RE, S, T (360) 377-3776 EB, P, R Ages: 0-99 Does Not Accept New Patients M-F 7:30 AM-4:00 PM Hospital Affiliations: Ages: 0-99 Web address: www.pchsweb.org Overlake Hospital Medical Center Hospital Affiliations: Does Not Accept New Patients Holt-Knox, Sara P, NP, (F) Tacoma General Allenmore Ages: 0-99 Group Name: Mason General Cummings, Thomas C, NP, (M) Greenlee, Cynthia Leah L, NP, Hospital Group Name: Public Hospital (F) Provider ID: 003284507023 District No 1 Of Mason C Group Name: Peninsula NPI: 1306002639 Provider ID: 002957957002 Community Health 24261 N Us Highway 101 NPI: 1841450699 Provider ID: 003532096010 Hoodsport, WA 98548

939 Mountain View Dr NPI: 1740434547 (360) 432-7781 E, EB, G, IB, P, Shelton, WA 98584 31 Ne State Route 300 Ste 200 PL, R, RE, S, T

(360) 426-2653 E, EB, G, IB, P, Belfair, WA 98528 Web address: https://www.masonge

PL, R, RE, S, T (360) 377-3776 EB, P, R neral.com/ Does Not Accept New Patients M-F 7:30 AM-6:00 PM Does Not Accept New Patients Ages: 0-99 Web address: www.pchsweb.org Ages: 0-99 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Tacoma General Allenmore Ages: 0-99 Mason General Hospital

Galvez, Dawn E, NP, (F) Greenlee, Cynthia Leah L, NP, Holt-Knox, Sara P, NP, (F) Group Name: Franciscan Medical (F) Group Name: Mason General Group Group Name: Peninsula Hospital Provider ID: 006895176002 Community Health Provider ID: 003284507023 NPI: 1003061722 Provider ID: 003532096007 NPI: 1306002639 21 Ne Romance Hill Rd Ste 105 NPI: 1740434547 939 Mountain View Dr Belfair, WA 98528 627 W Franklin St Shelton, WA 98584

(360) 277-2975 EB, P, R Shelton, WA 98584 (360) 426-2653 EB, P, R

Ages: 0-99 (360) 377-3776 EB, P, R Does Not Accept New Patients Web address: www.pchsweb.org Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Mason General Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Johnston-Coleman, Jenny L, NP, Johnston-Coleman, Jenny L, NP, Kummerfeldt, Jennifer L, NP, (F) (F) (F) Group Name: Public Hospital Group Name: Hoodsport Family Group Name: Hoodsport Family District No 1 Of Mason C Clinic Clinic Provider ID: 003387494008 Provider ID: 005809691006 Provider ID: 005809691002 NPI: 1669751467 NPI: 1407226681 NPI: 1407226681 1701 N 13th St 1701 N 13th St 24261 N Us Highway 101 Shelton, WA 98584

Shelton, WA 98584 Hoodsport, WA 98548 (360) 426-2653 E, EB, G, IB, P,

(360) 426-2653 E, EB, G, IB, P, (360) 432-7781 EB, P, R PL, R, RE, S, T PL, R, RE, S, T Does Not Accept New Patients Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Spanish Hospital Affiliations: Hospital Affiliations: Web address: www.peninsulafamily Mason General Hospital Mason General Hospital medical.com Does Not Accept New Patients Johnston-Coleman, Jenny L, NP, Johnston-Coleman, Jenny L, NP, Ages: 0-99 (F) (F) Hospital Affiliations: Group Name: Hoodsport Family Group Name: Hoodsport Family Mason General Hospital Clinic Clinic Provider ID: 005809691004 Provider ID: 005809691007 Kummerfeldt, Jennifer L, NP, (F) NPI: 1407226681 NPI: 1407226681 Group Name: Public Hospital 221 Professional Way 247 Professional Way District No 1 Of Mason C Shelton, WA 98584 Shelton, WA 98584 Provider ID: 003387494003

(360) 426-2500 E, EB, G, P, R, (360) 426-2653 EB, P, R NPI: 1669751467 RE, S, T Ages: 0-99 1812 N 13th Loop Rd Web address: https://www.masonge Hospital Affiliations: Shelton, WA 98584

neral.com/ Mason General Hospital (360) 426-3862 EB, P, R Ages: 0-99 Languages Spoken: Johnston-Coleman, Jenny L, NP, Hospital Affiliations: Provider: Spanish (F) Mason General Hospital Web address: https://www.masonge Group Name: Hoodsport Family neral.com/ Johnston-Coleman, Jenny L, NP, Clinic Does Not Accept New Patients (F) Provider ID: 005809691005 Ages: 0-99 Group Name: Hoodsport Family NPI: 1407226681 Hospital Affiliations: Clinic 939 Mt View Dr Mason General Hospital Provider ID: 005809691002 Shelton, WA 98584

NPI: 1407226681 (360) 426-2653 E, EB, G, IB, P, 237 Professional Way PL, R, RE, S, T Shelton, WA 98584 Web address: https://www.masonge

(360) 426-2500 EB, G, R, RE, S, neral.com/ T Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Mason General Hospital Hospital Affiliations: Mason General Hospital

Primary Care Providers Washington - Mason

Kummerfeldt, Jennifer L, NP, (F) Kummerfeldt, Jennifer L, NP, (F) Kummerfeldt, Jennifer L, NP, (F) Group Name: Public Hospital Group Name: Public Hospital Group Name: Public Hospital District No 1 Of Mason C District No 1 Of Mason C District No 1 Of Mason C Provider ID: 003387494006 Provider ID: 003387494002 Provider ID: 003387494007 NPI: 1669751467 NPI: 1669751467 NPI: 1669751467 221 Professional Way 24261 N Us Highway 101 939 Mountain View Dr Shelton, WA 98584 Hoodsport, WA 98548 Shelton, WA 98584

(360) 426-2500 E, EB, G, P, R, (360) 432-7781 E, EB, G, IB, P, (360) 426-2653 E, EB, G, IB, P, RE, S, T PL, R, RE, S, T PL, R, RE, S, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Provider: Spanish Web address: www.peninsulafamily Web address: www.peninsulafamily Web address: www.peninsulafamily medical.com medical.com medical.com Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Mason General Hospital

Kummerfeldt, Jennifer L, NP, (F) Kummerfeldt, Jennifer L, NP, (F) Mayer, Jodi R, NP, (F) Group Name: Public Hospital Group Name: Public Hospital Group Name: Franciscan Medical District No 1 Of Mason C District No 1 Of Mason C Group Provider ID: 003387494004 Provider ID: 003387494005 Provider ID: 005360386006 NPI: 1669751467 NPI: 1669751467 NPI: 1235567751 237 Professional Way 247 Professional Way 21 Ne Romance Hill Rd Ste 105 Shelton, WA 98584 Shelton, WA 98584 Belfair, WA 98528

(360) 426-2500 EB, G, R, RE, S, (360) 426-2653 EB, P, R (360) 277-2975 EB, P, R T Languages Spoken: Ages: 0-99 Languages Spoken: Provider: Spanish Hospital Affiliations: Provider: Spanish Web address: www.peninsulafamily Tacoma General Allenmore Web address: www.peninsulafamily medical.com Multicare Auburn Medical Center medical.com Does Not Accept New Patients Good Samaritan Hospital Does Not Accept New Patients Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Ages: 0-99 Hospital Affiliations: Multicare Covington Medical Hospital Affiliations: Mason General Hospital Center Mason General Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Nelson, Jennifer A, NP, (F) Nelson, Jennifer A, NP, (F) Perrenod, Scott W, FNP, (M) Group Name: Public Hospital Group Name: Public Hospital Group Name: Franciscan Medical District No 1 Of Mason C District No 1 Of Mason C Group Provider ID: 005255000003 Provider ID: 005255000008 Provider ID: 005986067005 NPI: 1043611429 NPI: 1043611429 NPI: 1063523470 1701 N 13th St 247 Professional Way 21 Ne Romance Hill Rd Ste 105 Shelton, WA 98584 Shelton, WA 98584 Belfair, WA 98528

(360) 426-2653 E, EB, G, IB, P, (360) 426-3102 EB, P, R (360) 277-2975 EB, P, R PL, R, RE, S, T Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Pizanti, Therese, NP, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Mgh Oakland Bay Mason General Hospital Mason General Hospital Pediatrics Nelson, Jennifer A, NP, (F) Nelson, Jennifer A, NP, (F) Provider ID: 001761374006 Group Name: Public Hospital Group Name: Public Hospital NPI: 1942310099 District No 1 Of Mason C District No 1 Of Mason C 1701 N 13th St Provider ID: 005255000006 Provider ID: 005255000007 Shelton, WA 98584

NPI: 1043611429 NPI: 1043611429 (360) 426-2653 E, EB, G, IB, P, 221 Professional Way 939 Mountain View Dr PL, R, RE, S, T Shelton, WA 98584 Shelton, WA 98584 Does Not Accept New Patients

(360) 426-2653 E, EB, G, P, R, (360) 426-2653 Ages: 0-18 RE, S, T Does Not Accept New Patients Hospital Affiliations: Web address: www.masongeneral.c Ages: 0-99 Mason General Hospital om Hospital Affiliations: Pizanti, Therese, NP, (F) Does Not Accept New Patients Mason General Hospital Group Name: Mgh Oakland Bay Ages: 0-99 Paladichuk, Demery, NP, (F) Pediatrics Hospital Affiliations: Group Name: Peninsula Provider ID: 001761374005 Mason General Hospital Community Health NPI: 1942310099 Nelson, Jennifer A, NP, (F) Provider ID: 006862304012 939 Mountain View Dr Group Name: Public Hospital NPI: 1073002572 Shelton, WA 98584

District No 1 Of Mason C 31 Ne State Route 300 Ste 200 (360) 426-2653 Provider ID: 005255000002 Belfair, WA 98528 Does Not Accept New Patients

NPI: 1043611429 (360) 377-3776 EB, P, R Ages: 0-18 237 Professional Way M-F 7:30 AM-6:30 PM Hospital Affiliations: Shelton, WA 98584 Web address: www.pchsweb.org Mason General Hospital

(360) 426-2500 EB, G, R, RE, S, Does Not Accept New Patients T Ages: 0-99 Web address: www.masongeneral.c om Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Mason General Hospital

Primary Care Providers Washington - Mason

Slyvester, Kristen, NP, (F) Stringer, Katrina M, NP, (F) Stringer, Katrina M, NP, (F) Group Name: Peninsula Group Name: Mgh Shelton Group Name: Mgh Shelton Community Health Family Medicine & Orthopedic Family Medicine & Orthopedic Provider ID: 006903928013 Provider ID: 005630247006 Provider ID: 005630247003 NPI: 1417447830 NPI: 1124409198 NPI: 1124409198 300 E Campus Dr 1701 N 13th St 24261 N Us Highway 101 Belfair, WA 98528 Shelton, WA 98584 Hoodsport, WA 98548

(360) 377-3776 EB, P, R (360) 426-2653 E, EB, G, IB, P, (360) 432-7781 E, EB, G, IB, P, M-F 7:30 AM-4:00 PM PL, R, RE, S, T PL, R, RE, S, T Web address: www.pchsweb.org Web address: www.masongeneral.c Web address: www.masongeneral.c Does Not Accept New Patients om om Ages: 0-99 Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Slyvester, Kristen, NP, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Peninsula Mason General Hospital Mason General Hospital Community Health Provider ID: 006903928011 Stringer, Katrina M, NP, (F) Stringer, Katrina M, NP, (F) NPI: 1417447830 Group Name: Mgh Shelton Group Name: Mgh Shelton 31 Ne State Route 300 Ste 200 Family Medicine & Orthopedic Family Medicine & Orthopedic Belfair, WA 98528 Provider ID: 005630247005 Provider ID: 005630247007

(360) 377-3776 EB, P, R NPI: 1124409198 NPI: 1124409198 M-F 7:30 AM-6:00 PM 1710 N 13th St 247 Professional Way Web address: www.pchsweb.org Shelton, WA 98584 Shelton, WA 98584

Does Not Accept New Patients (360) 426-2653 EB, P, R (360) 426-2653 EB, P, R Ages: 0-99 Web address: www.masongeneral.c Web address: www.masongeneral.c om om Slyvester, Kristen, NP, (F) Does Not Accept New Patients Does Not Accept New Patients Group Name: Peninsula Ages: 0-99 Ages: 0-99 Community Health Hospital Affiliations: Hospital Affiliations: Provider ID: 006903928005 Mason General Hospital Mason General Hospital NPI: 1417447830 627 W Franklin St Shelton, WA 98584

(360) 377-3776 EB, P, R Web address: www.pchsweb.org Does Not Accept New Patients Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Stringer, Katrina M, NP, (F) Sullivan, George Blake, NP, (M) Tesfahun, Berhane, NP, (F) Group Name: Mgh Shelton Group Name: Peninsula Group Name: Peninsula Family Medicine & Orthopedic Community Health Community Health Provider ID: 005630247004 Provider ID: 007302253007 Provider ID: 007450680013 NPI: 1124409198 NPI: 1225671720 NPI: 1235754672 939 Mountain View Dr 31 Ne State Route 300 Ste 200 31 Ne State Route 300 Ste 200 Shelton, WA 98584 Belfair, WA 98528 Belfair, WA 98528

(360) 426-2653 (360) 377-3776 EB, P, R (360) 377-3776 EB, P, R Web address: www.masongeneral.c M-F 7:30 AM-6:00 PM M-F 7:30 AM-6:00 PM om Web address: www.pchsweb.org Web address: www.pchsweb.org Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Sullivan, George Blake, NP, (M) Tesfahun, Berhane, NP, (F) Mason General Hospital Group Name: Peninsula Group Name: Peninsula Stringer, Katrina M, NP, (F) Community Health Community Health Group Name: Mgh Shelton Provider ID: 007302253009 Provider ID: 007450680004 Family Medicine & Orthopedic NPI: 1225671720 NPI: 1235754672 Provider ID: 005630247002 627 W Franklin St 627 W Franklin St NPI: 1124409198 Shelton, WA 98584 Shelton, WA 98584

939 Mt View Dr (360) 377-3776 EB, P, R (360) 377-3776 EB, P, R Shelton, WA 98584 Web address: www.pchsweb.org Web address: www.pchsweb.org

(360) 426-2653 E, EB, G, IB, P, Does Not Accept New Patients Does Not Accept New Patients PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Web address: https://www.masonge Tesfahun, Berhane, NP, (F) White, Lillian M, NP, (F) neral.com/ Group Name: Peninsula Group Name: Peninsula Does Not Accept New Patients Community Health Community Health Ages: 0-99 Provider ID: 007450680008 Provider ID: 003798413003 Hospital Affiliations: NPI: 1235754672 NPI: 1669817623 Mason General Hospital 300 E Campus Dr 627 W Franklin St Sullivan, George Blake, NP, (M) Belfair, WA 98528 Shelton, WA 98584

Group Name: Peninsula (360) 377-3776 EB, P, R (360) 377-3776 EB, P, R Community Health M-F 7:30 AM-4:00 PM Web address: www.pchsweb.org Provider ID: 007302253010 Web address: www.pchsweb.org Does Not Accept New Patients NPI: 1225671720 Does Not Accept New Patients Ages: 0-99 300 E Campus Dr Ages: 0-99 Belfair, WA 98528

(360) 377-3776 EB, P, R M-F 7:30 AM-4:00 PM Web address: www.pchsweb.org Does Not Accept New Patients Ages: 0-99

Primary Care Providers Washington - Mason

Pediatrics Rayos, Rose Ann V, MD, (F), B Tsang, Joan C, MD, (F), B

Group Name: Mason Group Name: Franciscan Medical Malit, Iris, MD, (F) Health-Mason Clinic Group Group Name: Mgh Oakland Bay Provider ID: 003467879008 Provider ID: 002062163006 Pediatrics NPI: 1790916054 NPI: 1376500793 Provider ID: 006129384011 1701 N 13th St 21 Ne Romance Hill Rd Ste 105 NPI: 1578996518 Shelton, WA 98584 Belfair, WA 98528 1701 N 13th St (360) 426-2653 E, EB, G, IB, P, (360) 277-2975 EB, P, R Shelton, WA 98584 PL, R, RE, S, T Ages: 0-20

(360) 426-2653 E, EB, G, IB, P, Web address: www.masongeneral.c Hospital Affiliations: PL, R, RE, S, T om The University Of Ks Health Languages Spoken: Does Not Accept New Patients System Provider: Filipino, Spanish Ages: 0-18 St Francis Health Center Cultural Competency: Y Hospital Affiliations: University Of Kansas Health Does Not Accept New Patients Mason General Hospital System St Fr Ages: 0-20 Wesley Medical Center Rayos, Rose Ann V, MD, (F), B Via Christi Hospitals Wichita Malit, Iris, MD, (F) Group Name: Mason Via Christi Hosp Wichita St Group Name: Mgh Oakland Bay Health-Mason Clinic Teresa Pediatrics Provider ID: 003467879004 Provider ID: 006129384009 NPI: 1790916054 Tuladhar, Binod, MD, (M) NPI: 1578996518 247 Professional Way Group Name: Mgh Oakland Bay 939 Mountain View Dr Shelton, WA 98584 Pediatrics Shelton, WA 98584 (360) 426-3102 EB, P, R Provider ID: 003374691008

(360) 426-2653 E, EB, G, IB, P, Web address: https://www.masonge NPI: 1437380292 PL, R, RE, S, T neral.com/ 1701 N 13th St Languages Spoken: Does Not Accept New Patients Shelton, WA 98584 Provider: Filipino, Spanish Ages: 0-18 (360) 426-2653 E, EB, G, IB, P, Cultural Competency: Y Hospital Affiliations: PL, R, RE, S, T Does Not Accept New Patients Mason General Hospital M-F 8:30 AM-4:30 PM Ages: 0-20 Web address: www.masongeneral.c om Does Not Accept New Patients Ages: 0-19 Hospital Affiliations: Mason General Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Tuladhar, Binod, MD, (M) Warren, Linda S, MD, (F), B Boudreau, Lucinda T, PA, (F) Group Name: Mgh Oakland Bay Group Name: Peninsula Group Name: Public Hospital Pediatrics Community Health District No 1 Of Mason C Provider ID: 003374691009 Provider ID: 001165228009 Provider ID: 003237007010 NPI: 1437380292 NPI: 1669520706 NPI: 1598074627 901 Mountain View Dr 627 W Franklin St 1701 N 13th St Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 426-2653 (360) 377-3776 EB, P, R (360) 426-2653 E, EB, G, IB, P, Does Not Accept New Patients Does Not Accept New Patients PL, R, RE, S, T Ages: 0-19 Ages: 0-20 Languages Spoken: Hospital Affiliations: Provider: Spanish Mason General Hospital Physician Assistant Web address: https://www.masonge

neral.com/ Warren, Linda S, MD, (F), B Albano, Jordan A, PA, (M) Does Not Accept New Patients Group Name: Peninsula Group Name: Franciscan Medical Ages: 0-99 Community Health Group Hospital Affiliations: Provider ID: 001165228014 Provider ID: 006794094006 Mason General Hospital NPI: 1669520706 NPI: 1073056511 St Marys Hospital 300 E Campus Dr 21 Ne Romance Hill Rd Ste 105 Belfair, WA 98528 Belfair, WA 98528 Boudreau, Lucinda T, PA, (F)

(360) 377-3776 EB, P, R (360) 277-2975 EB, P, R Group Name: Public Hospital M-F 7:30 AM-4:00 PM Ages: 0-99 District No 1 Of Mason C Web address: www.pchsweb.org Hospital Affiliations: Provider ID: 003237007007 Does Not Accept New Patients St Elizabeth Hospital NPI: 1598074627 Ages: 0-20 St Francis Community Hospital 221 Professional Way St Clare Hospital Shelton, WA 98584 Warren, Linda S, MD, (F), B St Joseph Medical Center (360) 426-2653 E, EB, G, P, R, Group Name: Peninsula St Anthony Hospital RE, S, T Community Health Languages Spoken: Provider ID: 001165228012 Provider: Spanish NPI: 1669520706 Does Not Accept New Patients 31 Ne State Route 300 Ste 200 Ages: 0-99 Belfair, WA 98528 Hospital Affiliations: (360) 377-3776 EB, P, R Mason General Hospital M-F 7:30 AM-6:00 PM St Marys Hospital Web address: www.pchsweb.org Does Not Accept New Patients Ages: 0-20

Primary Care Providers Washington - Mason Web address: www.pchsweb.org Boudreau, Lucinda T, PA, (F) Cardenas, Genaro, PA, (M) Does Not Accept New Patients Group Name: Public Hospital Group Name: Franciscan Medical Ages: 0-99 District No 1 Of Mason C Group Provider ID: 003237007008 Boyd, Leah Rae, PA, (F) Provider ID: 005800485008 NPI: 1598074627 Group Name: Peninsula NPI: 1881096238 237 Professional Way Community Health 21 Ne Romance Hill Rd Ste 105 Shelton, WA 98584 Provider ID: 006969479014 Belfair, WA 98528

(360) 426-2500 EB, G, R, RE, S, NPI: 1326566928 (360) 277-2975 EB, P, R T 31 Ne State Route 300 Ste 200 Ages: 0-99 Languages Spoken: Belfair, WA 98528 Hospital Affiliations:

Provider: Spanish (360) 377-3776 EB, P, R Tacoma General Allenmore Does Not Accept New Patients M-F 7:30 AM-6:00 PM Multicare Auburn Medical Center Ages: 0-99 Web address: www.pchsweb.org Good Samaritan Hospital Hospital Affiliations: Does Not Accept New Patients Mary Bridge Child Hosp/hlth Cntr Mason General Hospital Ages: 0-99 Corpuz, Alma E, PA, (F) St Marys Hospital Boyd, Leah Rae, PA, (F) Group Name: Franciscan Medical Boudreau, Lucinda T, PA, (F) Group Name: Peninsula Group Group Name: Public Hospital Community Health Provider ID: 002012948042 District No 1 Of Mason C Provider ID: 006969479004 NPI: 1437147394 Provider ID: 003237007004 NPI: 1326566928 21 Ne Romance Hill Rd Ste 105 NPI: 1598074627 627 W Franklin St Belfair, WA 98528

24261 N Us Highway 101 Shelton, WA 98584 (360) 277-2975 EB, P, R

Hoodsport, WA 98548 (360) 377-3776 EB, P, R Ages: 0-99

(360) 432-7781 E, EB, G, IB, P, Web address: www.pchsweb.org Hospital Affiliations: PL, R, RE, S, T Does Not Accept New Patients Tacoma General Allenmore Languages Spoken: Ages: 0-99 Dean, Elisabeth R, PA, (F) Provider: Spanish Canonizado, Leo M, PA, (M) Group Name: Franciscan Medical Does Not Accept New Patients Group Name: Franciscan Medical Group Ages: 0-99 Group Provider ID: 003556155003 Hospital Affiliations: Provider ID: 003005522020 NPI: 1558665455 Mason General Hospital NPI: 1518943984 21 Ne Romance Hill Rd Ste 105 St Marys Hospital 21 Ne Romance Hill Rd Ste 105 Belfair, WA 98528 Boyd, Adam, PA, (M) Belfair, WA 98528 (360) 277-2975 EB, P, R

Group Name: Peninsula (360) 277-2975 EB, P, R Cultural Competency: Y Community Health Languages Spoken: Ages: 0-99 Provider ID: 006969466014 Provider: Tagalog NPI: 1386125565 Ages: 0-99 31 Ne State Route 300 Ste 200 Hospital Affiliations: Belfair, WA 98528 Tacoma General Allenmore

(360) 377-3776 EB, P, R M-F 7:30 AM-6:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Dell, Lisa C, PA, (F) Dell, Lisa C, PA, (F) Goldmann, Mary E, PA, (F) Group Name: Public Hospital Group Name: Public Hospital Group Name: Mgh Shelton District No 1 Of Mason C District No 1 Of Mason C Family Medicine Provider ID: 002916884012 Provider ID: 002916884014 Provider ID: 003550798005 NPI: 1922165513 NPI: 1922165513 NPI: 1891984613 1701 N 13th St 247 Professional Way 939 Mountain View Dr Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 426-2653 E, EB, G, IB, P, (360) 426-3102 (360) 426-2653 E, EB, G, IB, P, PL, R, RE, S, T Does Not Accept New Patients PL, R, RE, S, T Web address: https://www.masonge Ages: 0-99 Does Not Accept New Patients neral.com/ Hospital Affiliations: Ages: 0-99 Does Not Accept New Patients Mason General Hospital Hospital Affiliations: Ages: 0-99 Providence St Peter Hospital Evans, Joshua D, PA, (M) Hospital Affiliations: Providence Centralia Hospital Group Name: Franciscan Medical Mason General Hospital Group Gordon, Anthony L, PA, (M) Dell, Lisa C, PA, (F) Provider ID: 006922106017 Group Name: Public Hospital Group Name: Public Hospital NPI: 1407300098 District No 1 Of Mason C District No 1 Of Mason C 21 Ne Romance Hill Rd Ste 105 Provider ID: 006332081009 Provider ID: 002916884013 Belfair, WA 98528 NPI: 1154713063

NPI: 1922165513 (360) 277-2975 EB, P, R 1701 N 13th St 1710 N 13th St Ages: 0-99 Shelton, WA 98584

Shelton, WA 98584 (360) 426-2653 E, EB, G, IB, P, Goldmann, Mary E, PA, (F) (360) 426-2653 PL, R, RE, S, T Group Name: Mgh Shelton Does Not Accept New Patients Web address: https://www.masonge Family Medicine Ages: 0-99 neral.com/ Provider ID: 003550798007 Hospital Affiliations: Does Not Accept New Patients NPI: 1891984613 Mason General Hospital Ages: 0-99 1701 N 13th St Hospital Affiliations: Dell, Lisa C, PA, (F) Shelton, WA 98584 Good Samaritan Hospital Group Name: Public Hospital (360) 426-2653 E, EB, G, IB, P, Mason General Hospital District No 1 Of Mason C PL, R, RE, S, T Tacoma General Allenmore Provider ID: 002916884007 Does Not Accept New Patients Multicare Auburn Medical Center NPI: 1922165513 Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr 24261 N Us Highway 101 Hospital Affiliations: Hoodsport, WA 98548 Providence St Peter Hospital

(360) 432-7781 E, EB, G, IB, P, Providence Centralia Hospital PL, R, RE, S, T Web address: https://www.masonge neral.com/ Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Mason General Hospital

Primary Care Providers Washington - Mason Web address: www.pchsweb.org Grosshans, Terri L, PA, (F) Henderson, Margaret M, PA, (F) Does Not Accept New Patients Group Name: Mgh Shelton Group Name: Franciscan Medical Ages: 0-99 Family Medicine Group Hospital Affiliations: Provider ID: 003179411005 Provider ID: 002801152031 Tacoma General Allenmore NPI: 1790904613 NPI: 1396722245 1701 N 13th St Hastings, Paul S, PA, (M) 21 Ne Romance Hill Rd Ste 105 Shelton, WA 98584 Group Name: Peninsula Belfair, WA 98528

(360) 426-2653 E, EB, G, IB, P, Community Health (360) 277-2975 EB, P, R PL, R, RE, S, T Provider ID: 007389667007 Cultural Competency: Y Does Not Accept New Patients NPI: 1902379563 Web address: www.soundfamilyme Ages: 0-99 31 Ne State Route 300 Ste 200 dicine.com Hospital Affiliations: Belfair, WA 98528 Ages: 0-99

St Joseph Medical Center (360) 377-3776 EB, P, R Kelly, Kaitlin M, PA, (F) Languages Spoken: Grosshans, Terri L, PA, (F) Group Name: Franciscan Medical Provider: Mandarin, Spanish, Group Name: Mgh Shelton Group Chinese Family Medicine Provider ID: 006698847048 M-F 7:30 AM-6:00 PM Provider ID: 003179411003 NPI: 1972021434 Web address: www.pchsweb.org NPI: 1790904613 21 Ne Romance Hill Rd Ste 105 Does Not Accept New Patients 939 Mountain View Dr Belfair, WA 98528 Ages: 0-99 Shelton, WA 98584 (360) 277-2975 EB, P, R Hospital Affiliations: (360) 426-2653 E, EB, G, IB, P, Web address: www.swedish.org Tacoma General Allenmore PL, R, RE, S, T Ages: 0-99 Web address: www.masongeneral.c Hastings, Paul S, PA, (M) Hospital Affiliations: om Group Name: Peninsula Swedish Medical Center Does Not Accept New Patients Community Health Lyon-Loftus, Anthony E, PA, (M) Ages: 0-99 Provider ID: 007389667008 Group Name: Peninsula Hospital Affiliations: NPI: 1902379563 Community Health St Joseph Medical Center 627 W Franklin St Provider ID: 003185298010 Shelton, WA 98584 Hastings, Paul S, PA, (M) NPI: 1023262797 (360) 377-3776 EB, P, R Group Name: Peninsula 300 E Campus Dr Languages Spoken: Community Health Belfair, WA 98528 Provider: Mandarin, Spanish, Provider ID: 007389667009 (360) 377-3776 EB, P, R Chinese NPI: 1902379563 M-F 7:30 AM-4:00 PM Web address: www.pchsweb.org 300 E Campus Dr Web address: www.pchsweb.org Does Not Accept New Patients Belfair, WA 98528 Does Not Accept New Patients Ages: 0-99 (360) 377-3776 EB, P, R Ages: 0-99 Hospital Affiliations: Languages Spoken: Tacoma General Allenmore Provider: Mandarin, Spanish, Chinese M-F 7:30 AM-4:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Lyon-Loftus, Anthony E, PA, (M) Mc Master, Steven L, PA, (M) Prieskorn, Thomas R, PA, (M) Group Name: Peninsula Group Name: Franciscan Medical Group Name: Mgh Surgery Clinic Community Health Group Provider ID: 002779184003 Provider ID: 003185298009 Provider ID: 006697493006 NPI: 1366421174 NPI: 1023262797 NPI: 1396844841 901 Mountain View Dr 31 Ne State Route 300 Ste 200 21 Ne Romance Hill Rd Ste 105 Shelton, WA 98584

Belfair, WA 98528 Belfair, WA 98528 (360) 426-1611 EB, P, R

(360) 377-3776 EB, P, R (360) 277-2975 EB, P, R Web address: www.olyortho.com M-F 7:30 AM-6:00 PM Ages: 0-99 Accepting Existing Patients Only Web address: www.pchsweb.org Hospital Affiliations: Ages: 16-99 Does Not Accept New Patients Good Samaritan Hospital Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Providence St Peter Hospital Multicare Auburn Medical Center Multicare Capital Medical Center Lyon-Loftus, Anthony E, PA, (M) Mary Bridge Child Hosp/hlth Cntr Group Name: Peninsula Rigg, Brian A, PA, (M) Community Health Prieskorn, Thomas R, PA, (M) Group Name: Peninsula Provider ID: 003185298005 Group Name: Mgh Surgery Clinic Community Health NPI: 1023262797 Provider ID: 002779184006 Provider ID: 003103683011 627 W Franklin St NPI: 1366421174 NPI: 1033215165 Shelton, WA 98584 1701 N 13th St 300 E Campus Dr

(360) 377-3776 EB, P, R Shelton, WA 98584 Belfair, WA 98528

Web address: www.pchsweb.org (360) 426-2653 E, EB, G, IB, P, (360) 377-3776 EB, P, R Does Not Accept New Patients PL, R, RE, S, T M-F 7:30 AM-4:00 PM Ages: 0-99 Accepting Existing Patients Only Web address: www.pchsweb.org Areas of Expertise: MAT1 Ages: 16-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Massaquoi, Albert, PA, (M) Providence St Peter Hospital Group Name: Franciscan Medical Rigg, Brian A, PA, (M) Multicare Capital Medical Center Group Group Name: Peninsula Provider ID: 003437124008 Prieskorn, Thomas R, PA, (M) Community Health NPI: 1629342423 Group Name: Mgh Surgery Clinic Provider ID: 003103683010 21 Ne Romance Hill Rd Ste 105 Provider ID: 002779184004 NPI: 1033215165 Belfair, WA 98528 NPI: 1366421174 31 Ne State Route 300 Ste 200

(360) 277-2975 EB, P, R 24261 N Us Highway 101 Belfair, WA 98528

Ages: 0-99 Hoodsport, WA 98548 (360) 377-3776 EB, P, R

Hospital Affiliations: (360) 432-7781 E, EB, G, IB, P, M-F 7:30 AM-6:00 PM Baylor Scott & White Medical PL, R, RE, S, T Web address: www.pchsweb.org Ctr-taylor Accepting Existing Patients Only Does Not Accept New Patients Baylor Scott & White Med Ages: 16-99 Ages: 0-99 Ctr-hillcrest Hospital Affiliations: Baylor S & W Medical Ctr - Providence St Peter Hospital Hillcrest Multicare Capital Medical Center

Primary Care Providers Washington - Mason

Rigg, Brian A, PA, (M) Sons, Glenn L, PA, (M) Stauffer, James A, PA, (M) Group Name: Peninsula Group Name: Public Hospital Group Name: Mgh Shelton Community Health District No 1 Of Mason C Family Medicine & Orthopedic Provider ID: 003103683006 Provider ID: 006999165002 Provider ID: 001560933008 NPI: 1033215165 NPI: 1912439431 NPI: 1205219417 627 W Franklin St 24261 N Us Highway 101 247 Professional Way Shelton, WA 98584 Hoodsport, WA 98548 Shelton, WA 98584

(360) 377-3776 EB, P, R (360) 432-7781 E, EB, G, IB, P, (360) 426-3653 EB, P, R Web address: www.pchsweb.org PL, R, RE, S, T Web address: www.masongeneral.c Does Not Accept New Patients Does Not Accept New Patients om Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1 Hospital Affiliations: Stauffer, James A, PA, (M) Mason General Hospital Shaner, Resa L, PA, (F) Group Name: Mgh Shelton Group Name: Mgh Shelton Family Medicine & Orthopedic Tomaro, Linsey N, PA, (M) Family Medicine & Orthopedic Provider ID: 001560933007 Group Name: Franciscan Medical Provider ID: 002759245010 NPI: 1205219417 Group NPI: 1619964186 1701 N 13th St Provider ID: 006496940007 1701 N 13th St Shelton, WA 98584 NPI: 1629590120

Shelton, WA 98584 (360) 426-2653 E, EB, G, IB, P, 21 Ne Romance Hill Rd Ste 105

(360) 426-2653 E, EB, G, IB, P, PL, R, RE, S, T Belfair, WA 98528

PL, R, RE, S, T Web address: www.masongeneral.c (360) 277-2975 EB, P, R Web address: www.masongeneral.c om Ages: 0-99 om Ages: 0-99 Underwood, Margot H, PA, (F) Does Not Accept New Patients Hospital Affiliations: Group Name: Public Hospital Ages: 0-99 Mason General Hospital District No 1 Of Mason C Hospital Affiliations: Stauffer, James A, PA, (M) Provider ID: 002050839006 Mason General Hospital Group Name: Mgh Shelton NPI: 1508859968 Sons, Glenn L, PA, (M) Family Medicine & Orthopedic 1812 N 13th Loop Rd Group Name: Public Hospital Provider ID: 001560933009 Shelton, WA 98584

District No 1 Of Mason C NPI: 1205219417 (360) 426-3862 EB, P, R Provider ID: 006999165006 1710 N 13th St Does Not Accept New Patients NPI: 1912439431 Shelton, WA 98584 Ages: 0-99

1701 N 13th St (360) 426-2653 EB, P, R Hospital Affiliations: Shelton, WA 98584 Web address: www.masongeneral.c Presbyterian Kaseman Hospital

(360) 426-2653 E, EB, G, IB, P, om Kaseman Presbyterian Hospital PL, R, RE, S, T Ages: 0-99 Peacehealth St John Medical Does Not Accept New Patients Hospital Affiliations: Center Ages: 0-99 Mason General Hospital Presbyterian Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Mason Primary Care Providers

Underwood, Margot H, PA, (F) Underwood, Margot H, PA, (F) Van Neil, Kristina, PA, (F) Group Name: Public Hospital Group Name: Public Hospital Group Name: Peninsula District No 1 Of Mason C District No 1 Of Mason C Community Health Provider ID: 002050839007 Provider ID: 002050839005 Provider ID: 007302258008 NPI: 1508859968 NPI: 1508859968 NPI: 1750863403 221 Professional Way 24261 N Us Highway 101 300 E Campus Dr Shelton, WA 98584 Hoodsport, WA 98548 Belfair, WA 98528

(360) 426-2500 E, EB, G, P, R, (360) 432-7781 E, EB, G, IB, P, (360) 377-3776 EB, P, R RE, S, T PL, R, RE, S, T M-F 7:30 AM-4:00 PM Does Not Accept New Patients Does Not Accept New Patients Web address: www.pchsweb.org Ages: 0-99 Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Presbyterian Kaseman Hospital Presbyterian Kaseman Hospital Kaseman Presbyterian Hospital Kaseman Presbyterian Hospital Rural Health Clinic

Peacehealth St John Medical Peacehealth St John Medical Mason Health-Mason Clinic Center Center Group Name: Mason General Presbyterian Hospital Presbyterian Hospital Hospital Underwood, Margot H, PA, (F) Underwood, Margot H, PA, (F) Provider ID: 004804036002 Group Name: Public Hospital Group Name: Public Hospital NPI: 1598906455 District No 1 Of Mason C District No 1 Of Mason C 1701 N 13th St Provider ID: 002050839008 Provider ID: 002050839004 Shelton, WA 98584

NPI: 1508859968 NPI: 1508859968 (360) 426-2653 E, EB, G, IB, P, 237 Professional Way 939 Mountain View Dr PL, R, RE, S, T Shelton, WA 98584 Shelton, WA 98584 Ages: 0-99

(360) 426-2500 EB, G, R, RE, S, (360) 426-2653 E, EB, G, IB, P, Mason Health-Mason Clinic T PL, R, RE, S, T Group Name: Mason General Does Not Accept New Patients Does Not Accept New Patients Hospital Ages: 0-99 Ages: 0-99 Provider ID: 004804036003 Hospital Affiliations: Hospital Affiliations: NPI: 1598906455 Presbyterian Kaseman Hospital Presbyterian Kaseman Hospital 1710 N 13th St Kaseman Presbyterian Hospital Kaseman Presbyterian Hospital Shelton, WA 98584 Peacehealth St John Medical Peacehealth St John Medical (360) 426-2653 EB, P, R Center Center Ages: 0-99 Presbyterian Hospital Presbyterian Hospital

Primary Care Providers Washington - Thurston

Mgh Family Health Ankle And Mgh Olympic Physicians Baker, Rachel A, NP, (F) Foot Group Name: Olympic Physicians Group Name: Pmg Sw Wa Provider ID: 006452036001 Provider ID: 006026805001 Provider ID: 003836066076 NPI: 1164876629 NPI: 1306274667 NPI: 1851665624 1812 N 13th Loop Rd 221 Professional Way 1018 Capitol Way S Ste 300 Shelton, WA 98584 Shelton, WA 98584 Olympia, WA 98501

(360) 426-3862 EB, P, R (360) 426-2500 E, EB, G, P, R, (503) 891-6841 EB, P, R Web address: www.masongeneral.c RE, S, T M-Su 8:00 AM-11:59 PM om Web address: www.masongeneral.c Cultural Competency: Y Ages: 0-99 om Ages: 0-99 Ages: 0-99 Hospital Affiliations: Mgh Hoodsport Family Clinic Swedish Medical Center Group Name: Hoodsport Family Mgh Olympic Physicians Clinic Group Name: Olympic Physicians Bray, Heidi J, NP, (F) Provider ID: 006026789001 Provider ID: 006026821001 Group Name: Capital Clubhouse NPI: 1467881326 NPI: 1205264561 Provider ID: 002245077010 24261 N Us Highway 101 237 Professional Way NPI: 1366492241 Hoodsport, WA 98548 Shelton, WA 98584 1000 Cherry St Se

(360) 432-7781 E, EB, G, IB, P, (360) 426-2500 EB, G, R, RE, S, Olympia, WA 98501

PL, R, RE, S, T T (360) 357-2582 EB, IB, P, R Web address: www.masongeneral.c Web address: www.masongeneral.c M-F 8:00 AM-8:00 PM om om Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Thurston Providence St Peter Hospital Mgh Mountain View Womens University Of Washington Health Medical Ctr Group Name: Mountain View Advanced Registered Nurse Areas of Expertise: E105, E160, Womens Health Clinic (Rhc) Practitioner

MAT1, P010, P080

Provider ID: 003292782001 NPI: 1679803126 Arreymbi, Susan, NP, (F) Bray, Heidi J, NP, (F) 2300 Kati Ct Ste A Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Shelton, WA 98584 Provider ID: 005771958001 Provider ID: 002245077002 NPI: 1295165918 (360) 426-0955 EB, P, R NPI: 1366492241 Web address: www.masongeneral.c 1350 Marvin Rd Ne Ste D 1620 Cooper Point Rd Sw om Lacey, WA 98516 Olympia, WA 98502 (888) 227-3312 EB, P, R Ages: 0-99 (360) 486-6710 EB, P, R Sa,Su 8:00 AM-8:00 PM M-F 8:00 AM-7:30 PM Web address: www.providence.org Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital University Of Washington Medical Ctr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers Areas of Expertise: MAT1 Web address: www.providence.org Cassady, Jessica A, FNP, (F) Ages: 0-99 Bray, Heidi J, NP, (F) Group Name: Pmg Sw Wa Hospital Affiliations: Group Name: Pmg Sw Wa Provider ID: 005694270003 Providence St Peter Hospital Provider ID: 002245077008 NPI: 1811326242 University Of Washington NPI: 1366492241 4800 College St Se Medical Ctr 2555 Marvin Rd Ne Lacey, WA 98503 Areas of Expertise: MAT1 Lacey, WA 98516 (360) 486-2900 EB, P, R (360) 493-4450 EB, P, R Cassady, Jessica A, FNP, (F) M-F 8:00 AM-7:30 PM M-F 8:00 AM-7:30 PM Group Name: Pmg Sw Wa Sa,Su 9:00 AM-4:30 PM Sa,Su 9:00 AM-4:30 PM Provider ID: 005694270004 Web address: www.providence.org Web address: www.providence.org NPI: 1811326242 Ages: 0-99 Ages: 0-99 1620 Cooper Point Rd Sw Hospital Affiliations: Hospital Affiliations: Olympia, WA 98502 Providence St Peter Hospital

Providence St Peter Hospital (360) 486-6710 EB, P, R Providence St Mary Medical University Of Washington M-F 8:00 AM-7:30 PM Center Medical Ctr Sa,Su 9:00 AM-4:30 PM Providence Centralia Hospital Areas of Expertise: MAT1 Web address: www.providence.org Garrison, Teresa I, NP, (F) Ages: 0-99 Bray, Heidi J, NP, (F) Group Name: Sea-Mar Hospital Affiliations: Group Name: Pmg Sw Wa Community Health Providence St Peter Hospital Provider ID: 002245077006 Provider ID: 003230391001 Providence St Mary Medical NPI: 1366492241 NPI: 1902113038 Center 413 Lilly Rd Ne 3030 Limited Ln Nw Providence Centralia Hospital Olympia, WA 98506 Olympia, WA 98502 (360) 493-4083 EB, P, R Cassady, Jessica A, FNP, (F) (360) 491-1399 EB, P, R Web address: www.providence.org Group Name: Pmg Sw Wa M-Sa 8:00 AM-5:00 PM Ages: 0-99 Provider ID: 005694270002 Ages: 0-99 Hospital Affiliations: NPI: 1811326242 Hospital Affiliations: Providence St Peter Hospital 2555 Marvin Rd Ne Providence Centralia Hospital University Of Washington Lacey, WA 98516 Garrison, Teresa I, NP, (F) Medical Ctr (360) 493-4450 EB, P, R Group Name: Sea-Mar Areas of Expertise: MAT1 M-F 8:00 AM-7:30 PM Community Health Sa,Su 9:00 AM-4:30 PM Bray, Heidi J, NP, (F) Provider ID: 003230391010 Web address: www.providence.org Group Name: Pmg Sw Wa NPI: 1902113038 Ages: 0-99 Provider ID: 002245077005 669 Woodland Square Loop Se Hospital Affiliations: NPI: 1366492241 Lacey, WA 98503 Providence St Peter Hospital 4800 College St Se (360) 359-4840 EB, P, R Providence St Mary Medical Lacey, WA 98503 Ages: 0-99 Center (360) 486-2900 EB, P, R Hospital Affiliations: Providence Centralia Hospital M-F 8:00 AM-7:30 PM Providence Centralia Hospital Sa,Su 9:00 AM-4:30 PM

Primary Care Providers Washington - Thurston

Hague, Elizabeth J, NP, (F) Kendall, Kristey, NP, (F) Ottesen, Brian D, NP, (M) Group Name: Pmg Sw Wa Group Name: Multicare Health Group Name: Providence Provider ID: 007582104001 System Rochester Family Medicine NPI: 1770180689 Provider ID: 002958460013 Provider ID: 007573676001 1620 Cooper Point Rd Sw NPI: 1669622056 NPI: 1023615549 Olympia, WA 98502 3525 Ensign Rd Ne Ste B 18313 Paulson St Sw

(360) 486-6710 EB, P, R Olympia, WA 98506 Rochester, WA 98579

Cultural Competency: Y (360) 549-7250 EB, P, R (360) 827-8400 E, EB, G, IB, P, Web address: www.providence.org Cultural Competency: Y R, RE, S, T Ages: 0-99 Does Not Accept New Patients Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99 Ages: 0-99 Providence St Peter Hospital Hospital Affiliations: Hospital Affiliations: Providence Centralia Hospital Tacoma General Allenmore Providence Centralia Hospital Areas of Expertise: THS Areas of Expertise: THS Kennedy, Sharon S, NP, (F) Harshman, Kathryn E, NP, (F) Group Name: Multicare Health Phung, Angela, NP, (F) Group Name: Sea-Mar System Group Name: Express Care Wa Community Health Provider ID: 003619299006 Pc Provider ID: 003068971004 NPI: 1316974736 Provider ID: 007257988013 NPI: 1952537706 3504 12th Ave Ne NPI: 1356903694 3030 Limited Ln Nw Olympia, WA 98506 1350 Marvin Rd Ne Ste D

Olympia, WA 98502 (360) 252-3801 EB, P, R Lacey, WA 98516

(360) 491-1399 EB, P, R Accepting Existing Patients Only (888) 227-3312 EB, P, R Does Not Accept New Patients Ages: 0-20 M-Su 8:00 AM-8:00 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Areas of Expertise: MAT1 Providence Centralia Hospital Web address: www.providence.org Ages: 0-99 Kelly, Ashley N, NP, (F) Martin, Vanessa G, NP, (F) Group Name: Multicare Health Group Name: Multicare Health System System Provider ID: 005728808009 Provider ID: 003194080012 NPI: 1790161511 NPI: 1861652042 3525 Ensign Rd Ne Ste B 3504 12th Ave Ne Olympia, WA 98506 Olympia, WA 98506

(360) 549-7250 EB, P, R (253) 403-4437 EB, P, R Accepting Existing Patients Only Languages Spoken: Ages: 0-99 Provider: Spanish Hospital Affiliations: Ages: 0-20 Tacoma General Allenmore Hospital Affiliations: Kadlec Regional Medical Center Areas of Expertise: A060, E020, E070, E112, E160, E165

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Plummer, Cathryn J, NP, (F) Plummer, Cathryn J, NP, (F) Rice, Julie M, NP, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Providence System System Rochester Family Medicine Provider ID: 006322461042 Provider ID: 006322461040 Provider ID: 002000188001 NPI: 1326485590 NPI: 1326485590 NPI: 1275622201 345 Cooper Point Rd Nw Ste 103 5128 Yelm Hwy Se Ste E 18313 Paulson St Sw Ste A Olympia, WA 98502 Lacey, WA 98503 Rochester, WA 98579

(360) 763-7515 EB, P, R (360) 763-7040 EB, P, R (360) 827-8400 EB, P, R Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Does Not Accept New Patients Does Not Accept New Patients Web address: www.providence.org Ages: 0-99 Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Tacoma General Allenmore Hospital Affiliations: Multicare Auburn Medical Center Multicare Auburn Medical Center Providence St Peter Hospital Good Samaritan Hospital Good Samaritan Hospital Providence Centralia Hospital Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr Areas of Expertise: MAT1 Multicare Covington Medical Multicare Covington Medical Ryan, Jessica D, NP, (F) Center Center Group Name: Providence Plummer, Cathryn J, NP, (F) Plummer, Cathryn J, NP, (F) Rochester Family Medicine Group Name: Multicare Health Group Name: Multicare Health Provider ID: 006966683001 System System NPI: 1407322670 Provider ID: 006322461031 Provider ID: 006322461041 18313 Paulson St Sw Ste A NPI: 1326485590 NPI: 1326485590 Rochester, WA 98579

3525 Ensign Rd Ne Ste B 704 Trosper Rd Sw Ste 118 (360) 827-8400 EB, P, R Olympia, WA 98506 Tumwater, WA 98512 Web address: www.providence.org

(360) 549-7250 EB, P, R (360) 763-7050 EB, P, R Accepting Existing Patients Only Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Does Not Accept New Patients Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Ages: 0-99 Providence St Peter Hospital Hospital Affiliations: Hospital Affiliations: Providence Centralia Hospital Tacoma General Allenmore Tacoma General Allenmore Multicare Auburn Medical Center Multicare Auburn Medical Center Good Samaritan Hospital Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr Multicare Covington Medical Multicare Covington Medical Center Center

Primary Care Providers Washington - Thurston

Wohlfert, Ki-Deuk, NP, (F) Wohlfert, Ki-Deuk, NP, (F) Arreymbi, Susan, NP, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Pmg Sw Wa System System Provider ID: 005771958001 Provider ID: 002874944017 Provider ID: 002874944014 NPI: 1295165918 NPI: 1679610885 NPI: 1679610885 1350 Marvin Rd Ne Ste D 345 Cooper Point Rd Nw Ste 103 704 Trosper Rd Sw Ste 118 Lacey, WA 98516

Olympia, WA 98502 Tumwater, WA 98512 (888) 227-3312 EB, P, R

(360) 763-7515 EB, P, R (360) 763-7050 EB, P, R Sa,Su 8:00 AM-8:00 PM Languages Spoken: Languages Spoken: Web address: www.providence.org Provider: Korean Provider: Korean Ages: 0-99 Accepting Existing Patients Only Accepting Existing Patients Only Beardsley, Steven J, NP, (M) Ages: 0-99 Ages: 0-99 Group Name: Express Care Wa Hospital Affiliations: Hospital Affiliations: Pc Tacoma General Allenmore Tacoma General Allenmore Provider ID: 007287918001 St Francis Community Hospital St Francis Community Hospital NPI: 1457903239

Wohlfert, Ki-Deuk, NP, (F) Family Nurse Practitioner 1350 Marvin Rd Ne Ste D

Group Name: Multicare Health Lacey, WA 98516 System Amundson, Catherine W, FNP, (844) 626-7768 EB, P, R Provider ID: 002874944013 (F) Ages: 0-99 NPI: 1679610885 Group Name: Pmg Sw Wa Carlson, Karen M, FNP, (F) 5128 Yelm Hwy Se Ste E Provider ID: 002526953018 Group Name: Pmg Sw Wa Lacey, WA 98503 NPI: 1487654257 Provider ID: 001788708002 (360) 763-7040 EB, P, R 1018 Capitol Way S Ste 300 NPI: 1245317486 Languages Spoken: Olympia, WA 98501 2555 Marvin Rd Ne Provider: Korean (503) 891-6841 EB, P, R Lacey, WA 98516 Accepting Existing Patients Only M-Su 8:00 AM-11:59 PM (360) 413-4200 EB, P, R Ages: 0-99 Cultural Competency: Y Web address: www.providence.org Hospital Affiliations: Web address: www.providence.org Ages: 0-99 Tacoma General Allenmore Ages: 0-99 Hospital Affiliations: St Francis Community Hospital Hospital Affiliations: Providence St Peter Hospital Swedish Medical Center Providence Centralia Hospital Arreymbi, Susan, FNP, (F) University Of Washington Group Name: Express Care Wa Medical Ctr Pc Provider ID: 007301903001 NPI: 1013225226 1350 Marvin Rd Ne Ste D Lacey, WA 98516

(888) 227-3312 EB, P, R Sa,Su 8:00 AM-8:00 PM Web address: www.providence.org Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers Web address: www.providence.org Web address: www.providence.org Carlson, Karen M, FNP, (F) Ages: 0-99 Ages: 0-99 Group Name: Pmg Sw Wa Hospital Affiliations: Hospital Affiliations: Provider ID: 001788708004 Providence St Peter Hospital Providence St Peter Hospital NPI: 1245317486 Providence Centralia Hospital Providence Centralia Hospital 4800 College St Se Areas of Expertise: MAT1 Lacey, WA 98503 Gross, Debra J, NP, (F) (360) 486-2900 EB, P, R Gauthier, Amber L, NP, (F) Group Name: Pmg Sw Wa Web address: www.providence.org Group Name: Pmg Sw Wa Provider ID: 003335598003 Ages: 0-99 Provider ID: 006365312004 NPI: 1659663607 Hospital Affiliations: NPI: 1821534801 4800 College St Se Providence St Peter Hospital 2555 Marvin Rd Ne Lacey, WA 98503

Providence Centralia Hospital Lacey, WA 98516 (360) 486-2900 EB, P, R

University Of Washington (360) 493-4450 EB, P, R M-F 8:00 AM-7:30 PM Medical Ctr M-F 8:00 AM-7:30 PM Sa,Su 9:00 AM-4:30 PM Sa,Su 9:00 AM-4:30 PM Web address: www.providence.org De Rose, Kathryn E, FNP, (F) Web address: www.providence.org Ages: 0-99 Group Name: Olympia Family Ages: 0-99 Hospital Affiliations: Medicine Hospital Affiliations: Providence St Peter Hospital Provider ID: 006967108003 Providence St Peter Hospital Providence Centralia Hospital NPI: 1053888529 Providence Centralia Hospital 3920 Capital Mall Dr Sw Ste 200 Grymes Chapman, Grace C, FNP, Areas of Expertise: MAT1 Olympia, WA 98502 (F) (360) 596-4899 EB, P, R, RE, T Granda, Marquita A, FNP, (F) Group Name: Pmg Sw Wa Group Name: Express Care Wa Provider ID: 002520330037 Ages: 0-99 Pc NPI: 1083692206

De Rose, Kathryn E, FNP, (F) Provider ID: 005370853010 1620 Cooper Point Rd Sw Group Name: Olympia Family NPI: 1134527245 Olympia, WA 98502 Medicine 1018 Capitol Way S Ste 300 (360) 486-6710 EB, P, R Provider ID: 006967108002 Olympia, WA 98501 M-F 8:00 AM-7:30 PM NPI: 1053888529 (503) 891-6841 EB, P, R Sa,Su 9:00 AM-4:30 PM 3920 Capitol Mall Dr Sw #200 Sa,Su 8:00 AM-8:00 PM Ages: 0-99 Olympia, WA 98502 Cultural Competency: Y Hospital Affiliations:

(360) 596-4899 EB, P, R Web address: www.providence.org Swedish Health Services Ages: 0-99 Ages: 0-99 Swedish Medical Center Ballard

Swedish Medical Center Gross, Debra J, NP, (F) Gauthier, Amber L, NP, (F) Swedish Medical Center Issaquah Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Provider ID: 006365312005 Provider ID: 003335598004 NPI: 1821534801 NPI: 1659663607 1620 Cooper Point Rd Sw 2555 Marvin Rd Ne Olympia, WA 98502 Lacey, WA 98516

(360) 486-6710 EB, P, R (360) 493-4450 EB, P, R M-F 8:00 AM-7:30 PM M-F 8:00 AM-7:30 PM Sa,Su 9:00 AM-4:30 PM Sa,Su 9:00 AM-4:30 PM

Primary Care Providers Washington - Thurston Cultural Competency: Y Grymes Chapman, Grace C, FNP, Magana, Wendy N, NP, (F) Web address: www.providence.org (F) Group Name: Multicare Health Ages: 0-99 Group Name: Pmg Sw Wa System Provider ID: 002520330036 Hall, Debra, FNP, (F) Provider ID: 006612064016 NPI: 1083692206 Group Name: Heritage Family NPI: 1619487113 2555 Marvin Rd Ne Medicine 345 Cooper Point Rd Nw Ste 103 Lacey, WA 98516 Provider ID: 003634522008 Olympia, WA 98502

(360) 493-4450 EB, P, R NPI: 1619289485 (360) 763-7515 EB, P, R M-F 8:00 AM-7:30 PM 4001 Harrison Ave Nw Ste 101 Languages Spoken: Sa,Su 9:00 AM-4:30 PM Olympia, WA 98502 Provider: Spanish

Ages: 0-99 (360) 704-2362 Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99 Ages: 0-99 Swedish Health Services Hospital Affiliations: Hepp, Leila R, FNP, (F) Swedish Medical Center Ballard Tacoma General Allenmore Group Name: Express Care Wa Swedish Medical Center Multicare Auburn Medical Center Pc Swedish Medical Center Issaquah Good Samaritan Hospital Provider ID: 003293101039 Mary Bridge Child Hosp/hlth Cntr Grymes Chapman, Grace C, FNP, NPI: 1356642672 (F) 1018 Capitol Way S Ste 300 Magana, Wendy N, NP, (F) Group Name: Pmg Sw Wa Olympia, WA 98501 Group Name: Multicare Health

Provider ID: 002520330035 (503) 891-6841 EB, P, R System NPI: 1083692206 M-Su 8:00 AM-8:00 PM Provider ID: 006612064012 4800 College St Se Web address: www.providence.org NPI: 1619487113 Olympia, WA 98503 Ages: 0-99 5128 Yelm Hwy Se Ste E

(360) 486-2900 EB, P, R Hospital Affiliations: Lacey, WA 98503

M-Th 8:00 AM-7:00 PM Swedish Medical Center (360) 763-7040 EB, P, R F 8:00 AM-5:00 PM Languages Spoken: Leone, Daniel J, FNP, (M) Ages: 0-99 Provider: Spanish Group Name: Pmg Sw Wa Hospital Affiliations: Accepting Existing Patients Only Provider ID: 002712174006 Swedish Health Services Ages: 0-99 NPI: 1962559112 Swedish Medical Center Ballard Hospital Affiliations: 1018 Capitol Way S Ste 300 Swedish Medical Center Tacoma General Allenmore Olympia, WA 98501 Swedish Medical Center Issaquah Multicare Auburn Medical Center (503) 891-6841 EB, P, R Good Samaritan Hospital Gundelfinger, Elisabeth N, FNP, M-Su 8:00 AM-11:59 PM Mary Bridge Child Hosp/hlth Cntr (F) Ages: 0-99 Group Name: Pmg Sw Wa Provider ID: 006572653008 NPI: 1730607664 1350 Marvin Rd Ne Ste D Lacey, WA 98516

(888) 227-3312 EB, P, R M-Su 8:00 AM-8:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers Cultural Competency: Y Magana, Wendy N, NP, (F) Smith-Grady, Jennifer F, FNP, Web address: www.providence.org Group Name: Multicare Health (F) Ages: 0-99 System Group Name: Express Care Wa Provider ID: 006612064014 Newell, Kimberly A, NP, (F) Pc NPI: 1619487113 Group Name: Pmg Sw Wa Provider ID: 006206820008 704 Trosper Rd Sw Ste 118 Provider ID: 003396832002 NPI: 1457808206 Tumwater, WA 98512 NPI: 1336446012 1350 Marvin Rd Ne Ste D

(360) 763-7050 EB, P, R 2555 Marvin Rd Ne Lacey, WA 98516

Languages Spoken: Lacey, WA 98516 (888) 227-3312 EB, P, R

Provider: Spanish (360) 413-4200 EB, P, R M-F 8:00 AM-5:00 PM Accepting Existing Patients Only Web address: www.providence.org Sa,Su 8:00 AM-8:00 PM Ages: 0-99 Accepting Existing Patients Only Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Web address: www.providence.org Tacoma General Allenmore Hospital Affiliations: Ages: 0-99 Multicare Auburn Medical Center St Peters Hospital Hospital Affiliations: Good Samaritan Hospital Providence St Peter Hospital Summit Pacific Medical Center Mary Bridge Child Hosp/hlth Cntr Areas of Expertise: THS Henry Ford Hospital

Mitchell, Katharine T, FNP, (F) Ramsey, Cynthia A, FNP, (F) Smith-Grady, Jennifer F, FNP, Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa (F) Provider ID: 003583832013 Provider ID: 007184778006 Group Name: Pmg Sw Wa NPI: 1871800615 NPI: 1003872789 Provider ID: 006206820011 1018 Capitol Way S Ste 300 1350 Marvin Rd Ne Ste D NPI: 1457808206 Olympia, WA 98501 Lacey, WA 98516 1620 Cooper Point Rd Sw

(503) 891-6841 EB, P, R (888) 227-3312 EB, P, R Olympia, WA 98502

M-Su 8:00 AM-11:59 PM Cultural Competency: Y (360) 486-6710 Web address: express_care_damon. Web address: www.providence.org M-F 8:00 AM-7:30 PM [email protected] Ages: 0-99 Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Providence St Peter Hospital Ages: 0-99 Providence Portland Medical Providence Centralia Hospital Hospital Affiliations: Center Summit Pacific Medical Center Rana, Dipty, FNP, (F) Providence St Vincent Med Ctr Henry Ford Hospital Group Name: Pmg Sw Wa Swedish Medical Center Provider ID: 007155764002 Smith-Grady, Jennifer F, FNP, Neal, Meghan L, FNP, (F) NPI: 1548611973 (F) Group Name: Pmg Sw Wa 1350 Marvin Rd Ne Ste D Group Name: Pmg Sw Wa Provider ID: 006352894020 Lacey, WA 98516 Provider ID: 006206820010

NPI: 1104206929 (888) 277-3312 EB, P, R NPI: 1457808206 1350 Marvin Rd Ne Ste D Languages Spoken: 2555 Marvin Rd Ne Lacey, WA 98516 Provider: Hindi, Nepali Lacey, WA 98516

(888) 227-3312 EB, P, R M-Su 8:00 AM-8:00 PM (360) 493-4450 M-Su 8:00 AM-8:00 PM Cultural Competency: Y M-F 8:00 AM-7:30 PM Ages: 0-99 Sa,Su 9:00 AM-4:30 PM

Primary Care Providers Washington - Thurston Cultural Competency: Y Web address: www.providence.org Adams, Jenni N, DO, (F), B Ages: 0-99 Ages: 0-99 Group Name: Multicare Health Hospital Affiliations: Hospital Affiliations: System Summit Pacific Medical Center Valley Medical Center Provider ID: 007743263011 Henry Ford Hospital Family Practice NPI: 1326535295

Smith-Grady, Jennifer F, FNP, 704 Trosper Rd Sw Ste 118 (F) Abel, Jordan M, MD, (M), B Tumwater, WA 98512 Group Name: Pmg Sw Wa Group Name: Providence (360) 763-7050 Provider ID: 006206820009 Rochester Family Medicine Does Not Accept New Patients NPI: 1457808206 Provider ID: 006171329005 Ages: 0-99 4800 College St Se NPI: 1821438029 Allen-Kissick, Hillary B, MD, (F), Olympia, WA 98503 18313 Paulson St Sw Ste A B (360) 486-2900 Rochester, WA 98579 Group Name: Olympia Family M-F 8:00 AM-7:30 PM (360) 827-8400 EB, P, R Medicine Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Provider ID: 002455402009 Cultural Competency: Y Hospital Affiliations: NPI: 1851392765 Ages: 0-99 Providence St Peter Hospital 403 Black Hills Ln Sw Ste B Hospital Affiliations: Providence Centralia Hospital Olympia, WA 98502 Summit Pacific Medical Center Adams, Jenni N, DO, (F), B (360) 709-9500 EB, P, R, RE, T Henry Ford Hospital Group Name: Multicare Health Sutliffe, Eirawen B, FNP, (F) System Web address: www.providence.org Group Name: Express Care Wa Provider ID: 007743263012 Ages: 0-99 Pc NPI: 1326535295 Hospital Affiliations: Provider ID: 007341438005 345 Cooper Point Rd Nw Ste 103 Providence St Peter Hospital NPI: 1699259002 Olympia, WA 98502 Summit Pacific Medical Center

1350 Marvin Rd Ne Ste D (360) 763-7515 Amato, Chiante R, DO, (F), B Lacey, WA 98516 Does Not Accept New Patients Group Name: Capital Clubhouse (888) 227-3312 EB, P, R Ages: 0-99 Provider ID: 003653579002 M-Su 8:00 AM-8:00 PM Adams, Jenni N, DO, (F), B NPI: 1245545854 Web address: www.providence.org Group Name: Multicare Health 1000 Cherry St Se Ages: 0-99 System Olympia, WA 98501 Hospital Affiliations: Provider ID: 007743263010 (360) 349-0033 EB, IB, P, R Providence Hospital NPI: 1326535295 Ages: 0-99 Presbyterian Hospital Hospital Affiliations: 5128 Yelm Hwy Se Ste E Woodruff, Brianna T, FNP, (F) Lacey, WA 98503 Providence St Peter Hospital

Group Name: Pmg Sw Wa (360) 763-7040 Provider ID: 006324836006 Does Not Accept New Patients NPI: 1467903955 Ages: 0-99 1018 Capitol Way S Ste 300 Olympia, WA 98501

(503) 891-6841 EB, P, R M-Su 8:00 AM-11:59 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Andrews, Shawn M, MD, (F), B Berndt, Marina V, MD, (F) Berndt, Marina V, MD, (F) Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Provider ID: 001817235003 Provider ID: 002768815008 Provider ID: 002768815003 NPI: 1194834267 NPI: 1346290244 NPI: 1346290244 525 Lilly Rd Ne 2555 Marvin Rd Ne 525 Lilly Rd Ne Ste 250 Olympia, WA 98506 Lacey, WA 98516 Olympia, WA 98506

(360) 493-7230 EB, P, R (360) 493-4450 EB, P, R (360) 486-6777 EB, P, R Web address: https://summitpacific M-F 8:00 AM-7:30 PM Web address: www.providence.org medicalcenter.org/ Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Ages: 0-99 Web address: www.providence.org Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Providence St Peter Hospital Providence St Peter Hospital Hospital Affiliations: Areas of Expertise: THS Summit Pacific Medical Center Providence St Peter Hospital Blaisdell, Megan J, DO, (F), B Areas of Expertise: MAT1 Areas of Expertise: THS Group Name: Multicare Health Ankeney, Geoffrey, MD, (M), B Berndt, Marina V, MD, (F) System Group Name: Creative Solutions Group Name: Pmg Sw Wa Provider ID: 006504789019 Counseling Provider ID: 002768815007 NPI: 1639598493 Provider ID: 007426460001 NPI: 1346290244 5128 Yelm Hwy Se Ste E NPI: 1831290360 4800 College St Se Lacey, WA 98503

1800 Cooper Point Rd Sw Ste20b Lacey, WA 98503 (360) 763-7040 EB, P, R

Olympia, WA 98502 (360) 486-2900 EB, P, R Accepting Existing Patients Only

(360) 280-9227 EB, P, R M-F 8:00 AM-7:30 PM Ages: 0-99 M-Th 9:00 AM-6:00 PM Sa,Su 9:00 AM-4:30 PM Hospital Affiliations: F 9:00 AM-5:00 PM Web address: www.providence.org Tacoma General Allenmore Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1 Hospital Affiliations: Berndt, Marina V, MD, (F) Blaisdell, Megan J, DO, (F), B Providence St Peter Hospital Group Name: Pmg Sw Wa Group Name: Multicare Health Areas of Expertise: THS Provider ID: 002768815006 System NPI: 1346290244 Berndt, Marina V, MD, (F) Provider ID: 006504789020 1620 Cooper Point Rd Sw Group Name: Pmg Sw Wa NPI: 1639598493 Olympia, WA 98502 Provider ID: 002768815001 704 Trosper Rd Sw Ste 118

(360) 486-6710 EB, P, R NPI: 1346290244 Tumwater, WA 98512

M-F 8:00 AM-7:30 PM 525 Lilly Rd Ne (360) 763-7050 EB, P, R Sa,Su 9:00 AM-4:30 PM Olympia, WA 98506 Accepting Existing Patients Only

Web address: www.providence.org (360) 486-6777 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Tacoma General Allenmore Providence St Peter Hospital Providence St Peter Hospital Areas of Expertise: MAT1 Areas of Expertise: THS

Primary Care Providers Washington - Thurston

Blanco, Vivian L, MD, (F), B Catausan, Michael T, MD, (M) Clark-Neitzel, Charlotte B, MD, Group Name: Blanco Family Group Name: Healthy Schools (F), B Medicine Washington Group Name: Valley View Health Provider ID: 002462053001 Provider ID: 003023917009 Center NPI: 1124112073 NPI: 1932326071 Provider ID: 001312367007 436 Mcphee Rd Sw 1330 Horne St Ne NPI: 1144372525 Olympia, WA 98502 Olympia, WA 98516 273 Sussex Ave E

(360) 352-7779 EB, P, R (904) 379-5997 EB, P, R Tenino, WA 98589

Accepting Existing Patients Only Does Not Accept New Patients (360) 264-5665 E, EB, IB, P, R, Ages: 0-99 Ages: 0-99 RE, S, T Hospital Affiliations: Languages Spoken: Braun, Kevin E, MD, (M), B Saint Lukes South Hospital Provider: Spanish Group Name: Pmg Sw Wa M,Tu,W,F 7:30 AM-6:00 PM Provider ID: 001898079004 Cates, Edward, MD, (M), B Th 7:30 AM-8:00 PM NPI: 1407890023 Group Name: Pioneer Family Does Not Accept New Patients 525 Lilly Rd Ne Practice Ages: 0-99 Olympia, WA 98506 Provider ID: 002314790001 Hospital Affiliations: (360) 493-7230 EB, P, R NPI: 1730231127 Providence St Peter Hospital Web address: www.providence.org 5130 Corporate Center Ct Se Multicare Capital Medical Center Accepting Existing Patients Only Lacey, WA 98503 Ages: 0-99 (360) 413-8600 E, EB, P, R Clark-Neitzel, Charlotte B, MD, Hospital Affiliations: Languages Spoken: (F), B Providence St Peter Hospital Provider: Spanish Group Name: Valley View Health Tacoma General Allenmore M-F 8:30 AM-5:00 PM Center St Clare Hospital Cultural Competency: Y Provider ID: 001312367003 Mary Bridge Child Hosp/hlth Cntr Web address: www.pioneerfamilypr NPI: 1144372525 actice.com 3775 Martin Way E Ste A Bunn, Tamara L, MD, (F), B Accepting Existing Patients Only Olympia, WA 98506 Group Name: Yelm Family Ages: 0-99 (360) 236-7166 E, EB, IB, P, R, Medicine Hospital Affiliations: RE, S, T Provider ID: 002169005001 Providence St Peter Hospital Languages Spoken: NPI: 1609829910 Provider: Spanish 201 Tahoma Blvd Se Ste 102 M,Tu,W,F 7:30 AM-6:00 PM Yelm, WA 98597 Th 7:30 AM-8:00 PM (360) 458-7761 E, EB, RE, S, T Web address: vvhc.org M-F 9:00 AM-9:00 PM Does Not Accept New Patients Sa,Su 9:00 AM-5:00 PM Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Multicare Capital Medical Center Multicare Capital Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Cundiff, Dave R, MD, (M) Dean, Kathryn A, MD, (F), B Dougan, Kim E, MD, (F), B Group Name: Capital Clubhouse Group Name: Pmg Sw Wa Group Name: Multicare Health Provider ID: 007257431002 Provider ID: 006208169002 System NPI: 1497707715 NPI: 1265877278 Provider ID: 003463080008 1000 Cherry St Se 2555 Marvin Rd Ne NPI: 1164683512 Olympia, WA 98501 Lacey, WA 98516 3525 Ensign Rd Ne Ste B

(360) 357-2582 EB, IB, P, R (360) 413-4200 EB, P, R Olympia, WA 98506

Ages: 0-99 Web address: swr_kelley.frandanisa (360) 549-7250 EB, P, R @providen Cultural Competency: Y Davies, Robyn K, MD, (F), B Ages: 0-99 Accepting Existing Patients Only Group Name: Yelm Family Hospital Affiliations: Ages: 0-99 Medicine Providence St Peter Hospital Hospital Affiliations: Provider ID: 003283721001 Areas of Expertise: MAT1, THS Harrison Medical Center NPI: 1932226818 St Michael Medical Center 201 Tahoma Blvd Se Ste 102 Dorhauer, Cheri M, MD, (F) Tacoma General Allenmore Yelm, WA 98597 Group Name: Yelm Family University Of Washington (360) 458-7761 E, EB, RE, S, T Medicine Medical Ctr Provider ID: 002544098001 M-F 9:00 AM-9:00 PM NPI: 1245283472 Doughly, Najla M, MD, (F), B Sa,Su 9:00 AM-5:00 PM 201 Tahoma Blvd Se Ste 102 Group Name: Pmg Sw Wa Web address: www.yelmfamilymedi Yelm, WA 98597 Provider ID: 002733579001 cine.com (360) 458-7761 E, EB, RE, S, T NPI: 1962501460 Accepting Existing Patients Only 525 Lilly Rd Ne Ages: 0-99 M-F 9:00 AM-9:00 PM Olympia, WA 98506 Hospital Affiliations: Sa,Su 9:00 AM-5:00 PM (360) 493-7230 EB, P, R Providence St Peter Hospital Web address: www.yelmfamilimedi Web address: www.providence.org cine.com Dean, Kathryn A, MD, (F), B Accepting Existing Patients Only Accepting Existing Patients Only Group Name: Capital Clubhouse Ages: 0-99 Ages: 0-99 Provider ID: 006208169003 Hospital Affiliations: Hospital Affiliations: NPI: 1265877278 Providence St Peter Hospital Providence St Peter Hospital 1000 Cherry St Se Olympia, WA 98501

(360) 349-0033 EB, IB, P, R Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

Primary Care Providers Washington - Thurston

Duffie, Meghan R, MD, (F), B Flynn, Erin, MD, (F), B Hamilton, Julia L, DO, (F), B Group Name: Pmg Sw Wa Group Name: Yelm Family Group Name: Pmg Sw Wa Provider ID: 003214763004 Medicine Provider ID: 006214254007 NPI: 1649487182 Provider ID: 005574098002 NPI: 1205273273 2555 Marvin Rd Ne NPI: 1144450149 4800 College St Se Lacey, WA 98516 201 Tahoma Blvd Se Ste 102 Lacey, WA 98503

(360) 413-4200 EB, P, R Yelm, WA 98597 (360) 486-2900 EB, P, R

Web address: www.providence.org (360) 458-7761 E, EB, RE, S, T Web address: www.providence.org Ages: 0-99 Ages: 0-99 Hospital Affiliations: M-F 9:00 AM-9:00 PM Hospital Affiliations: Columbia St Marys Hospital Sa,Su 9:00 AM-5:00 PM Providence Regional Medical Milwaukee Accepting Existing Patients Only Center Evere Columbia St Mary's Hospital Ages: 0-99 Providence Regional Medical Ctr Providence St Peter Hospital Areas of Expertise: MAT1 Everett

Areas of Expertise: THS Grande, Lucinda A, MD, (F), B Providence St Peter Hospital Providence Holy Family Hospital Eaton, Jeremy J, DO, (M), B Group Name: Capital Clubhouse Providence Centralia Hospital Group Name: Pmg Sw Wa Provider ID: 003328907002 NPI: 1982714317 Areas of Expertise: MAT1 Provider ID: 003063141001 NPI: 1497887723 1000 Cherry St Se Hamilton, Julia L, DO, (F), B 525 Lilly Rd Ne Olympia, WA 98501 Group Name: Pmg Sw Wa Olympia, WA 98506 (682) 936-4216 EB, IB, P, R Provider ID: 006214254003 Ages: 0-99 (360) 493-7230 EB, P, R NPI: 1205273273 Ages: 0-99 Hospital Affiliations: 525 Lilly Rd Ne Hospital Affiliations: Providence St Peter Hospital Olympia, WA 98506

Providence St Peter Hospital Grande, Lucinda A, MD, (F), B (360) 493-7230 EB, P, R Cheyenne Regional Medical Group Name: Pioneer Family Web address: www.providence.org Center Practice Ages: 0-99 Areas of Expertise: MAT1 Provider ID: 003328907001 Hospital Affiliations: Providence Regional Medical Elliott, Kimberly A, DO, (F), B NPI: 1982714317 Center Evere Group Name: Pmg Sw Wa 5130 Corporate Center Ct Se Providence Regional Medical Ctr Provider ID: 003186845003 Lacey, WA 98503 Everett NPI: 1588862098 (360) 413-8600 E, EB, P, R Providence St Peter Hospital 1450 Northwest Ln Se Ste A M-F 8:30 AM-5:00 PM Providence Holy Family Hospital Lacey, WA 98503 Web address: www.pioneerfamilypr actice.com Providence Centralia Hospital (360) 491-4460 EB, P, R Areas of Expertise: MAT1 Web address: www.providence.org Accepting Existing Patients Only Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Mason General Hospital Providence St Peter Hospital Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Hang, Nhu T, MD, (F), B Kadyrova, Elvira V, MD, (F), B Kondo, Yo, MD, (M), B Group Name: Multicare Health Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa System Provider ID: 005209471002 Provider ID: 003042181006 Provider ID: 003367204012 NPI: 1386932580 NPI: 1245428168 NPI: 1548416381 525 Lilly Rd Ne Ste 250 4800 College St Se 3525 Ensign Rd Ne Ste B Olympia, WA 98506 Lacey, WA 98503

Olympia, WA 98506 (360) 486-6777 EB, P, R (360) 486-2900 EB, P, R

(360) 549-7250 EB, P, R Ages: 0-99 Languages Spoken: Cultural Competency: Y Hospital Affiliations: Provider: Japanese Accepting Existing Patients Only Providence St Peter Hospital M-F 8:00 AM-7:30 PM Ages: 0-99 Providence Centralia Hospital Sa,Su 9:00 AM-4:30 PM Hospital Affiliations: Areas of Expertise: THS Web address: www.providence.org Legacy Emanuel Hosp & Hlth Ages: 0-99 Katz, Daniel M, DO, (M), B Cent Hospital Affiliations: Group Name: Daniel M Katz Do Kent County Memorial Hospital Providence St Peter Hospital Provider ID: 002260823001 University Of Washington Areas of Expertise: MAT1 NPI: 1316087042 Medical Ctr 405 Black Hills Ln Sw Ste B1 Kondo, Yo, MD, (M), B Areas of Expertise: THS Olympia, WA 98502 Group Name: Pmg Sw Wa Johnson, Cris E, MD, (M), B (360) 705-1015 EB, P, R Provider ID: 003042181004 Group Name: Pioneer Family M-Th 8:40 AM-4:20 PM NPI: 1245428168 Practice F 8:40 AM-1:40 PM 525 Lilly Rd Ne Provider ID: 001775696001 Ages: 0-99 Olympia, WA 98506

NPI: 1144390261 Hospital Affiliations: (360) 493-7230 EB, P, R 5130 Corporate Center Ct Se St Joseph Medical Center Languages Spoken: Lacey, WA 98503 Multicare Capital Medical Center Provider: Japanese

(360) 413-8600 E, EB, P, R Web address: www.providence.org Kondo, Yo, MD, (M), B Languages Spoken: Ages: 0-99 Group Name: Pmg Sw Wa Provider: Spanish Hospital Affiliations: Provider ID: 003042181005 Staff: Spanish Providence St Peter Hospital NPI: 1245428168 M-F 8:30 AM-5:00 PM Areas of Expertise: MAT1 2555 Marvin Rd Ne Cultural Competency: Y Lacey, WA 98516 Kooser, Kenneth W, MD, (M) Web address: csmith@pioneerfamil (360) 493-4450 EB, P, R Group Name: Pmg Sw Wa ypractice.com Languages Spoken: Provider ID: 003208930018 Accepting Existing Patients Only Provider: Japanese NPI: 1306920772 Ages: 0-99 M-F 8:00 AM-7:30 PM 2555 Marvin Rd Ne Hospital Affiliations: Sa,Su 9:00 AM-4:30 PM Lacey, WA 98516 Providence St Peter Hospital Web address: www.providence.org (360) 493-4450 EB, P, R Areas of Expertise: E112 Ages: 0-99 M-F 8:00 AM-7:30 PM Hospital Affiliations: Sa,Su 9:00 AM-4:30 PM Providence St Peter Hospital Areas of Expertise: MAT1

Primary Care Providers Washington - Thurston Web address: www.providence.org Does Not Accept New Patients Lorich, Michael F, DO, (M), B Ages: 0-99 Ages: 0-99 Group Name: Pmg Sw Wa Hospital Affiliations: Hospital Affiliations: Provider ID: 002890071001 Providence Regional Medical Providence Regional Medical NPI: 1881777340 Center Evere Center Evere 1620 Cooper Point Rd Sw Providence Regional Medical Ctr Providence Regional Medical Ctr Olympia, WA 98502 Everett Everett (360) 486-6710 EB, P, R Providence St Peter Hospital Providence St Peter Hospital M-F 8:00 AM-7:30 PM Mckay Dee Hospital Lambrecht, Rein H, MD, (F), B Sa,Su 9:00 AM-4:30 PM Areas of Expertise: THS Group Name: Pmg Sw Wa Ages: 0-99 Kooser, Kenneth W, MD, (M) Provider ID: 005147930001 Hospital Affiliations: Group Name: Pmg Sw Wa NPI: 1811285661 Providence St Peter Hospital Provider ID: 003208930016 525 Lilly Rd Ne Providence Centralia Hospital NPI: 1306920772 Olympia, WA 98506 Lorich, Michael F, DO, (M), B 4800 College St Se (360) 493-7230 EB, P, R Group Name: Pmg Sw Wa Lacey, WA 98503 Web address: www.providence.org Provider ID: 002890071004 (360) 486-2900 EB, P, R Does Not Accept New Patients NPI: 1881777340 M-F 8:00 AM-7:30 PM Ages: 0-99 2555 Marvin Rd Ne Sa,Su 9:00 AM-4:30 PM Hospital Affiliations: Lacey, WA 98516 Web address: www.providence.org Providence Centralia Hospital (360) 493-4450 EB, P, R Ages: 0-99 University Of Washington M-F 8:00 AM-7:30 PM Hospital Affiliations: Medical Center Sa,Su 9:00 AM-4:30 PM Providence Regional Medical Areas of Expertise: MAT1 Ages: 0-99 Center Evere Larsen, Andrew K, MD, (M), B Hospital Affiliations: Providence Regional Medical Ctr Group Name: Yelm Family Providence St Peter Hospital Everett Medicine Providence Centralia Hospital Providence St Peter Hospital Provider ID: 003458550001 Mckay Dee Hospital Lorich, Michael F, DO, (M), B NPI: 1922238344 Areas of Expertise: THS Group Name: Pmg Sw Wa 201 Tahoma Blvd Se Ste 102 Provider ID: 002890071002 Lakin, Huong T, DO, (F), B Yelm, WA 98597 NPI: 1881777340 Group Name: Sea-Mar (360) 458-7761 E, EB, RE, S, T 4800 College St Se Community Health Lacey, WA 98503 Provider ID: 002211111002 M-F 9:00 AM-9:00 PM (360) 486-2900 EB, P, R NPI: 1669430948 Sa,Su 9:00 AM-5:00 PM M-F 8:00 AM-7:30 PM 669 Woodland Square Loop Se Ages: 0-99 Sa,Su 9:00 AM-4:30 PM Lacey, WA 98503 Hospital Affiliations: Providence St Peter Hospital Ages: 0-99 (360) 359-4840 EB, P, R Hospital Affiliations: Languages Spoken: Areas of Expertise: E112, E160 Providence St Peter Hospital Provider: Vietnamese Providence Centralia Hospital M,W,Th,F 8:00 AM-5:00 PM Tu 8:00 AM-9:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Lynam, Michael A, MD, (M), B Meka, Srinivasa R, MD, (M), B Obeng, Kwame, PA, (M) Group Name: Pmg Sw Wa Group Name: Multicare Health Group Name: Sea-Mar Provider ID: 001892453002 System Community Health NPI: 1316962509 Provider ID: 002763039018 Provider ID: 004401868004 2555 Marvin Rd Ne NPI: 1841395050 NPI: 1902223498 Lacey, WA 98516 408 Lilly Rd Ne Ste B 3624 Ensign Rd Ne

(360) 413-4200 EB, P, R Olympia, WA 98506 Olympia, WA 98506

Languages Spoken: (253) 301-5280 EB, P, R (360) 742-5000 EB, P, R Provider: Dutch, French Languages Spoken: Does Not Accept New Patients Web address: www.providence.org Provider: Hindi, Telugu Ages: 0-99 Accepting Existing Patients Only Does Not Accept New Patients Patel, Andrew P, MD, (M), B Ages: 0-99 Ages: 0-99 Group Name: Pmg Sw Wa Hospital Affiliations: Hospital Affiliations: Provider ID: 005881317002 Providence St Peter Hospital Tacoma General Allenmore NPI: 1235579756 Areas of Expertise: THS Providence Centralia Hospital 1620 Cooper Point Rd Sw Malone, Pattie J, MD, (F) Obeng, Kwame, PA, (M) Olympia, WA 98502

Group Name: University Of Group Name: Sea-Mar (360) 486-6710 EB, P, R Washington Phys Community Health M-F 8:00 AM-7:30 PM Provider ID: 003322260010 Provider ID: 004401868003 Sa,Su 9:00 AM-4:30 PM NPI: 1104832369 NPI: 1902223498 Ages: 0-99 3525 Ensign Rd Ne Ste B 205 Lilly Rd Ne Ste A1 Hospital Affiliations: Olympia, WA 98506 Olympia, WA 98506 Providence St Peter Hospital

(206) 520-5000 EB, P, R (360) 742-5000 EB, P, R Providence Centralia Hospital Languages Spoken: Does Not Accept New Patients Areas of Expertise: MAT1 Provider: Arabic Ages: 0-99 Patel, Andrew P, MD, (M), B Ages: 0-99 Obeng, Kwame, PA, (M) Group Name: Pmg Sw Wa Hospital Affiliations: Group Name: Sea-Mar Provider ID: 005881317003 Swedish Health Services Community Health NPI: 1235579756 University Of Washington Provider ID: 004401868005 2555 Marvin Rd Ne Medical Ctr NPI: 1902223498 Lacey, WA 98516 Mccloy, Thomas M, MD, (M) 3622 Ensign Rd Ne (360) 493-4450 EB, P, R Group Name: Capital Clubhouse Olympia, WA 98506 M-F 8:00 AM-7:30 PM

Provider ID: 005603394003 (360) 742-5000 EB, P, R Sa,Su 9:00 AM-4:30 PM NPI: 1366704710 Does Not Accept New Patients Ages: 0-99 1000 Cherry St Se Ages: 0-99 Hospital Affiliations: Olympia, WA 98501 Providence St Peter Hospital

(360) 357-2582 EB, IB, P, R Providence Centralia Hospital Areas of Expertise: MAT1 Web address: www.providence.org Ages: 0-99 Areas of Expertise: E112, THS

Primary Care Providers Washington - Thurston

Patel, Andrew P, MD, (M), B Paturi, Deepti, DO, (F), B Phan, Quoc T, MD, (M), B Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Group Name: Olympia Family Provider ID: 005881317004 Provider ID: 005612915001 Medicine NPI: 1235579756 NPI: 1609139260 Provider ID: 003498679001 4800 College St Se 525 Lilly Rd Ne NPI: 1326261942 Lacey, WA 98503 Olympia, WA 98506 3920 Capitol Mall Dr Sw Ste 200

(360) 486-2900 EB, P, R (360) 493-7230 EB, P, R Olympia, WA 98502

M-F 8:00 AM-7:30 PM Accepting Existing Patients Only (360) 596-4899 EB, P, R Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Multicare Capital Medical Center Providence St Peter Hospital Providence Centralia Hospital Playstead, Jennifer A, MD, (F) Providence Centralia Hospital Peash, Rachel B, DO, (F), B Group Name: Pioneer Family Areas of Expertise: MAT1 Group Name: Pmg Sw Wa Practice Patel, Andrew P, MD, (M), B Provider ID: 007666833002 Provider ID: 002066679001 Group Name: Pmg Sw Wa NPI: 1265922850 NPI: 1851464937 Provider ID: 005881317005 4800 College St Se 5130 Corporate Center Ct Se NPI: 1235579756 Lacey, WA 98503 Lacey, WA 98503

525 Lilly Rd Ne (360) 486-2900 EB, P, R (360) 413-8600 E, EB, P, R Olympia, WA 98506 M-F 8:00 AM-7:30 PM M-F 9:00 AM-5:00 PM

(360) 493-7230 EB, P, R Sa,Su 9:00 AM-4:30 PM Web address: www.pioneerfamilypr Ages: 0-99 Ages: 0-99 actice.com Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Providence St Peter Hospital Providence St Peter Hospital Hospital Affiliations: Providence Centralia Hospital Providence Centralia Hospital Providence St Peter Hospital Areas of Expertise: MAT1 Penn, William J, MD, (M), B Playstead, Jennifer A, MD, (F) Patel, Pooja M, MD, (F), B Group Name: Yelm Family Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Medicine Provider ID: 002066679002 Provider ID: 007358103001 Provider ID: 000265081001 NPI: 1851464937 NPI: 1912434317 NPI: 1194771535 525 Lilly Rd Ne 4800 College St Se 201 Tahoma Blvd Se Ste 102 Olympia, WA 98506

Lacey, WA 98503 Yelm, WA 98597 (360) 493-7230 EB, P, R

(360) 486-2900 EB, P, R (360) 458-7761 E, EB, RE, S, T Web address: www.providence.org M-F 8:00 AM-7:30 PM Ages: 0-99 Sa,Su 9:00 AM-4:30 PM M-Sa 9:00 AM-9:00 PM Hospital Affiliations: Ages: 0-99 Su 9:00 AM-5:00 PM Providence St Peter Hospital Hospital Affiliations: Ages: 0-99 Areas of Expertise: THS Providence St Peter Hospital Hospital Affiliations: Providence Centralia Hospital Providence St Peter Hospital Multicare Capital Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Pletz, Anna Maria A, MD, (F), B Pulido, Bernard J, MD, (M), B Raguveer, Vishaka, MD, (F) Group Name: Pmg Sw Wa Group Name: Ideal Option Group Name: Pmg Sw Wa Provider ID: 006263398004 Provider ID: 003105763011 Provider ID: 006503357005 NPI: 1053756999 NPI: 1194930537 NPI: 1740609387 4800 College St Se 205b Lilly Rd Ne Ste B 525 Lilly Rd Ne Lacey, WA 98503 Olympia, WA 98506 Olympia, WA 98506

(360) 486-2900 EB, P, R (877) 522-1275 EB, P, R (360) 493-7230 EB, P, R Cultural Competency: Y Ages: 0-99 Languages Spoken: Web address: kelley.frandanisa@pr Hospital Affiliations: Provider: Tamil, Kannada ovidence.org Rcch Trios Health Web address: www.providence.org Ages: 0-99 Areas of Expertise: MAT1, THS Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Pulido, Bernard J, MD, (M), B Providence St Peter Hospital Providence St Peter Hospital Group Name: Ideal Option Providence Centralia Hospital Providence Centralia Hospital Provider ID: 003105763011 Pletz, Anna Maria A, MD, (F), B NPI: 1194930537 Ritchie, Rebecca S, MD, (F), B Group Name: Pmg Sw Wa 205b Lilly Rd Ne Ste C Group Name: Capital Clubhouse Provider ID: 006263398001 Olympia, WA 98506 Provider ID: 000879427001

NPI: 1053756999 (877) 522-1275 EB, P, R NPI: 1588632004 525 Lilly Rd Ne Ages: 0-99 1000 Cherry St Se Olympia, WA 98506 Hospital Affiliations: Olympia, WA 98501

(360) 493-7230 EB, P, R Rcch Trios Health (360) 357-2582 EB, IB, P, R Cultural Competency: Y Areas of Expertise: MAT1, THS Ages: 0-99 Web address: www.providence.org Hospital Affiliations: Raastad, Larisa G, MD, (F), B Ages: 0-99 Providence St Peter Hospital Group Name: Pmg Sw Wa Hospital Affiliations: Summit Pacific Medical Center Provider ID: 002805675003 Providence St Peter Hospital Areas of Expertise: E112 NPI: 1316034101 Providence Centralia Hospital 1450 Northwest Ln Se Ste A Sandine, Kurt R, MD, (M), B Areas of Expertise: THS Lacey, WA 98503 Group Name: Pmg Sw Wa Porter, Lindsay C, MD, (F) (360) 491-4460 EB, P, R Provider ID: 002563473003 Group Name: Pioneer Family Accepting Existing Patients Only NPI: 1164527206 Practice Ages: 0-99 1620 Cooper Point Rd Sw Provider ID: 007117636001 Hospital Affiliations: Olympia, WA 98502

NPI: 1891140760 Providence St Peter Hospital (360) 486-6710 EB, P, R 5130 Corporate Center Ct Se Providence Centralia Hospital M-F 8:00 AM-7:30 PM Lacey, WA 98503 Areas of Expertise: THS Sa,Su 9:00 AM-4:30 PM

(360) 413-8615 E, EB, P, R Web address: ser_kimberly.dewey Accepting Existing Patients Only @providence.org Ages: 0-99 Does Not Accept New Patients Areas of Expertise: MAT1 Ages: 0-99 Hospital Affiliations: Augusta Health

Primary Care Providers Washington - Thurston

Sandine, Kurt R, MD, (M), B Sawyer, Devin R, MD, (M) Sokoloff, Julia L, MD, (F) Group Name: Pmg Sw Wa Group Name: Pioneer Family Group Name: Pmg Sw Wa Provider ID: 002563473005 Practice Provider ID: 001887825001 NPI: 1164527206 Provider ID: 001898534003 NPI: 1740342104 2555 Marvin Rd Ne NPI: 1497756308 525 Lilly Rd Ne Lacey, WA 98516 5130 Corporate Center Ct Se Olympia, WA 98506

(360) 493-4450 EB, P, R Lacey, WA 98503 (360) 493-7230 EB, P, R

M-F 8:00 AM-7:30 PM (360) 413-8600 E, EB, P, R Languages Spoken: Sa,Su 9:00 AM-4:30 PM M-F 8:30 AM-5:00 PM Provider: Spanish Web address: ser_kimberly.dewey Ages: 0-99 Web address: www.providence.org @providence.org Hospital Affiliations: Accepting Existing Patients Only Does Not Accept New Patients Providence St Peter Hospital Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Schwartz, Christopher, DO, (M), Augusta Health B Spencer, Alison J, MD, (F), B Sandine, Kurt R, MD, (M), B Group Name: Olympic Medical Group Name: Capital Clubhouse Group Name: Pmg Sw Wa Provider ID: 006535544006 Provider ID: 002245927004 Provider ID: 002563473004 NPI: 1457761280 NPI: 1215934054 NPI: 1164527206 6342 Littlerock Rd Sw Bldg 3 1000 Cherry St Se 4800 College St Se Tumwater, WA 98512 Olympia, WA 98501

Lacey, WA 98503 (360) 359-7052 EB, P, R (360) 357-2582 EB, IB, P, R

(360) 486-2900 EB, P, R Ages: 0-99 Ages: 0-99 M-F 8:00 AM-7:30 PM Hospital Affiliations: Hospital Affiliations: Sa,Su 9:00 AM-4:30 PM Peacehealth St John Medical Providence St Peter Hospital Web address: ser_kimberly.dewey Center Areas of Expertise: E112, E160 @providence.org Shah, Fatima, DO, (F) Sullivan, Corey R, MD, (M), B Does Not Accept New Patients Group Name: Sea-Mar Group Name: Pmg Sw Wa Ages: 0-99 Community Health Provider ID: 006265724003 Hospital Affiliations: Provider ID: 002123847004 NPI: 1699110601 Augusta Health NPI: 1497753099 1620 Cooper Point Rd Sw Sataur, Aneesa, MD, (F) 3622 Ensign Rd Ne Olympia, WA 98502

Group Name: Olympia Family Olympia, WA 98506 (360) 486-6710 EB, P, R

Medicine (360) 742-5000 EB, P, R M-F 8:00 AM-7:30 PM Provider ID: 006461807001 Does Not Accept New Patients Sa,Su 9:00 AM-4:30 PM NPI: 1659745867 Ages: 0-99 3920 Capital Mall Dr Sw Ste 200 Hospital Affiliations: Olympia, WA 98502 Providence Portland Medical

(360) 596-4899 EB, P, R, RE, T Center Gibson General Hosp Ages: 0-99 Peacehealth St John Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers Web address: www.providence.org Web address: www.providence.org Teng, Yue, MD, (M), B Ages: 0-99 Ages: 0-99 Group Name: Pmg Sw Wa Hospital Affiliations: Hospital Affiliations: Provider ID: 003063357004 Providence Regional Medical Providence Regional Medical NPI: 1063569341 Center Evere Center Evere 525 Lilly Rd Ne Providence Regional Medical Ctr Providence Regional Medical Ctr Olympia, WA 98506 Everett Everett (360) 493-7230 EB, P, R Providence St Peter Hospital Providence St Peter Hospital Web address: www.providence.org Providence Centralia Hospital Providence Centralia Hospital Ages: 0-99 Areas of Expertise: MAT1 Areas of Expertise: MAT1 Hospital Affiliations: Sullivan, Corey R, MD, (M), B Sweet, Bethany M, MD, (F) Mercy Med Ctr-des Moines Group Name: Pmg Sw Wa Group Name: Yelm Family Mercyone Des Moines Medical Provider ID: 006265724002 Medicine Center NPI: 1699110601 Provider ID: 003323616001 St Lukes Hospital 2555 Marvin Rd Ne NPI: 1821240904 Providence St Peter Hospital Lacey, WA 98516 201 Tahoma Blvd Se Ste 102 Beaumont Hospital Wayne

(360) 413-4200 EB, P, R Yelm, WA 98597 Summit Pacific Medical Center

M-F 8:00 AM-7:30 PM (360) 458-7761 E, EB, RE, S, T Areas of Expertise: THS Sa,Su 9:00 AM-4:30 PM Todd, Emily C, MD, (F), B Web address: www.providence.org M-F 9:00 AM-9:00 PM Group Name: Pmg Sw Wa Ages: 0-99 Sa,Su 9:00 AM-5:00 PM Provider ID: 002831600005 Hospital Affiliations: Web address: www.yelmfamilymedi NPI: 1700887361 Providence Regional Medical cine.com 1620 Cooper Point Rd Sw Center Evere Ages: 0-99 Olympia, WA 98502 Providence Regional Medical Ctr Hospital Affiliations: (360) 486-6710 EB, P, R Everett Providence St Peter Hospital M-F 8:00 AM-7:30 PM Providence St Peter Hospital Tan, Lynne A, MD, (F), B Sa,Su 9:00 AM-4:30 PM Providence Centralia Hospital Group Name: Multicare Health Cultural Competency: Y Areas of Expertise: MAT1 System Ages: 0-99 Sullivan, Corey R, MD, (M), B Provider ID: 003328290034 Hospital Affiliations: Group Name: Pmg Sw Wa NPI: 1881856680 Providence St Peter Hospital Provider ID: 006265724005 3525 Ensign Rd Ne Ste B Providence Centralia Hospital NPI: 1699110601 Olympia, WA 98506 Gritman Medical Center 4800 College St Se (360) 549-7250 EB, P, R Todd, Emily C, MD, (F), B Lacey, WA 98503 Languages Spoken: Provider: Tagalog Group Name: Pmg Sw Wa (360) 486-2900 EB, P, R Provider ID: 002831600004 M-F 8:00 AM-7:30 PM Accepting Existing Patients Only NPI: 1700887361 Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Hospital Affiliations: 2555 Marvin Rd Ne Harborview Medical Center Lacey, WA 98516 Swedish Medical Center (360) 493-4450 EB, P, R University Of Washington M-F 8:00 AM-7:30 PM Medical Ctr Sa,Su 9:00 AM-4:30 PM

Primary Care Providers Washington - Thurston Cultural Competency: Y Van Fleet-Green, Jessica M, MD, Wilhelm, Monica A, MD, (F), B Ages: 0-99 (F) Group Name: Yelm Family Hospital Affiliations: Group Name: South Sound Medicine Providence St Peter Hospital Medical Group Provider ID: 001980257001 Providence Centralia Hospital Provider ID: 003323386005 NPI: 1558310524 Gritman Medical Center NPI: 1679736318 201 Tahoma Blvd Se Ste 102 Todd, Emily C, MD, (F), B 4524 Intelco Loop Se Yelm, WA 98597

Group Name: Pmg Sw Wa Lacey, WA 98503 (360) 458-7761 E, EB, RE, S, T

Provider ID: 002831600003 (360) 491-9890 P, RE, T NPI: 1700887361 Ages: 18-99 M-F 9:00 AM-9:00 PM 4800 College St Se Hospital Affiliations: Sa,Su 9:00 AM-5:00 PM Lacey, WA 98503 Providence St Peter Hospital Accepting Existing Patients Only Ages: 0-99 (360) 486-2900 EB, P, R Areas of Expertise: E112 M-F 8:00 AM-7:30 PM Hospital Affiliations: Waltman, Richard E, MD, (M), B Sa,Su 9:00 AM-4:30 PM Providence St Peter Hospital Group Name: Adult Inpatient Cultural Competency: Y Multicare Capital Medical Center Medical Services Ages: 0-99 Provider ID: 000402639029 Wilhelm, Monica A, MD, (F), B Hospital Affiliations: NPI: 1710905112 Group Name: Yelm Family Providence St Peter Hospital 4524 Intelco Loop Se Medicine Providence Centralia Hospital Lacey, WA 98503 Provider ID: 001980257003 Gritman Medical Center NPI: 1558310524 (253) 392-1271 P, RE, T Unruh, Chelsea D, MD, (F), B Ages: 0-99 201 Tahoma Blvd Unit 102 Group Name: Yelm Family Hospital Affiliations: Yelm, WA 98597 Medicine Tacoma General Allenmore (360) 458-7761 EB, P, R Provider ID: 006480550003 Peacehealth St Joseph Medical Accepting Existing Patients Only NPI: 1821402298 Center Ages: 0-99 1701 4th Ave E Hospital Affiliations: Welty, Carrie B, NP, (F) Olympia, WA 98506 Providence St Peter Hospital Group Name: Pmg Sw Wa Multicare Capital Medical Center (360) 746-2013 EB, P, R Provider ID: 005196232004 Cultural Competency: Y NPI: 1043625494 Wilson, Cynthia A, DO, (F), B Accepting Existing Patients Only 4800 College St Se Group Name: Yelm Family Ages: 0-99 Lacey, WA 98503 Medicine Hospital Affiliations: Provider ID: 005559896001 (360) 486-2900 EB, P, R Providence St Peter Hospital M-F 8:00 AM-7:30 PM NPI: 1467683920 Providence Centralia Hospital Sa,Su 9:00 AM-4:30 PM 201 Tahoma Blvd Se Ste 102 Areas of Expertise: MAT1 Ages: 0-99 Yelm, WA 98597 Hospital Affiliations: (360) 458-7761 E, EB, RE, S, T Providence St Peter Hospital M-F 9:00 AM-9:00 PM Areas of Expertise: THS Sa,Su 9:00 AM-5:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers Web address: www.yelmfamilymedi Sea - Mar Community Health Valley View Health Center cine.com Center Provider ID: 003576091022 Accepting Existing Patients Only Group Name: Sea-Mar NPI: 1134164692 Ages: 0-99 Community Health 273 Sussex Ave E Hospital Affiliations: Provider ID: 003062863088 Tenino, WA 98589 Providence St Peter Hospital NPI: 1841465317 (360) 264-5665 E, EB, IB, P, R,

Federally Qualified Health Care 6334 Littlerock Rd Sw RE, S, T Agency Tumwater, WA 98512 Web address: www.vvhc.org

(360) 704-7590 EB, P, R Ages: 0-99 Sea - Mar Community Health Ages: 0-99 Valley View Health Center Center Sea - Mar Community Health Provider ID: 003576091008 Group Name: Sea-Mar Center NPI: 1134164692 Community Health Group Name: Sea-Mar 3775 Martin Way E Ste A Provider ID: 003062863061 Community Health Olympia, WA 98506 NPI: 1841465317 Provider ID: 003062863142 (360) 236-7166 E, EB, IB, P, R, 202 Cullens St Nw NPI: 1841465317 RE, S, T Yelm, WA 98597 6336 Littlerock Rd Sw Web address: www.vvhc.org (360) 400-4800 EB, P, R Tumwater, WA 98512 Ages: 0-99 Ages: 0-99

(360) 704-7590 EB, P, R Sea - Mar Community Health Ages: 0-99 Geriatrics

Center Sea - Mar Community Health Geng, Yan, MD, (F), B Group Name: Sea-Mar Center Group Name: Pmg Sw Wa Community Health Group Name: Sea-Mar Provider ID: 006510167002 Provider ID: 003062863013 Community Health NPI: 1104146620 NPI: 1841465317 Provider ID: 003062863010 1450 Northwest Ln Se Ste A 3030 Limited Ln Nw NPI: 1841465317 Lacey, WA 98503 Olympia, WA 98502 669 Woodland Square Loop Se (360) 491-4460 EB, P, R (360) 491-1399 EB, P, R Lacey, WA 98503 Languages Spoken: Ages: 0-99 (360) 359-4840 EB, P, R Provider: Mandarin Sea - Mar Community Health Ages: 0-99 Accepting Existing Patients Only Center Ages: 62-99 Valley View Health Center Group Name: Sea-Mar Hospital Affiliations: Group Name: Valley View Hlth Community Health Providence St Peter Hospital Ctr FQHC Provider ID: 003062863180 Areas of Expertise: THS Provider ID: 003576091034 NPI: 1841465317 NPI: 1134164692 3622 Ensign Rd Ne 225 State Ave Ne Ste 5 Olympia, WA 98506 Olympia, WA 98501 (360) 742-5000 EB, P, R (360) 388-6129 EB, P, R Ages: 0-99 Ages: 0-99

Primary Care Providers Washington - Thurston

Ages: 18-99 Brown, Linda L, MD, (F) Indian Health Services Clinic Hospital Affiliations: Group Name: Pmg Sw Wa Providence St Peter Hospital Nisqually Tribal Clinic Provider ID: 003325259005 Swedish Edmonds Provider ID: 007194821001 NPI: 1508830126 Swedish Medical Center Edmonds NPI: 1558553008 525 Lilly Rd Ne Ste 250 4816 She Nah Num Dr Se Olympia, WA 98506 Cirone-Hornickel, Theresa D, NP, Olympia, WA 98513 (360) 486-6777 EB, P, R (F)

(360) 459-5312 EB, P, R Web address: www.providence.org Group Name: Pmg Sw Wa Accepting Existing Patients Only Ages: 18-99 Provider ID: 003631774002 Ages: 0-99 Hospital Affiliations: NPI: 1144668112 Providence St Peter Hospital 2555 Marvin Rd Ne Internal Medicine Providence Centralia Hospital Lacey, WA 98516

(360) 493-4450 EB, P, R Cannon, Virginia R, MD, (F), B Brown, Linda L, MD, (F) Web address: swr_kelley.frandanisa Group Name: Olympia Family Group Name: Pmg Sw Wa @providence.org Medicine Provider ID: 003325259004 Ages: 0-99 Provider ID: 000790960001 NPI: 1508830126 Hospital Affiliations: NPI: 1609971365 2555 Marvin Rd Ne Providence St Peter Hospital 3920 Capitol Mall Dr Sw Ste 200 Lacey, WA 98516 Providence Centralia Hospital Olympia, WA 98502 (360) 493-4450 EB, P, R Areas of Expertise: THS M-F 8:00 AM-7:30 PM (360) 596-4899 EB, P, R Sa,Su 9:00 AM-4:30 PM M-F 8:30 AM-5:00 PM Geraci, Jane M, MD, (F), B Web address: www.providence.org Web address: www.capitalphysician Group Name: Pmg Sw Wa Ages: 18-99 sservices.com Provider ID: 002058721007 Hospital Affiliations: Ages: 18-99 NPI: 1568560241 Providence St Peter Hospital Hospital Affiliations: 1620 Cooper Point Rd Sw Providence Centralia Hospital Multicare Capital Medical Center Olympia, WA 98502

(360) 486-6710 EB, P, R Chen, Zachary H, MD, (M), B Brown, Linda L, MD, (F) M-F 8:00 AM-7:30 PM Group Name: Zachary H Chen Group Name: Pmg Sw Wa Sa,Su 9:00 AM-4:30 PM Md Pllc Provider ID: 003325259003 Web address: www.providence.org Provider ID: 000871176001 NPI: 1508830126 Accepting Existing Patients Only NPI: 1679689780 4800 College St Se Ages: 18-99 3624 Ensign Rd Ne Ste E Lacey, WA 98503 Hospital Affiliations: Olympia, WA 98506 (360) 486-2900 EB, P, R Providence St Peter Hospital (360) 413-8199 E, EB, IB, P, R, T M-F 8:00 AM-7:30 PM Providence Centralia Hospital Sa,Su 9:00 AM-4:30 PM Md Anderson Cancer Ctr Web address: www.providence.org Languages Spoken: Ages: 18-99 Provider: Chinese, Mandarin, Hospital Affiliations: Taiwanese Providence St Peter Hospital Staff: Chinese, Mandarin, Providence Centralia Hospital Taiwanese M-Th 8:00 AM-4:00 PM F 8:00 AM-12:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Geraci, Jane M, MD, (F), B Greenspahn, Scott V, MD, (M), B Klein, Eric J, MD, (M) Group Name: Pmg Sw Wa Group Name: Providence Cntrl Group Name: West Olympia Provider ID: 002058721004 Hosp/Prof Fees Internal Medicine NPI: 1568560241 Provider ID: 003551590012 Provider ID: 000170455001 2555 Marvin Rd Ne NPI: 1265665293 NPI: 1083612568 Lacey, WA 98516 413 Lilly Rd Ne 110 Delphi Rd Nw Ste 101

(360) 493-4450 EB, P, R Olympia, WA 98506 Olympia, WA 98502

M-F 8:00 AM-5:00 PM (360) 493-4069 EB, P, R (360) 352-2909 E, EB, G, P, R, Sa,Su 9:00 AM-4:30 PM Ages: 18-99 RE, S, T Web address: www.providence.org Hospital Affiliations: Web address: www.westolympiainte Accepting Existing Patients Only St Patrick Hospital rnalmedicine.com Ages: 18-99 Swedish Medical Center Accepting Existing Patients Only Hospital Affiliations: Ages: 18-99 Holland, Sundy R, MD, (F), B Providence St Peter Hospital Hospital Affiliations: Group Name: Valley View Health Providence Centralia Hospital Providence St Peter Hospital Center Md Anderson Cancer Ctr Multicare Capital Medical Center Provider ID: 001807041004 Geraci, Jane M, MD, (F), B NPI: 1205288776 Lauilefue, Tui, MD, (F), B Group Name: Pmg Sw Wa 273 Sussex Ave E Group Name: Olympia Family Provider ID: 002058721006 Tenino, WA 98589 Medicine

NPI: 1568560241 (360) 264-5665 E, EB, IB, P, R, Provider ID: 005682718002 4800 College St Se RE, S, T NPI: 1003176207 Lacey, WA 98503 M,Tu,W,F 7:30 AM-6:00 PM 3920 Capital Mall Dr Sw Ste 200

(360) 486-2900 EB, P, R Th 9:30 AM-8:00 PM Olympia, WA 98502

M-F 8:00 AM-7:30 PM Web address: vvhc.org (360) 596-4899 EB, P, R, RE, T Sa,Su 9:00 AM-4:30 PM Does Not Accept New Patients Web address: www.providence.org Ages: 18-99 Accepting Existing Patients Only Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99 Ages: 18-99 Swedish Cherry Hill Hospital Affiliations: Hospital Affiliations: Marion General Hospital Jansen, Edward L, MD, (M), B Providence St Peter Hospital Multicare Capital Medical Center Group Name: Pmg Sw Wa Providence Centralia Hospital Provider ID: 000261701002 March, Rebecca J, DO, (F), B Md Anderson Cancer Ctr NPI: 1972537918 Group Name: West Olympia 2555 Marvin Rd Ne Internal Medicine Lacey, WA 98516 Provider ID: 006500809001 NPI: 1407261936 (360) 493-4450 EB, P, R Web address: www.providence.org 110 Delphi Rd Nw Ste 101 Ages: 8-99 Olympia, WA 98502 Hospital Affiliations: (360) 352-2909 E, EB, G, P, R, Providence St Peter Hospital RE, S, T Areas of Expertise: THS M-Th 7:00 AM-3:00 PM F 7:00 AM-12:00 PM

Primary Care Providers Washington - Thurston Web address: www.westolympiainte Pierce, Aaron, DO, (M) Thalhamer, Stella S, MD, (F), B rnalmedicine.com Group Name: Capital Med Ctr Group Name: Pmg Sw Wa Accepting Existing Patients Only Specialty Phys Provider ID: 001891463003 Ages: 18-99 Provider ID: 006906259001 NPI: 1366531329 Hospital Affiliations: NPI: 1679992150 525 Lilly Rd Ne Ste 250 Multicare Capital Medical Center 3900 Capitol Mall Dr Sw Olympia, WA 98506 Micali, Iliana D, MD, (F) Olympia, WA 98502 (360) 486-6777 EB, P, R

Group Name: Sea-Mar (360) 704-4743 E, EB, G, IB, P, Accepting Existing Patients Only Community Health PL, R, RE, S, T Ages: 3-99 Provider ID: 001482356005 Accepting Existing Patients Only Hospital Affiliations: NPI: 1134128788 Ages: 18-99 Providence St Peter Hospital 3030 Limited Ln Nw Memorial Hospital Rennie, Gordon F, MD, (M), B Olympia, WA 98502 Providence Centralia Hospital Group Name: Pmg Sw Wa (206) 763-5277 EB, P, R Parkridge Valley Hospital Provider ID: 003443996002 Languages Spoken: Areas of Expertise: THS NPI: 1144386400 Provider: Spanish 1450 Northwest Ln Se Ste A Tsesliukevich, Natallia F, MD, (F) Does Not Accept New Patients Lacey, WA 98503 Group Name: Olympia Family Ages: 18-99 (360) 491-4460 EB, P, R Medicine Hospital Affiliations: Web address: www.providence.org Provider ID: 005510291001 Multicare Auburn Medical Center Accepting Existing Patients Only NPI: 1790049070 St Francis Community Hospital Ages: 18-99 403 A Black Hills Ln Sw Owen, Cullen N, DO, (M), B Hospital Affiliations: Olympia, WA 98502

Group Name: Providence Providence St Peter Hospital (360) 570-3045 E, EB, P, R, T Rochester Family Medicine Areas of Expertise: THS Languages Spoken: Provider ID: 007487587003 Provider: Russian Smitherman, Jay S, MD, (M), B NPI: 1790217776 Interpreter: Medical Interp Group Name: Pmg Sw Wa 18313 Paulson St Sw Ste A Vendor Provider ID: 002548593002 Rochester, WA 98579 Ages: 18-99 NPI: 1225028053 (360) 827-8400 EB, P, R Hospital Affiliations: 2555 Marvin Rd Ne Web address: www.providence.org Multicare Capital Medical Center Lacey, WA 98516 Accepting Existing Patients Only (360) 493-4450 EB, P, R Ages: 19-99 Web address: www.providence.org Hospital Affiliations: Accepting Existing Patients Only Providence St Peter Hospital Ages: 3-99 Providence Centralia Hospital Hospital Affiliations: Providence St Peter Hospital Chi St Lukes Baylor Col Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Velikova, Diana E, MD, (F), B Bassale, Karima R, ND, (F) Shannon, Tim P, ND, (M) Group Name: Olympia Family Group Name: Valley View Health Group Name: Heart Of Wellness Medicine Center Provider ID: 002314865001 Provider ID: 002379433004 Provider ID: 003594481003 NPI: 1023263027 NPI: 1841295615 NPI: 1629352257 205 Clark Pl Se 3920 Capitol Mall Dr Sw Ste 200 3775 Martin Way E Ste A Tumwater, WA 98501

Olympia, WA 98502 Olympia, WA 98506 (360) 570-0401 E, EB, IB, P, R, S

(360) 596-4899 EB, P, R (360) 236-7166 E, EB, IB, P, R, Languages Spoken: RE, S, T Cultural Competency: Y Provider: Russian M,Tu,W,F 7:30 AM-6:00 PM Web address: www.heartofwellness. Web address: capitalphysicianservic Th 7:30 AM-8:00 PM org es.com Does Not Accept New Patients Accepting Existing Patients Only Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Ages: 18-99 Rosinbum, Savahn A, ND, (F) Nurse Practitioner

Hospital Affiliations: Group Name: Whole Health Mason General Hospital Naturopathy An, Sarah H, NP, (F) Providence St Peter Hospital Provider ID: 003967518002 Group Name: Express Care Wa Multicare Capital Medical Center NPI: 1528407079 Pc

Naturopath 1212 4th Ave E Provider ID: 006930672002

Olympia, WA 98506 NPI: 1336677400 1350 Marvin Rd Ne Ste D Allen, Patricia A, ND, (F) (360) 943-9519 EB, P, R Group Name: Olympic Languages Spoken: Lacey, WA 98516 Naturopathic Care Provider: Spanish (888) 227-3312 EB, P, R Provider ID: 002232219001 Accepting Existing Patients Only Languages Spoken: NPI: 1407908544 Ages: 0-99 Provider: Korean 6326 Martin Way E Ste 205 M-Su 8:00 AM-8:00 PM Rosinbum, Savahn A, ND, (F) Lacey, WA 98516 Web address: www.providence.org Group Name: Whole Health Ages: 0-99 (360) 491-8877 EB, P, R Naturopathy M-F 9:30 AM-5:00 PM Hospital Affiliations: Provider ID: 003967518001 Ages: 0-99 Tacoma General Allenmore NPI: 1528407079 Multicare Auburn Medical Center Bassale, Karima R, ND, (F) 2600 Martin Way E Ste B Group Name: Valley View Hlth Olympia, WA 98506 Armstrong, Nancy, NP, (F) Group Name: Olympia Family Ctr FQHC (360) 943-9519 Provider ID: 003594481004 Languages Spoken: Medicine NPI: 1629352257 Provider: Spanish Provider ID: 001914241003 225 State Ave Ne Ste 5 Accepting Existing Patients Only NPI: 1528170776 Olympia, WA 98501 Ages: 0-99 1100 Eastside St Se Olympia, WA 98501 (360) 388-6129 EB, P, R Tu 1:00 PM 6:00 PM (360) 943-5127 EB, P, R Th 10:00 AM-2:00 PM Ages: 12-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Multicare Capital Medical Center

Primary Care Providers Washington - Thurston Web address: www.providence.org Baker, Rachel A, NP, (F) Bray, Heidi J, NP, (F) Ages: 0-99 Group Name: Express Care Wa Group Name: Pmg Sw Wa Hospital Affiliations: Pc Provider ID: 002245077008 Providence St Peter Hospital Provider ID: 006935694004 NPI: 1366492241 University Of Washington NPI: 1851665624 2555 Marvin Rd Ne Medical Ctr 1018 Capitol Way S Lacey, WA 98516 Areas of Expertise: MAT1 Olympia, WA 98501 (360) 493-4450 EB, P, R (503) 891-6841 EB, P, R M-F 8:00 AM-7:30 PM Campbell, Amber M, NP, (F) M-Su 8:00 AM-8:00 PM Sa,Su 9:00 AM-4:30 PM Group Name: Julie Dybbro Fnp Ages: 0-99 Web address: www.providence.org Provider ID: 003834408003 Ages: 0-99 NPI: 1992841043 Baker, Rachel A, NP, (F) Hospital Affiliations: 200 Lilly Rd Ne Ste B Group Name: Pmg Sw Wa Providence St Peter Hospital Olympia, WA 98506 Provider ID: 003836066076 University Of Washington (360) 754-9409 NPI: 1851665624 Medical Ctr Ages: 0-99 1018 Capitol Way S Ste 300 Areas of Expertise: MAT1 Olympia, WA 98501 Campbell, Amber M, NP, (F) (503) 891-6841 EB, P, R Bray, Heidi J, NP, (F) Group Name: Julie Dybbro Fnp M-Su 8:00 AM-11:59 PM Group Name: Pmg Sw Wa Provider ID: 003834408001 Cultural Competency: Y Provider ID: 002245077006 NPI: 1992841043 Ages: 0-99 NPI: 1366492241 200 Lilly Rd Ne Ste B 2 Hospital Affiliations: 413 Lilly Rd Ne Olympia, WA 98506

Swedish Medical Center Olympia, WA 98506 (360) 754-9409 EB, P, R

(360) 493-4083 EB, P, R Ages: 0-99 Bray, Heidi J, NP, (F) Web address: www.providence.org Group Name: Pmg Sw Wa Charles, Shana, NP, (F) Ages: 0-99 Provider ID: 002245077002 Group Name: Sea-Mar Hospital Affiliations: NPI: 1366492241 Community Health Providence St Peter Hospital 1620 Cooper Point Rd Sw Provider ID: 002529126006 University Of Washington Olympia, WA 98502 NPI: 1437179546 Medical Ctr (360) 486-6710 EB, P, R 3030 Limited Ln Nw Areas of Expertise: MAT1 M-F 8:00 AM-7:30 PM Olympia, WA 98502 Sa,Su 9:00 AM-4:30 PM Bray, Heidi J, NP, (F) (360) 491-1399 EB, P, R Web address: www.providence.org Group Name: Pmg Sw Wa Does Not Accept New Patients Ages: 0-99 Provider ID: 002245077005 Ages: 0-99 Hospital Affiliations: NPI: 1366492241 Providence St Peter Hospital 4800 College St Se University Of Washington Lacey, WA 98503

Medical Ctr (360) 486-2900 EB, P, R Areas of Expertise: MAT1 M-F 8:00 AM-7:30 PM Sa,Su 9:00 AM-4:30 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Cox, June M, NP, (F) Dybbro, Julie, NP, (F) Gandara, Maria S, NP, (F) Group Name: Express Care Wa Group Name: Julie Dybbro Fnp Group Name: Olympia Family Pc Provider ID: 001928798001 Medicine Provider ID: 006599021010 NPI: 1124006150 Provider ID: 006960741001 NPI: 1437523438 200 Lilly Rd Ne Ste B 2 NPI: 1366625717 1350 Marvin Rd Ne Ste D Olympia, WA 98506 1100 Eastside St Se

Lacey, WA 98516 (360) 754-9409 EB, P, R Olympia, WA 98501

(844) 626-7768 EB, P, R M-F 9:00 AM-5:00 PM (360) 943-5127 EB, P, R Ages: 0-99 Ages: 13-90 Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99 Failoni, Ann, NP, (F) Providence Regional Medical Hospital Affiliations: Group Name: Adult Inpatient Center Evere Multicare Capital Medical Center Medical Services Providence Regional Medical Ctr Provider ID: 002269236057 Garrison, Teresa I, NP, (F) Everett NPI: 1245257054 Group Name: Sea-Mar Duggan, Theresa E, NP, (F) 4524 Intelco Loop Se Community Health Group Name: Multicare Health Lacey, WA 98503 Provider ID: 003230391001

System (253) 392-1271 P, RE, T NPI: 1902113038 Provider ID: 005852472004 Ages: 0-99 3030 Limited Ln Nw NPI: 1770950669 Hospital Affiliations: Olympia, WA 98502

3525 Ensign Rd Ne Ste B St Joseph Medical Center (360) 491-1399 EB, P, R Olympia, WA 98506 Areas of Expertise: MAT1 M-Sa 8:00 AM-5:00 PM

(360) 549-7250 EB, P, R Ages: 0-99 Forester, Vicki L, NP, (F) Accepting Existing Patients Only Hospital Affiliations: Group Name: Express Care Wa Ages: 0-99 Providence Centralia Hospital Pc Hospital Affiliations: Provider ID: 006687706003 Garrison, Teresa I, NP, (F) Tacoma General Allenmore NPI: 1407307531 Group Name: Sea-Mar University Of Washington 1350 Marvin Rd Ne Ste D Community Health Medical Ctr Lacey, WA 98516 Provider ID: 003230391010 Areas of Expertise: THS (844) 626-7768 EB, P, R NPI: 1902113038 Dybbro, Julie, NP, (F) M-Su 8:00 AM-8:00 PM 669 Woodland Square Loop Se Group Name: Julie Dybbro Fnp Does Not Accept New Patients Lacey, WA 98503

Provider ID: 001928798002 Ages: 0-99 (360) 359-4840 EB, P, R NPI: 1124006150 Hospital Affiliations: Ages: 0-99 200 Lilly Rd Ne Ste B Kadlec Regional Medical Center Hospital Affiliations: Olympia, WA 98506 Providence Centralia Hospital

(360) 754-9409 EB, P, R M,Tu,Th,F 9:00 AM-5:00 PM Ages: 13-90

Primary Care Providers Washington - Thurston

Gauthier, Amber L, NP, (F) Gauthier, Amber L, NP, (F) Gillespie, Megan M, NP, (F) Group Name: Pmg Sw Wa Group Name: Providence St Peter Group Name: Multicare Health Provider ID: 006365312005 Hospital System NPI: 1821534801 Provider ID: 006365312007 Provider ID: 005963989003 1620 Cooper Point Rd Sw NPI: 1821534801 NPI: 1689049728 Olympia, WA 98502 413 Lilly Rd Ne 3525 Ensign Rd Ne Ste B

(360) 486-6710 EB, P, R Olympia, WA 98506 Olympia, WA 98506

M-F 8:00 AM-7:30 PM (360) 486-6402 EB, P, R (360) 549-7250 EB, P, R Sa,Su 9:00 AM-4:30 PM Web address: www.providence.org Web address: www.multicare.org Web address: www.providence.org Accepting Existing Patients Only Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Tacoma General Allenmore Providence Centralia Hospital Providence Centralia Hospital University Of Washington Areas of Expertise: MAT1 Areas of Expertise: MAT1 Medical Ctr

Gauthier, Amber L, NP, (F) Gauthier, Amber L, NP, (F) Harris-Moulton, Melinda A, NP, Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa (F) Provider ID: 006365312004 Provider ID: 006365312003 Group Name: Melinda NPI: 1821534801 NPI: 1821534801 Harris-Moulton Arnp 2555 Marvin Rd Ne 4800 College St Se Provider ID: 003740229004 Lacey, WA 98516 Lacey, WA 98503 NPI: 1013296128

(360) 493-4450 EB, P, R (360) 486-2900 EB, P, R 520 Lilly Rd Ne Bldg C M-F 8:00 AM-7:30 PM M-F 8:00 AM-7:30 PM Olympia, WA 98506

Sa,Su 9:00 AM-4:30 PM Sa,Su 9:00 AM-4:30 PM (585) 687-8873 EB, P, R Web address: www.providence.org Web address: www.providence.org Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Multicare Capital Medical Center Providence St Peter Hospital Providence St Peter Hospital Harshman, Kathryn E, NP, (F) Providence Centralia Hospital Providence Centralia Hospital Group Name: Sea-Mar Areas of Expertise: MAT1 Areas of Expertise: MAT1 Community Health Provider ID: 003068971004 NPI: 1952537706 3030 Limited Ln Nw Olympia, WA 98502

(360) 491-1399 EB, P, R Does Not Accept New Patients Ages: 0-99 Areas of Expertise: MAT1

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers

Harvey, Brian W, NP, (M) Hill, Medori S, NP, (F) Lacanlale, Samantha M, NP, (F) Group Name: Sea-Mar Group Name: Multicare Health Group Name: Pmg Sw Wa Community Health System Provider ID: 006223816003 Provider ID: 006510281001 Provider ID: 007692548001 NPI: 1528417052 NPI: 1346763455 NPI: 1982124392 2555 Marvin Rd Ne 202 Cullens St Nw 3525 Ensign Rd Ne Ste B Lacey, WA 98516

Yelm, WA 98597 Olympia, WA 98506 (360) 493-4450 EB, P, R

(360) 400-4800 EB, P, R (360) 549-7250 EB, P, R M-F 8:00 AM-7:30 PM Does Not Accept New Patients Accepting Existing Patients Only Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Ages: 0-99 Web address: www.providence.org Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Providence St Peter Hospital Tacoma General Allenmore Hospital Affiliations: Providence St Peter Hospital Harvey, Sheree L, NP, (F) Hinckley, Bonnie L, NP, (F) Providence Centralia Hospital Group Name: Sea-Mar Group Name: Express Care Wa Community Health Pc Lacanlale, Samantha M, NP, (F) Provider ID: 006512909002 Provider ID: 003272482021 Group Name: Pmg Sw Wa NPI: 1023531134 NPI: 1649481896 Provider ID: 006223816002 3030 Limited Ln Nw 1350 Marvin Rd Ne Ste D NPI: 1528417052 Olympia, WA 98502 Lacey, WA 98516 4800 College St Se

(360) 491-1399 EB, P, R (844) 626-7768 EB, P, R Lacey, WA 98503

Does Not Accept New Patients M-Su 8:00 AM-8:00 PM (360) 486-2900 EB, P, R Ages: 0-99 Cultural Competency: Y M-F 8:00 AM-7:30 PM Hospital Affiliations: Web address: www.kadlec.org Sa,Su 9:00 AM-4:30 PM Providence St Peter Hospital Does Not Accept New Patients Web address: www.providence.org Ages: 1-99 Ages: 0-99 Harvey, Sheree L, NP, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Sea-Mar Kadlec Regional Medical Center Providence St Peter Hospital Community Health Providence Centralia Hospital Provider ID: 006512909001 Lacanlale, Samantha M, NP, (F) NPI: 1023531134 Group Name: Pmg Sw Wa Leone, Daniel J, FNP, (M) 669 Woodland Square Loop Se Provider ID: 006223816001 Group Name: Pmg Sw Wa Lacey, WA 98503 NPI: 1528417052 Provider ID: 002712174006

(360) 359-4840 EB, P, R 1620 Cooper Point Rd Sw NPI: 1962559112 Does Not Accept New Patients Olympia, WA 98502 1018 Capitol Way S Ste 300

Ages: 0-99 (360) 486-6710 EB, P, R Olympia, WA 98501

Hospital Affiliations: M-F 8:00 AM-7:30 PM (503) 891-6841 EB, P, R Providence St Peter Hospital Sa,Su 9:00 AM-4:30 PM M-Su 8:00 AM-11:59 PM Web address: www.providence.org Ages: 0-99 Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital

Primary Care Providers Washington - Thurston

Magill, Eileen V, NP, (F) Matyac, Carrie A, NP, (F) Nakai, Kimberley Y, NP, (F) Group Name: Healthy Future Group Name: Pmg Sw Wa Group Name: Capital Clubhouse Pediatrics Provider ID: 002605372001 Provider ID: 007128487004 Provider ID: 003759618001 NPI: 1669439451 NPI: 1710426002 NPI: 1447411483 2555 Marvin Rd Ne 1000 Cherry St Se 3023 Pacific Ave Se Lacey, WA 98516 Olympia, WA 98501

Olympia, WA 98501 (360) 493-4450 EB, P, R (360) 357-2582 EB, IB, P, R

(360) 528-4220 E, EB, P, R, RE, M-F 8:00 AM-7:30 PM M-F 4:00 PM 8:00 PM S, T Sa,Su 9:00 AM-4:30 PM Ages: 0-99 M-F 7:30 AM-5:00 PM Ages: 0-99 Hospital Affiliations: Sa 9:00 AM-12:00 PM Areas of Expertise: MAT1 Providence St Peter Hospital Ages: 0-20 Providence Centralia Hospital Matyac, Carrie A, NP, (F) Marchand, Margaret, NP, (F) Group Name: Pmg Sw Wa Nakai, Kimberley Y, NP, (F) Group Name: Family Medical Provider ID: 002605372005 Group Name: Pmg Sw Wa Care Clinic NPI: 1669439451 Provider ID: 007128487003 Provider ID: 007170066001 4800 College St Se NPI: 1710426002 NPI: 1750934675 Lacey, WA 98503 1620 Cooper Point Rd Sw

3425 Ensign Rd Ne Ste 320 (360) 486-2900 EB, P, R Olympia, WA 98502

Olympia, WA 98506 M-F 8:00 AM-7:30 PM (360) 486-6710 EB, P, R

(360) 528-8190 EB, P, R Sa,Su 9:00 AM-4:30 PM M-F 8:00 AM-7:30 PM M,Tu,Th,F 8:00 AM-5:00 PM Web address: www.providence.org Sa,Su 9:00 AM-4:30 PM Accepting Existing Patients Only Ages: 0-99 Web address: www.providence.org Ages: 0-99 Areas of Expertise: MAT1 Ages: 0-99 Hospital Affiliations: Matyac, Carrie A, NP, (F) Mitchell, Katharine T, FNP, (F) Providence St Peter Hospital Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Providence Centralia Hospital Provider ID: 002605372002 Provider ID: 003583832013 Areas of Expertise: MAT1 NPI: 1669439451 NPI: 1871800615 1620 Cooper Point Rd Sw 1018 Capitol Way S Ste 300 Nakai, Kimberley Y, NP, (F) Olympia, WA 98502 Olympia, WA 98501 Group Name: Pmg Sw Wa

(360) 486-6710 EB, P, R (503) 891-6841 EB, P, R Provider ID: 007128487001 M-F 8:00 AM-7:30 PM M-Su 8:00 AM-11:59 PM NPI: 1710426002 Sa,Su 9:00 AM-4:30 PM Web address: express_care_damon. 2555 Marvin Rd Ne Web address: www.providence.org [email protected] Lacey, WA 98516

Ages: 0-99 Ages: 0-99 (360) 493-4450 EB, P, R Areas of Expertise: MAT1 Hospital Affiliations: M-F 8:00 AM-5:00 PM Providence Portland Medical Sa,Su 9:00 AM-4:30 PM Center Web address: www.providence.org Providence St Vincent Med Ctr Ages: 0-99 Swedish Medical Center Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital Areas of Expertise: MAT1

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

Washington - Thurston Primary Care Providers Sa 9:00 AM-12:00 PM Nakai, Kimberley Y, NP, (F) Novak, Heather D, NP, (F) Ages: 0-20 Group Name: Pmg Sw Wa Group Name: Valley View Health Provider ID: 007128487002 Center Petrin, Katelin M, NP, (F) NPI: 1710426002 Provider ID: 006576917004 Group Name: Olympia Pediatric 4800 College St Se NPI: 1629518113 Provider ID: 005712465001 Lacey, WA 98503 273 Sussex Ave E NPI: 1013388016

(360) 486-2900 EB, P, R Tenino, WA 98589 3434 12th Ave Ne

M-F 8:00 AM-7:30 PM (360) 264-5665 E, EB, IB, P, R, Olympia, WA 98506

Sa,Su 9:00 AM-4:30 PM RE, S, T (360) 413-8470 EB, P, R Web address: www.providence.org M,Tu,W,F 7:30 AM-6:00 PM M-F 8:00 AM-5:00 PM Ages: 0-99 Th 7:30 AM-8:00 PM Sa 8:00 AM-12:00 PM Hospital Affiliations: Does Not Accept New Patients Ages: 0-21 Providence St Peter Hospital Ages: 0-99 Phung, Angela, NP, (F) Providence Centralia Hospital Hospital Affiliations: Group Name: Express Care Wa Areas of Expertise: MAT1 Providence St Peter Hospital Pc Neal, Meghan L, FNP, (F) Novak, Heather D, NP, (F) Provider ID: 007257988013 Group Name: Pmg Sw Wa Group Name: Valley View Health NPI: 1356903694 Provider ID: 006352894020 Center 1350 Marvin Rd Ne Ste D NPI: 1104206929 Provider ID: 006576917001 Lacey, WA 98516

1350 Marvin Rd Ne Ste D NPI: 1629518113 (888) 227-3312 EB, P, R Lacey, WA 98516 3775 Martin Way E Ste A M-Su 8:00 AM-8:00 PM

(888) 227-3312 EB, P, R Olympia, WA 98506 Cultural Competency: Y

M-Su 8:00 AM-8:00 PM (360) 236-7166 E, EB, IB, P, R, Web address: www.providence.org Cultural Competency: Y RE, S, T Ages: 0-99 Web address: www.providence.org M,Tu,W,F 7:30 AM-6:00 PM Plewa, Jaime M, NP, (F) Ages: 0-99 Th 7:30 AM-8:00 PM Group Name: South Sound Does Not Accept New Patients Newell, Kimberly A, NP, (F) Pediatrics Ages: 0-99 Group Name: Pmg Sw Wa Provider ID: 002734396004 Hospital Affiliations: Provider ID: 003396832002 NPI: 1699980227 Providence St Peter Hospital NPI: 1336446012 3516 12th Ave Ne 2555 Marvin Rd Ne Perry, Damon D, NP, (M) Olympia, WA 98506

Lacey, WA 98516 Group Name: Healthy Future (360) 456-1600 E, EB, G, P, R,

(360) 413-4200 EB, P, R Pediatrics RE, S, T Web address: www.providence.org Provider ID: 006948934001 Languages Spoken: Accepting Existing Patients Only NPI: 1316414592 Staff: Spanish Ages: 0-99 3023 Pacific Ave Se M-F 8:00 AM-5:00 PM Hospital Affiliations: Olympia, WA 98501 Sa 8:00 AM-12:00 PM

St Peters Hospital (360) 528-4220 E, EB, P, R, RE, Web address: www.sspediatricassoc Providence St Peter Hospital S, T iates.com Areas of Expertise: THS M,W,Th 7:30 AM-7:00 PM Ages: 0-20 Tu 7:00 AM-7:00 PM Hospital Affiliations: F 7:30 AM-5:00 PM Providence Centralia Hospital

100

Primary Care Providers Washington - Thurston

Plummer, Cathryn J, NP, (F) Plummer, Cathryn J, NP, (F) Reese, Samantha R, NP, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Heritage Family System System Medicine Provider ID: 006322461042 Provider ID: 006322461040 Provider ID: 007697596001 NPI: 1326485590 NPI: 1326485590 NPI: 1639765316 345 Cooper Point Rd Nw Ste 103 5128 Yelm Hwy Se Ste E 4001 Harrison Ave Nw Olympia, WA 98502 Lacey, WA 98503 Olympia, WA 98502

(360) 763-7515 EB, P, R (360) 763-7040 EB, P, R (360) 740-5945 EB, P, R Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Does Not Accept New Patients Does Not Accept New Patients Rice, Julie M, NP, (F) Ages: 0-99 Ages: 0-99 Group Name: Providence Hospital Affiliations: Hospital Affiliations: Rochester Family Medicine Tacoma General Allenmore Tacoma General Allenmore Provider ID: 002000188001 Multicare Auburn Medical Center Multicare Auburn Medical Center NPI: 1275622201 Good Samaritan Hospital Good Samaritan Hospital 18313 Paulson St Sw Ste A Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr Rochester, WA 98579 Multicare Covington Medical Multicare Covington Medical (360) 827-8400 EB, P, R Center Center Cultural Competency: Y Plummer, Cathryn J, NP, (F) Plummer, Cathryn J, NP, (F) Web address: www.providence.org Group Name: Multicare Health Group Name: Multicare Health Accepting Existing Patients Only System System Ages: 0-99 Provider ID: 006322461031 Provider ID: 006322461041 Hospital Affiliations: NPI: 1326485590 NPI: 1326485590 Providence St Peter Hospital 3525 Ensign Rd Ne Ste B 704 Trosper Rd Sw Ste 118 Providence Centralia Hospital Olympia, WA 98506 Tumwater, WA 98512 Areas of Expertise: MAT1

(360) 549-7250 EB, P, R (360) 763-7050 EB, P, R Rubel, Alexandra Z, NP, (F) Cultural Competency: Y Cultural Competency: Y Group Name: Olympia Pediatric Does Not Accept New Patients Does Not Accept New Patients Provider ID: 007105354001 Ages: 0-99 Ages: 0-99 NPI: 1396301263 Hospital Affiliations: Hospital Affiliations: 3434 12th Ave Ne Tacoma General Allenmore Tacoma General Allenmore Olympia, WA 98506 Multicare Auburn Medical Center Multicare Auburn Medical Center (360) 413-8470 EB, P, R Good Samaritan Hospital Good Samaritan Hospital M-F 8:00 AM-5:00 PM Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr Sa 8:00 AM-12:00 PM Multicare Covington Medical Multicare Covington Medical Accepting Existing Patients Only Center Center Ages: 0-21

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

101

Washington - Thurston Primary Care Providers

Ryan, Jessica D, NP, (F) Shepherd, Dana M, NP, (F) Sullivan, Icel R, NP, (F) Group Name: Providence Group Name: Northwest Group Name: Northwest Rochester Family Medicine Pediatric Center Pediatric Center Provider ID: 006966683001 Provider ID: 002215456002 Provider ID: 007419256002 NPI: 1407322670 NPI: 1558480749 NPI: 1770116436 18313 Paulson St Sw Ste A 18313 Paulson St Sw 18313 Paulson St Sw Rochester, WA 98579 Rochester, WA 98579 Rochester, WA 98579

(360) 827-8400 EB, P, R (360) 736-6778 E, EB, G, IB, P, (360) 736-6778 E, EB, G, IB, P, Web address: www.providence.org R, RE, S, T R, RE, S, T Accepting Existing Patients Only Languages Spoken: Languages Spoken: Ages: 0-99 Staff: Spanish Staff: Spanish Hospital Affiliations: Web address: www.nwpeds.com Web address: www.nwpeds.com Providence St Peter Hospital Accepting Existing Patients Only Does Not Accept New Patients Providence Centralia Hospital Ages: 0-99 Ages: 0-99 Hospital Affiliations: Sands Sako, Yvonne T, NP, (F) Sullivan, Michelle M, NP, (F) Providence Centralia Hospital Group Name: Express Care Wa Group Name: Pmg Sw Wa Pc Stonerock, Kimberly, NP, (F) Provider ID: 004997764001 Provider ID: 003486682017 Group Name: Healthy Future NPI: 1184044471 NPI: 1326302647 Pediatrics 2555 Marvin Rd Ne 1350 Marvin Rd Ne Ste D Provider ID: 006512959001 Lacey, WA 98516

Lacey, WA 98516 NPI: 1689108227 (360) 413-4200 EB, P, R

(844) 626-7768 EB, P, R 3023 Pacific Ave Se Ages: 0-99 M-Su 8:00 AM-8:00 PM Olympia, WA 98501 Hospital Affiliations:

Ages: 0-99 (360) 528-4220 E, EB, P, R, RE, Providence St Peter Hospital Hospital Affiliations: S, T Areas of Expertise: THS Kadlec Regional Medical Center M,Tu,W,F 7:30 AM-5:00 PM Swadener, Amy B, NP, (F) Th 7:30 AM-7:00 PM Sedra, Heidi L, NP, (F) Group Name: Pmg Sw Wa Sa 9:00 AM-12:00 PM Group Name: Olympia Family Provider ID: 005251022014 Ages: 0-20 Medicine NPI: 1457420234 Hospital Affiliations: Provider ID: 003536355003 525 Lilly Rd Ne Ste 250 Mary Bridge Child Hosp/hlth Cntr NPI: 1568712776 Olympia, WA 98506

3920 Capital Mall Dr Sw Ste 200 (360) 486-6777 EB, P, R Olympia, WA 98502 Ages: 18-99

(360) 596-4899 EB, P, R, RE, T Hospital Affiliations: Providence Regional Medical Web address: www.providence.org Center Evere Ages: 0-99 Providence Regional Medical Ctr Hospital Affiliations: Everett Gray's Harbor Community Hsp Providence St Peter Hospital Multicare Capital Medical Center Areas of Expertise: THS

102

Primary Care Providers Washington - Thurston Areas of Expertise: THS Umbel, Hope H, MSN, (F) Yamasaki, Mae S, NP, (F) Group Name: Olympia Family Welty, Carrie B, NP, (F) Group Name: Multicare Health Medicine Group Name: Pmg Sw Wa System Provider ID: 005478740006 Provider ID: 005196232004 Provider ID: 001892168003 NPI: 1124101555 NPI: 1043625494 NPI: 1528072865 403 Black Hills Ln Sw Ste B 4800 College St Se 3504 12th Ave Ne Olympia, WA 98502 Lacey, WA 98503 Olympia, WA 98506

(360) 709-9500 EB, P, R, RE, T (360) 486-2900 EB, P, R (360) 252-3801 EB, P, R M-F 8:00 AM-7:30 PM Languages Spoken: Ages: 0-99 Sa,Su 9:00 AM-4:30 PM Provider: Japanese

Warner, Michelle, NP, (F) Ages: 0-99 Ages: 0-99 Group Name: Family Medical Hospital Affiliations: Hospital Affiliations: Care Clinic Providence St Peter Hospital Tacoma General Allenmore Provider ID: 006859938001 Areas of Expertise: THS Yang, Jeewon, NP, (F) NPI: 1801304431 Wheeler, Ashley Marie, NP, (F) Group Name: Olympia Family 3425 Ensign Rd Ne Ste 320 Group Name: Valley View Hlth Medicine Olympia, WA 98506 Ctr FQHC Provider ID: 005406797004 (360) 528-8190 EB, P, R Provider ID: 007634048003 NPI: 1275935066 Ages: 0-99 NPI: 1952942567 3920 Capitol Mall Dr Sw Ste 200

Warner, Michelle, NP, (F) 273 Sussex Ave E Olympia, WA 98502 Group Name: Evergreen Family Tenino, WA 98589 (360) 596-4899 EB, P, R Practice (360) 264-5665 E, EB, IB, P, R, Languages Spoken: Provider ID: 006859938003 RE, S, T Provider: Korean NPI: 1801304431 Does Not Accept New Patients Ages: 0-99 360 Lilly Rd Ne Ste B Ages: 0-99 Hospital Affiliations: Multicare Capital Medical Center Olympia, WA 98506 Wheeler, Ashley Marie, NP, (F) (360) 438-3029 Group Name: Valley View Hlth M-Th 9:00 AM-4:00 PM Ctr FQHC Accepting Existing Patients Only Provider ID: 007634048001 Ages: 0-99 NPI: 1952942567

Welty, Carrie B, NP, (F) 3775 Martin Way E Ste A Group Name: Pmg Sw Wa Olympia, WA 98506 Provider ID: 005196232001 (360) 236-7166 E, EB, IB, P, R, NPI: 1043625494 RE, S, T 2555 Marvin Rd Ne Does Not Accept New Patients Lacey, WA 98516 Ages: 0-99

(360) 413-4200 EB, P, R M-F 8:00 AM-7:30 PM Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

103

Washington - Thurston Primary Care Providers

Pediatric Nurse Practitioner Belko, Amy Z, MD, (F), B Caserta, Jennifer J, MD, (F), B

Group Name: Olympia Pediatric Group Name: Northwest Cuevas, Megan E, NP, (F) Provider ID: 001163407001 Pediatric Center Group Name: Multicare Health NPI: 1003883679 Provider ID: 002433729002 System 3434 12th Ave Ne NPI: 1962521435 Provider ID: 006909893002 Olympia, WA 98506 18313 Paulson St Sw NPI: 1699256479 (360) 413-8470 EB, P, R Rochester, WA 98579 1920 Black Lake Blvd Sw M-F 8:00 AM-5:00 PM (360) 736-6778 E, EB, G, IB, P, Olympia, WA 98512 Sa 8:00 AM-12:00 PM R, RE, S, T

(360) 534-9222 EB, P, R Ages: 0-20 Languages Spoken: Ages: 0-20 Hospital Affiliations: Staff: Spanish Hospital Affiliations: Providence St Peter Hospital Web address: www.nwpeds.com Tacoma General Allenmore Does Not Accept New Patients Boldt, Adam H, DO, (M), B Multicare Auburn Medical Center Ages: 0-20 Group Name: Olympia Pediatric Good Samaritan Hospital Hospital Affiliations: Provider ID: 002989913001 Mary Bridge Child Hosp/hlth Cntr Providence St Peter Hospital NPI: 1154458867 Multicare Covington Medical Providence Centralia Hospital 3434 12th Ave Ne Center Olympia, WA 98506 Ebalo, Evelyn E, MD, (F), B

Pediatrics (360) 413-8470 EB, P, R Group Name: Multicare Health

M-F 8:00 AM-5:00 PM System Barer, Lisa Marie S, MD, (F), B Sa 8:00 AM-12:00 PM Provider ID: 000900772002 Group Name: Multicare Health Accepting Existing Patients Only NPI: 1881671618 System Ages: 0-21 1920 Black Lake Blvd Sw Provider ID: 002139183002 Hospital Affiliations: Olympia, WA 98512 NPI: 1083690010 Memorial University Medical (360) 534-9222 EB, P, R 1920 Black Lake Blvd Sw Center Languages Spoken: Olympia, WA 98512 Providence St Peter Hospital Provider: Filipino, Tagalog

(360) 534-9222 EB, P, R Staff: Tagalog Web address: www.abcpedsoly.com Web address: www.abcpedsoly.com Accepting Existing Patients Only Accepting Existing Patients Only Ages: 0-20 Ages: 0-20 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Tacoma General Allenmore Tacoma General Allenmore Multicare Capital Medical Center

104

Primary Care Providers Washington - Thurston

Fukui, Karen K, MD, (F), B Huang, Maria C, MD, (F) Karpel, John T, MD, (M), B Group Name: Olympia Pediatric Group Name: Northwest Group Name: Karpel John T Provider ID: 000827793001 Pediatric Center Provider ID: 000261838003 NPI: 1932176427 Provider ID: 003556362003 NPI: 1396830220 3434 12th Ave Ne NPI: 1861503807 3900 Capital Mall Dr Sw Olympia, WA 98506 18313 Paulson St Sw Olympia, WA 98502

(360) 413-8470 EB, P, R Rochester, WA 98579 (360) 754-5858 EB, P, R

Languages Spoken: (360) 736-6778 E, EB, G, IB, P, Ages: 0-20 Provider: Japanese R, RE, S, T Hospital Affiliations: Staff: Spanish Languages Spoken: Providence St Peter Hospital M-F 8:00 AM-5:00 PM Staff: Spanish Multicare Capital Medical Center Sa 8:00 AM-12:00 PM Web address: www.nwpeds.com Lee, Lisa A, MD, (F), B Cultural Competency: Y Does Not Accept New Patients Group Name: South Sound Ages: 0-20 Ages: 0-20 Pediatrics Hospital Affiliations: Hospital Affiliations: Provider ID: 001910076001 Providence St Peter Hospital Providence St Peter Hospital NPI: 1235224163 Harvey, Beth E, MD, (F), B Jiang, Lin, MD, (F), B 3516 12th Ave Ne Group Name: South Sound Group Name: Capital Pediatrics Olympia, WA 98506

Pediatrics Pllc (360) 456-1600 E, EB, G, P, R, Provider ID: 001707744001 Provider ID: 002510762001 RE, S, T NPI: 1548355472 NPI: 1104994722 M-Th 8:00 AM-6:30 PM 3516 12th Ave Ne 2112 Caton Way Sw F 8:00 AM-5:30 PM Olympia, WA 98506 Olympia, WA 98502 Sa 8:00 AM-12:00 PM

(360) 456-1600 E, EB, G, P, R, (360) 754-1629 E, EB, IB, P, R, Web address: www.sspediatricassoc RE, S, T RE, S, T iates.com Languages Spoken: Languages Spoken: Ages: 0-20 Staff: Spanish Provider: Chinese Hospital Affiliations: M-Th 9:00 AM-5:30 PM Staff: Chinese Providence St Peter Hospital F 9:00 AM-5:00 PM M-F 9:00 AM-5:00 PM Lester, Robert B, MD, (M) Sa 9:00 AM-1:00 PM Web address: www.capitalpediatrics Group Name: Black Hills Web address: southsoundpeds.com .com Pediatrics Accepting Existing Patients Only Ages: 0-3 Provider ID: 000527914001 Ages: 0-21 Hospital Affiliations: NPI: 1265509608 Hospital Affiliations: Providence St Peter Hospital 2112 Caton Way Sw Providence St Peter Hospital Olympia, WA 98502

(360) 754-1629 E, EB, IB, P, R, RE, S, T M-F 9:00 AM-5:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

105

Washington - Thurston Primary Care Providers Web address: www.blackhillspeds.c Morales-Bronner, Sylvia, MD, (F) Plewa, Jaime M, NP, (F) om Group Name: South Sound Group Name: South Sound Ages: 0-20 Pediatrics Pediatrics Hospital Affiliations: Provider ID: 003215523002 Provider ID: 002734396004 Providence St Peter Hospital NPI: 1366603920 NPI: 1699980227 Multicare Capital Medical Center 3516 12th Ave Ne 3516 12th Ave Ne Lindgren, Carl A, MD, (M), B Olympia, WA 98506 Olympia, WA 98506

Group Name: Healthy Future (360) 456-1600 E, EB, G, P, R, (360) 456-1600 E, EB, G, P, R, Pediatrics RE, S, T RE, S, T Provider ID: 000831190001 M-F 8:00 AM-5:00 PM Languages Spoken: NPI: 1982681029 Sa 9:00 AM-12:00 PM Staff: Spanish 3023 Pacific Ave Se Su 8:00 AM-6:00 PM M-F 8:00 AM-5:00 PM Olympia, WA 98501 Accepting Existing Patients Only Sa 8:00 AM-12:00 PM

(360) 528-4220 E, EB, P, R, RE, Ages: 0-20 Web address: www.sspediatricassoc S, T Hospital Affiliations: iates.com M-F 7:30 AM-5:00 PM Providence St Peter Hospital Ages: 0-20 Sa 9:00 AM-12:00 PM Tacoma General Allenmore Hospital Affiliations: Web address: www.healthyfuturepe Good Samaritan Hospital Providence Centralia Hospital ds.com Petersen, Dana M, MD, (M), B Polley, Jennifer P, MD, (F), B Does Not Accept New Patients Group Name: Olympia Pediatric Group Name: Northwest Ages: 0-21 Provider ID: 000261716001 Pediatric Center Hospital Affiliations: NPI: 1912974155 Provider ID: 000823884002 Providence St Peter Hospital 3434 12th Ave Ne NPI: 1114089026 Lirio, Beverly Jane V, MD, (F), B Olympia, WA 98506 18313 Paulson St Sw

Group Name: South Sound (360) 413-8470 EB, P, R Rochester, WA 98579

Pediatrics M-F 8:00 AM-5:00 PM (360) 736-6778 E, EB, G, IB, P, Provider ID: 002218151001 Sa 8:00 AM-12:00 PM R, RE, S, T NPI: 1952389140 Ages: 0-20 Languages Spoken: 3516 12th Ave Ne Hospital Affiliations: Staff: Spanish Olympia, WA 98506 Providence St Peter Hospital Web address: www.nwpeds.com

(360) 456-1600 E, EB, G, P, R, Does Not Accept New Patients Petersen, Iris, MD, (F) RE, S, T Ages: 0-20 Group Name: Olympia Pediatrics M-Th 8:00 AM-6:30 PM Hospital Affiliations: Pllc F 8:00 AM-5:30 PM Providence Centralia Hospital Provider ID: 007656828001 Sa 8:00 AM-12:00 PM NPI: 1659868560 Web address: www.sspediatricassoc 3434 12th Ave Ne iates.com Olympia, WA 98506 Ages: 0-20 (360) 413-8470 Hospital Affiliations: Ages: 0-20 Providence St Peter Hospital Memorial Medical Center Areas of Expertise: E112

106

Primary Care Providers Washington - Thurston Web address: www.olympiapediatri Raj, Sanjay S, MD, (M), B Tran, Kathy, DO, (F), B cs.com Group Name: Sea-Mar Group Name: South Sound Ages: 0-20 Community Health Pediatrics Hospital Affiliations: Provider ID: 002315008004 Provider ID: 007276695001 Providence St Peter Hospital NPI: 1477662278 NPI: 1376990028 Primary Children's Hospital 3030 Limited Ln Nw 3516 12th Ave Ne University Of Utah Hospital And Olympia, WA 98502 Olympia, WA 98506 Clinics (360) 491-1399 EB, P, R (360) 456-1600 E, EB, G, P, R, Does Not Accept New Patients Srur, Stephanie R, DO, (F), B RE, S, T Ages: 0-20 Group Name: Olympia Pediatric Languages Spoken: Hospital Affiliations: Provider ID: 006419322001 Provider: Vietnamese Providence Regional Medical NPI: 1861810624 Staff: Spanish Center Evere 3434 12th Ave Ne M-F 8:00 AM-5:00 PM Providence Regional Medical Ctr Olympia, WA 98506 Sa 9:00 AM-12:00 PM

Everett (360) 413-8470 EB, P, R Does Not Accept New Patients M-F 8:00 AM-5:00 PM Ages: 0-18 Shin, Yoon, MD, (F), B Sa 8:00 AM-12:00 PM Hospital Affiliations: Group Name: South Sound Web address: www.olympiapediatri Providence St Peter Hospital Pediatrics cs.com Provider ID: 007638765001 Tsao Wu, George, MD, (M), B Ages: 0-99 NPI: 1346775392 Group Name: Northwest Hospital Affiliations: 3516 12th Ave Ne Pediatric Center Providence St Peter Hospital Olympia, WA 98506 Provider ID: 001733020006 (360) 456-1600 E, EB, G, P, R, Stephens, Bradford D, MD, (M), NPI: 1518291582 RE, S, T B 18313 Paulson St Sw Ages: 0-20 Group Name: Olympia Pediatric Rochester, WA 98579

Hospital Affiliations: Provider ID: 002927560001 (360) 736-6778 E, EB, G, IB, P, Lucile Packard Childrens Hospital NPI: 1063534808 R, RE, S, T Lucille Packard Childrens 3434 12th Ave Ne Languages Spoken: Hospital Olympia, WA 98506 Provider: Vietnamese

(360) 413-8470 EB, P, R Staff: Spanish Sipher, Bridget K, MD, (F), B Languages Spoken: Cultural Competency: Y Group Name: Olympia Pediatric Provider: Spanish Web address: www.nwpeds.com Provider ID: 002324109001 Staff: Spanish Does Not Accept New Patients NPI: 1528035029 M-F 8:00 AM-5:00 PM Ages: 0-20 3434 12th Ave Ne Sa 8:00 AM-12:00 PM Hospital Affiliations: Olympia, WA 98506 Cultural Competency: Y Providence Centralia Hospital (360) 413-8470 EB, P, R Accepting Existing Patients Only M-F 8:00 AM-5:00 PM Ages: 0-21 Sa 8:00 AM-12:00 PM Hospital Affiliations: Providence St Peter Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

107

Washington - Thurston Primary Care Providers Web address: www.providence.org Welsh, Chelsea, MD, (F) Cornwall, Nathan K, PA, (M) Ages: 0-99 Group Name: South Sound Group Name: Pmg Sw Wa Hospital Affiliations: Pediatrics Provider ID: 006920125002 Providence Centralia Hospital Provider ID: 007437549001 NPI: 1144404187 NPI: 1508240276 Barker, Brandon W, PA, (M) 1620 Cooper Point Rd Sw 3516 12th Ave Ne Group Name: Pmg Sw Wa Olympia, WA 98502

Olympia, WA 98506 Provider ID: 003551258003 (360) 486-6710 EB, P, R

(360) 456-1600 E, EB, G, P, R, NPI: 1629226733 Cultural Competency: Y RE, S, T 2555 Marvin Rd Ne Web address: www.providence.org Ages: 0-20 Lacey, WA 98516 Accepting Existing Patients Only

Hospital Affiliations: (360) 493-4450 EB, P, R Ages: 0-99 Providence St Peter Hospital M-F 8:00 AM-7:30 PM Hospital Affiliations: Sa,Su 9:00 AM-4:30 PM Providence St Peter Hospital Wiley, Joseph W, MD, (M), B Ages: 0-99 Providence Centralia Hospital Group Name: Northwest Hospital Affiliations: Areas of Expertise: MAT1 Pediatric Center Providence Centralia Hospital Provider ID: 001291447002 Cornwall, Nathan K, PA, (M) NPI: 1265594196 Barker, Brandon W, PA, (M) Group Name: Pmg Sw Wa 18313 Paulson St Sw Group Name: Pmg Sw Wa Provider ID: 006920125001 Rochester, WA 98579 Provider ID: 003551258004 NPI: 1144404187

(360) 736-6778 E, EB, G, IB, P, NPI: 1629226733 4800 College St Se R, RE, S, T 4800 College St Se Lacey, WA 98503

Languages Spoken: Lacey, WA 98503 (360) 486-2900 EB, P, R

Staff: Spanish (360) 486-2900 EB, P, R Cultural Competency: Y Web address: www.nwpeds.com M-F 8:00 AM-7:30 PM Web address: www.providence.org Does Not Accept New Patients Sa,Su 9:00 AM-4:30 PM Accepting Existing Patients Only Ages: 0-20 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital Providence St Peter Hospital Providence Centralia Hospital Providence Centralia Hospital Barlow, Hannah M, PA, (F) Areas of Expertise: MAT1 Physician Assistant Group Name: Multicare Health

System Barker, Brandon W, PA, (M) Provider ID: 007586974002 Group Name: Pmg Sw Wa NPI: 1083217780 Provider ID: 003551258001 1920 Black Lake Blvd Sw NPI: 1629226733 Olympia, WA 98512 1620 Cooper Point Rd Sw (360) 534-9222 EB, P, R Olympia, WA 98502 Accepting Existing Patients Only

(360) 486-6710 EB, P, R Ages: 0-99 M-F 8:00 AM-7:30 PM Hospital Affiliations: Sa,Su 9:00 AM-4:30 PM Tacoma General Allenmore

108

Primary Care Providers Washington - Thurston Web address: denise.nickerson@pro Frevert, Eric, PA, (M) Landry, Donna M, MD, (F) vidence.org Group Name: Olympia Family Group Name: Oly Med Family Ages: 0-99 Medicine Wellnes Ctr Hospital Affiliations: Provider ID: 003469311002 Provider ID: 002906184001 Providence Regional Medical NPI: 1518027903 NPI: 1366523490 Center Evere 403 Black Hills Ln Sw Ste B 1603 Cooper Point Rd Nw Providence Regional Medical Ctr Olympia, WA 98502 Olympia, WA 98502 Everett (360) 709-9500 EB, P, R, RE, T (360) 753-0396 EB, P, R Languages Spoken: Nourse, Lindsay L, PA, (F) Accepting Existing Patients Only Staff: Spanish Group Name: Pmg Sw Wa Ages: 0-99 M,W 9:00 AM-5:00 PM Provider ID: 003119115004 Hospital Affiliations: Tu,F 9:00 AM-12:00 PM NPI: 1568790384 Multicare Capital Medical Center Th 9:00 AM-4:00 PM 1620 Cooper Point Rd Sw

Hart, Brianna E, PA, (F) Web address: www.olymedwellness Olympia, WA 98502 Group Name: Express Care Wa .com (360) 486-6710 EB, P, R Pc Ages: 0-99 Web address: www.providence.org Provider ID: 005653709009 Does Not Accept Male Patients Accepting Existing Patients Only Ages: 0-99 NPI: 1124353693 Loyer, Sandra, PA, (F) Hospital Affiliations: 1350 Marvin Rd Ne Ste D Group Name: Pmg Sw Wa Providence St Peter Hospital Lacey, WA 98516 Provider ID: 002978870005 Providence Centralia Hospital (844) 626-7768 EB, P, R NPI: 1457339319 M-Su 8:00 AM-8:00 PM Areas of Expertise: THS 4800 College St Se Cultural Competency: Y Lacey, WA 98503 Obeng, Kwame, PA, (M), B Ages: 0-99 (360) 486-2900 EB, P, R Group Name: Sea-Mar Hospital Affiliations: Web address: www.soundfamilyme Community Health Providence Sacred Heart Med Ctr dicine.com Provider ID: 004401868003 & Child Ages: 0-99 NPI: 1902223498 Providence Holy Family Hospital Hospital Affiliations: 205 Lilly Rd Ne Ste A1

Johnson, Christopher, PA, (M) Providence St Peter Hospital Olympia, WA 98506 Group Name: Ideal Family Care Providence Centralia Hospital (360) 742-5000 EB, P, R Provider ID: 000947341006 Areas of Expertise: THS Does Not Accept New Patients NPI: 1295778165 Ages: 0-99 Montgomery, Gary D, PA, (M) 404 Yauger Way Sw Ste 150 Group Name: Pmg Sw Wa Obeng, Kwame, PA, (M), B Olympia, WA 98502 Provider ID: 005865609014 Group Name: Sea-Mar (360) 918-0119 EB, P, R NPI: 1104299601 Community Health Accepting Existing Patients Only 1018 Capitol Way S Ste 300 Provider ID: 004401868005 Ages: 0-99 Olympia, WA 98501 NPI: 1902223498 Hospital Affiliations: (503) 891-6841 EB, P, R 3622 Ensign Rd Ne Multicare Capital Medical Center M-Su 8:00 AM-11:59 PM Olympia, WA 98506

(360) 742-5000 EB, P, R Does Not Accept New Patients Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

109

Washington - Thurston Primary Care Providers

Obeng, Kwame, PA, (M), B Pendle, Gregory J, PA, (M) Shrestha, Arsen, PA, (M) Group Name: Sea-Mar Group Name: Pmg Sw Wa Group Name: Sea-Mar Community Health Provider ID: 002940835002 Community Health Provider ID: 004401868004 NPI: 1174780282 Provider ID: 007518466001 NPI: 1902223498 4800 College St Se NPI: 1770101636 3624 Ensign Rd Ne Lacey, WA 98503 3622 Ensign Rd Ne

Olympia, WA 98506 (360) 486-2900 EB, P, R Olympia, WA 98506

(360) 742-5000 EB, P, R M-F 8:00 AM-7:30 PM (360) 742-5000 EB, P, R Does Not Accept New Patients Sa,Su 9:00 AM-4:30 PM Does Not Accept New Patients Ages: 0-99 Web address: www.providence.org Ages: 0-99 Ages: 0-99 Pendle, Gregory J, PA, (M) Steffan, Lukas, PA, (M) Hospital Affiliations: Group Name: Pmg Sw Wa Group Name: Washington Providence St Peter Hospital Provider ID: 002940835005 Orthopaedic Cr Providence Centralia Hospital NPI: 1174780282 Provider ID: 006564326002 1620 Cooper Point Rd Sw Ruiz, Brittany N, PA, (F) NPI: 1285143933 Olympia, WA 98502 Group Name: Valley View Health 704 Lilly Rd Se

(360) 486-6710 EB, P, R Center Olympia, WA 98501

M-F 8:00 AM-7:30 PM Provider ID: 006204598004 (360) 736-2889 EB, P, R Sa,Su 9:00 AM-4:30 PM NPI: 1790146231 Ages: 0-99 Web address: www.providence.org 273 Sussex Ave E Swan, Jacob G, PA, (M) Ages: 0-99 Tenino, WA 98589 Group Name: Multicare Health Hospital Affiliations: (360) 264-5665 E, EB, IB, P, R, System Providence St Peter Hospital RE, S, T Provider ID: 006681882013 Providence Centralia Hospital M,Tu,W,F 7:30 AM-6:00 PM NPI: 1154838035 Th 7:30 AM-8:00 PM Pendle, Gregory J, PA, (M) 345 Cooper Point Rd Nw Ste 103 Does Not Accept New Patients Group Name: Pmg Sw Wa Olympia, WA 98502 Ages: 0-99 Provider ID: 002940835004 (360) 763-7515 EB, P, R NPI: 1174780282 Ruiz, Brittany N, PA, (F) Ages: 0-99 2555 Marvin Rd Ne Group Name: Valley View Health Swan, Jacob G, PA, (M) Lacey, WA 98516 Center Group Name: Multicare Health (360) 493-4450 EB, P, R Provider ID: 006204598001 System M-F 8:00 AM-7:30 PM NPI: 1790146231 Provider ID: 006681882011 Sa,Su 9:00 AM-4:30 PM 3775 Martin Way E Ste A NPI: 1154838035 Web address: www.providence.org Olympia, WA 98506 5128 Yelm Hwy Se Ste E Ages: 0-99 (360) 236-7166 E, EB, IB, P, R, Lacey, WA 98503 Hospital Affiliations: RE, S, T (360) 763-7040 EB, P, R Providence St Peter Hospital M,Tu,W,F 7:30 AM-6:00 PM Ages: 0-99 Providence Centralia Hospital Th 7:30 AM-8:00 PM Web address: vvhc.org Does Not Accept New Patients Ages: 0-99 Areas of Expertise: MAT1

110

Primary Care Providers Washington - Thurston

Swan, Jacob G, PA, (M) Tarr, Leanne, PA, (F) Vu, Giang V, PA, (M) Group Name: Multicare Health Group Name: Providence St Peter Group Name: John Daniel Md Ps System Hospital Provider ID: 002827705006 Provider ID: 006681882012 Provider ID: 003547058007 NPI: 1386733483 NPI: 1154838035 NPI: 1740518208 1415 Harrison Ave Nw 704 Trosper Rd Sw Ste 118 413 Lilly Rd Ne Olympia, WA 98502

Tumwater, WA 98512 Olympia, WA 98506 (360) 754-9090 EB, P, R

(360) 763-7050 EB, P, R (360) 491-9480 EB, P, R Languages Spoken: Ages: 0-99 Languages Spoken: Provider: Vietnamese Provider: Spanish Accepting Existing Patients Only Tarr, Leanne, PA, (F) Accepting Existing Patients Only Ages: 0-99 Group Name: Pmg Sw Wa Ages: 0-99 Hospital Affiliations: Provider ID: 003547058002 Hospital Affiliations: Swedish Health Services NPI: 1740518208 Providence St Peter Hospital 1620 Cooper Point Rd Sw Wing, Bruce A, PA, (M) Providence Centralia Hospital Olympia, WA 98502 Group Name: Pmg Sw Wa (360) 486-6710 EB, P, R Tarr, Leanne, PA, (F) Provider ID: 003637443002 Languages Spoken: Group Name: Pmg Sw Wa NPI: 1093995698 Provider: Spanish Provider ID: 003547058004 1620 Cooper Point Rd Sw M-F 8:00 AM-7:30 PM NPI: 1740518208 Olympia, WA 98502

Sa,Su 9:00 AM-4:30 PM 4800 College St Se (360) 486-6710 EB, P, R Web address: www.providence.org Lacey, WA 98503 M-F 8:00 AM-7:30 PM

Ages: 0-99 (360) 486-2900 EB, P, R Sa,Su 9:00 AM-4:30 PM Hospital Affiliations: Languages Spoken: Web address: www.providence.org Providence St Peter Hospital Provider: Spanish Ages: 0-99 Providence Centralia Hospital M-F 8:00 AM-7:30 PM Hospital Affiliations: Sa,Su 9:00 AM-4:30 PM Providence St Peter Hospital Tarr, Leanne, PA, (F) Ages: 0-99 Areas of Expertise: THS Group Name: Pmg Sw Wa Hospital Affiliations: Provider ID: 003547058005 Wing, Bruce A, PA, (M) Providence St Peter Hospital NPI: 1740518208 Group Name: Pmg Sw Wa Providence Centralia Hospital 2555 Marvin Rd Ne Provider ID: 003637443004 Lacey, WA 98516 NPI: 1093995698

(360) 493-4450 EB, P, R 2555 Marvin Rd Ne Languages Spoken: Lacey, WA 98516

Provider: Spanish (360) 493-4450 EB, P, R M-F 8:00 AM-7:30 PM M-F 8:00 AM-7:30 PM Sa,Su 9:00 AM-4:30 PM Sa,Su 9:00 AM-4:30 PM Web address: www.providence.org Web address: www.providence.org Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Providence Centralia Hospital Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

111

Washington - Thurston Primary Care Providers

Wing, Bruce A, PA, (M) Group Name: Pmg Sw Wa Provider ID: 003637443003 NPI: 1093995698 4800 College St Se Lacey, WA 98503

(360) 486-2900 EB, P, R M-F 8:00 AM-7:30 PM Sa,Su 9:00 AM-4:30 PM Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Areas of Expertise: THS

Rural Health Clinic

Northwest Pediatric Center Provider ID: 007532625003 NPI: 1477789956 18313 Paulson St Sw Rochester, WA 98579

(360) 736-6778 E, EB, G, IB, P, R, RE, S, T Languages Spoken: Staff: Spanish Web address: www.nwpeds.com Ages: 0-99

112

Specialists Washington - Mason

Specialists

Washington Cardiology Cardiovascular Disease

Mason Brennan, William P, MD, (M) Brennan, William P, MD, (M), B

Group Name: Providence Group Name: Providence Advanced Registered Nurse Cardiology Assoc Cardiology Assoc Practitioner Provider ID: 000261682001 Provider ID: 000261682001

NPI: 1487655858 NPI: 1487655858 Phitwong, Ame, NP, (F) 939 Mountain View Dr 939 Mountain View Dr Group Name: Silver Falls Shelton, WA 98584 Shelton, WA 98584 Dermatology (360) 413-8525 E, EB, G, IB, P, (360) 413-8525 E, EB, G, IB, P, Provider ID: 006541209006 PL, R, RE, S, T PL, R, RE, S, T NPI: 1255858247 Ages: 0-99 Ages: 0-99 939 Mountain View Dr Ste 120 Hospital Affiliations: Hospital Affiliations: Shelton, WA 98584 Mason General Hospital Mason General Hospital (360) 549-5073 E, EB, P, R, RE, Providence St Peter Hospital Providence St Peter Hospital S, T Gray's Harbor Community Hsp Gray's Harbor Community Hsp Ages: 0-99 Providence Centralia Hospital Providence Centralia Hospital

Cardiac Electrophysiology Brennan, William P, MD, (M) Brennan, William P, MD, (M), B

Group Name: Providence Group Name: Providence Wark, Robert S, MD, (M), B Cardiology Assoc Cardiology Assoc Group Name: Pmg Sw Wa Provider ID: 000261682001 Provider ID: 000261682001 Provider ID: 000832389003 NPI: 1487655858 NPI: 1487655858 NPI: 1730181769 939 Mountain View Dr Ste 120 939 Mountain View Dr Ste 120 939 Mountain View Dr Shelton, WA 98584 Shelton, WA 98584

Shelton, WA 98584 (360) 413-8525 E, EB, P, R, RE, (360) 413-8525 E, EB, P, R, RE, (360) 413-8525 E, EB, G, IB, P, S, T S, T PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Web address: www.providence.org Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Mason General Hospital Mason General Hospital Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Mason General Hospital Gray's Harbor Community Hsp Gray's Harbor Community Hsp Providence St Peter Hospital Providence Centralia Hospital Providence Centralia Hospital Providence Centralia Hospital Multicare Capital Medical Center Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

113

Washington - Mason Specialists

Wehrli, Craig J, MD, (M), B Certified Midwife Gray, Deetta M, MD, (F), B

Group Name: Providence Group Name: Silver Falls Cardiology Assoc Lindeke, Aliscia R, CNM, (F) Dermatology Provider ID: 000261729002 Group Name: Planned Provider ID: 001706636003 NPI: 1326049883 Parenthood Of The Great Nw & NPI: 1790825966 939 Mountain View Dr Hi 939 Mountain View Dr Ste 120 Shelton, WA 98584 Provider ID: 003819824002 Shelton, WA 98584 (360) 413-8525 E, EB, G, IB, P, NPI: 1033546718 (360) 549-5073 E, EB, P, R, RE, PL, R, RE, S, T 2505 Olympic Hwy N Ste 400 S, T Ages: 0-99 Shelton, WA 98584 Ages: 0-99

Hospital Affiliations: (800) 769-0045 EB, P, R Hospital Affiliations: Mason General Hospital Ages: 0-99 Swedish Health Services Providence St Peter Hospital Hospital Affiliations: Overlake Hospital Medical Center Summit Pacific Medical Center Valley Medical Center Virginia Mason Medical Center

Providence Centralia Hospital Dermatology Jacobson, Laurie G, MD, (F), B

Werden, Scott D, DO, (M), B Group Name: Silver Falls Group Name: Pmg Sw Wa Fowler, Amber D, MD, (F), B Dermatology Provider ID: 003035543009 Group Name: Silver Falls Provider ID: 002301988007 NPI: 1659554624 Dermatology NPI: 1043235492 939 Mountain View Dr Provider ID: 002786385003 939 Mountain View Dr Ste 120 Shelton, WA 98584 NPI: 1093733495 Shelton, WA 98584 (360) 413-8525 E, EB, G, IB, P, 939 Mountain View Dr Ste 120 (360) 549-5073 E, EB, P, R, RE, PL, R, RE, S, T Shelton, WA 98584 S, T

Web address: www.providence.org (360) 549-5073 E, EB, P, R, RE, Ages: 0-99 Ages: 0-99 S, T Hospital Affiliations: Hospital Affiliations: Languages Spoken: Swedish Health Services Providence St Peter Hospital Provider: Spanish New York Eye And Ear Infirmary Tacoma General Allenmore Ages: 0-99 Multicare Valley Hospital St Joseph Medical Center Hospital Affiliations: University Of Washington Areas of Expertise: THS Island Hospital Medical Ctr

114

Specialists Washington - Mason

Nicolazzi, Sharon A, MD, (F), B Family Practice Genetic Counselor

Group Name: Silver Falls Dermatology Baird, Sara A, MD, (F), B Simon, Julie M, MS, (F) Provider ID: 001112505005 Group Name: Planned Group Name: Hoodsport Family NPI: 1275586307 Parenthood Of The Great Nw & Clinic 939 Mountain View Dr Ste 120 Hi Provider ID: 006650083006 Shelton, WA 98584 Provider ID: 003662981092 NPI: 1093094971 (360) 549-5073 E, EB, P, R, RE, NPI: 1457671547 1701 N 13th St S, T 2505 Olympic Hwy N Ste 400 Shelton, WA 98584

Ages: 0-99 Shelton, WA 98584 (360) 426-4142 E, EB, G, IB, P,

Hospital Affiliations: (800) 769-0045 EB, P, R PL, R, RE, S, T Seattle Children's Hospital Accepting Existing Patients Only Web address: www.masongeneral.c Swedish Edmonds Ages: 0-99 om Swedish Medical Center Edmonds Hospital Affiliations: Ages: 0-99 Swedish Medical Center Hospital Affiliations: Endocrinology Areas of Expertise: MAT1 Mason General Hospital

Providence St Peter Hospital San Juan, Zinnia T, MD, (F), B Frazer, Thomas A, MD, (M), B Tacoma General Allenmore Group Name: Franciscan Medical Group Name: Franciscan Medical Providence Centralia Hospital Group Group Multicare Auburn Medical Center Provider ID: 003367478002 Provider ID: 001809147006 Good Samaritan Hospital NPI: 1669683926 NPI: 1457461188 Mary Bridge Child Hosp/hlth Cntr 21 Ne Romance Hill Rd 21 Ne Romance Hill Rd Ste 105 Belfair, WA 98528 Belfair, WA 98528 Simon, Julie M, MS, (F)

(360) 277-2950 (360) 277-2975 EB, P, R Group Name: Hoodsport Family Ages: 0-99 Languages Spoken: Clinic Hospital Affiliations: Provider: Spanish Provider ID: 006650083006 Intermountain Medical Center Ages: 0-99 NPI: 1093094971 University Medical Center Of El Hospital Affiliations: 1710 N 13th Loop Rd Paso Island Hospital Shelton, WA 98584

(360) 426-4142 EB, P, R Phasouk, Ryan K, MD, (M), B Web address: https://www.masonge Group Name: Franciscan Medical neral.com/ Group Ages: 0-99 Provider ID: 002696108007 Hospital Affiliations: NPI: 1215946892 Mason General Hospital 21 Ne Romance Hill Rd Ste 105 Providence St Peter Hospital Belfair, WA 98528 Tacoma General Allenmore (360) 277-2975 EB, P, R Providence Centralia Hospital Web address: www.immediateclinic Multicare Auburn Medical Center .com Good Samaritan Hospital Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

115

Washington - Mason Specialists

Simon, Julie M, MS, (F) Simon, Julie M, MS, (F) Simon, Julie M, MS, (F) Group Name: Hoodsport Family Group Name: Hoodsport Family Group Name: Hoodsport Family Clinic Clinic Clinic Provider ID: 006650083006 Provider ID: 006650083006 Provider ID: 006650083006 NPI: 1093094971 NPI: 1093094971 NPI: 1093094971 1710 N 13th St 24261 N Us Highway 101 939 Mountain View Dr Shelton, WA 98584 Hoodsport, WA 98548 Shelton, WA 98584

(360) 426-4142 EB, P, R (360) 432-7781 E, EB, G, IB, P, (360) 426-2653 Web address: www.masongeneral.c PL, R, RE, S, T Web address: www.masongeneral.c om Web address: www.masongeneral.c om Ages: 0-99 om Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Mason General Hospital Hospital Affiliations: Mason General Hospital Providence St Peter Hospital Mason General Hospital Providence St Peter Hospital Tacoma General Allenmore Providence St Peter Hospital Tacoma General Allenmore Providence Centralia Hospital Tacoma General Allenmore Providence Centralia Hospital Multicare Auburn Medical Center Providence Centralia Hospital Multicare Auburn Medical Center Good Samaritan Hospital Multicare Auburn Medical Center Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr Simon, Julie M, MS, (F) Gynecologic Oncology

Group Name: Hoodsport Family Simon, Julie M, MS, (F) Clinic Group Name: Hoodsport Family O'boyle, John D, MD, (M), B Provider ID: 006650083006 Clinic Group Name: Pmg Sw Wa NPI: 1093094971 Provider ID: 006650083006 Provider ID: 006886024001 2300 Kati Ct Ste A NPI: 1093094971 NPI: 1306808381 Shelton, WA 98584 901 Mt View Dr 2026 Olympic Hwy N Ste 203 (360) 426-0955 Shelton, WA 98584 Shelton, WA 98584

M 8:00 AM-5:00 PM (360) 426-1611 EB, P, R (360) 427-4355 EB, P, R Web address: www.masongeneral.c Web address: www.masongeneral.c Web address: www.providence.org om om Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Mason General Hospital Mason General Hospital Providence Centralia Hospital Providence St Peter Hospital Providence St Peter Hospital Tacoma General Allenmore Tacoma General Allenmore Providence Centralia Hospital Providence Centralia Hospital Multicare Auburn Medical Center Multicare Auburn Medical Center Good Samaritan Hospital Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr

116

Specialists Washington - Mason

Hematology / Oncology Brennan, William P, MD, (M), B Wang, Hui, MD, (F), B

Group Name: Providence Group Name: Pmg Sw Wa Sui, Xingwei D, MD, (M), B Cardiology Assoc Provider ID: 002920378001 Group Name: Pmg Sw Wa Provider ID: 000261682001 NPI: 1962513580 Provider ID: 002576871001 NPI: 1487655858 2026 Olympic Hwy N Ste 203 NPI: 1568469534 939 Mountain View Dr Ste 120 Shelton, WA 98584 2026 Olympic Hwy N Ste 203 Shelton, WA 98584 (360) 427-4355 EB, P, R Shelton, WA 98584 (360) 413-8525 E, EB, P, R, RE, Web address: www.providence.org

(360) 427-4355 EB, P, R S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Mason General Hospital Providence Centralia Hospital Providence Centralia Hospital Providence St Peter Hospital Areas of Expertise: THS Multicare Capital Medical Center Gray's Harbor Community Hsp Areas of Expertise: THS Providence Centralia Hospital Interventional Cardiology

Internal Medicine Peet, Andrew C, MD, (M), B Brennan, William P, MD, (M), B

Group Name: Franciscan Medical Group Name: Providence Brennan, William P, MD, (M), B Group Cardiology Assoc Group Name: Providence Provider ID: 001270015013 Provider ID: 000261682001 Cardiology Assoc NPI: 1740237619 NPI: 1487655858 Provider ID: 000261682001 21 Ne Romance Hill Rd Ste 105 939 Mountain View Dr NPI: 1487655858 Belfair, WA 98528 Shelton, WA 98584 939 Mountain View Dr (360) 277-2975 EB, P, R (360) 413-8525 E, EB, G, IB, P, Shelton, WA 98584 Ages: 0-99 PL, R, RE, S, T

(360) 413-8525 E, EB, G, IB, P, Hospital Affiliations: Ages: 0-99 PL, R, RE, S, T Valley Medical Center Hospital Affiliations: Ages: 0-99 Cascade Valley Hospital Mason General Hospital Hospital Affiliations: Tacoma General Allenmore Providence St Peter Hospital Mason General Hospital Multicare Auburn Medical Center Gray's Harbor Community Hsp Providence St Peter Hospital Kittitas Valley Community Hosp Providence Centralia Hospital Gray's Harbor Community Hsp Mary Bridge Child Hosp/hlth Cntr Providence Centralia Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

117

Washington - Mason Specialists

Brennan, William P, MD, (M), B Midwifery Lindeke, Aliscia R, CNM, (F)

Group Name: Providence Group Name: Planned Cardiology Assoc Dibble, Raquel L, CNM, (F) Parenthood Of The Great Nw & Provider ID: 000261682001 Group Name: Mountain View Hi NPI: 1487655858 Womens Health Clinic (Rhc) Provider ID: 003819824002 939 Mountain View Dr Ste 120 Provider ID: 003281111001 NPI: 1033546718 Shelton, WA 98584 NPI: 1881770345 2505 Olympic Hwy N Ste 400 (360) 413-8525 E, EB, P, R, RE, 2300 Kati Ct Ste A Shelton, WA 98584 S, T Shelton, WA 98584 (800) 769-0045 EB, P, R

Ages: 0-99 (360) 426-0955 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Mason General Hospital Hospital Affiliations: Valley Medical Center Providence St Peter Hospital Mason General Hospital Gray's Harbor Community Hsp Brigham City Community Neurological Surgery

Providence Centralia Hospital Hospital Halpin, Ryan J, MD, (M), B Shc Medical Center Toppenish Gavin, William A, MD, (M), B Group Name: Mgh Shelton Group Name: Providence Dibble, Raquel L, CNM, (F) Family Medicine & Orthopedic Cardiology Assoc Group Name: Mountain View Provider ID: 003325689002 Provider ID: 000261690002 Womens Health Clinic (Rhc) NPI: 1467618025 NPI: 1285635730 Provider ID: 003281111001 1701 N 13th St 939 Mountain View Dr NPI: 1881770345 Shelton, WA 98584

Shelton, WA 98584 939 Mt View Dr (360) 427-0663 E, EB, G, IB, P, (360) 413-8525 E, EB, G, IB, P, Shelton, WA 98584 PL, R, RE, S, T

PL, R, RE, S, T (360) 426-2653 E, EB, G, IB, P, Web address: www.olyortho.com Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Mason General Hospital Hospital Affiliations: Mason General Hospital Providence St Peter Hospital Mason General Hospital Providence St Peter Hospital Providence Centralia Hospital Brigham City Community Multicare Capital Medical Center Hospital Shc Medical Center Toppenish

118

Specialists Washington - Mason

Halpin, Ryan J, MD, (M), B Nurse Practitioner Coffman, Annella M, NP, (F)

Group Name: Mgh Shelton Group Name: Planned Family Medicine & Orthopedic Barrington, Sade, NP, (F) Parenthood Of The Great Nw & Provider ID: 003325689002 Group Name: Silver Falls Hi NPI: 1467618025 Dermatology Provider ID: 003116606004 24261 N Us Highway 101 Provider ID: 007605769002 NPI: 1699853762 Hoodsport, WA 98548 NPI: 1093311763 2505 Olympic Hwy N Ste 400 (360) 432-7781 E, EB, G, IB, P, 939 Mountain View Dr Ste 120 Shelton, WA 98584 PL, R, RE, S, T Shelton, WA 98584 (800) 769-0045 EB, P, R

Web address: www.olyortho.com (360) 549-5073 E, EB, P, R, RE, Ages: 0-99 Ages: 0-99 S, T Culbertson, Jolene, MS, (F) Hospital Affiliations: Ages: 0-99 Group Name: Peninsula Mason General Hospital Barten, Pamela D, NP, (F) Community Health Providence St Peter Hospital Group Name: Planned Provider ID: 002646886004 Multicare Capital Medical Center Parenthood Of The Great Nw & NPI: 1073610325 Halpin, Ryan J, MD, (M), B Hi 31 Ne State Route 300 Ste 200 Group Name: Mgh Shelton Provider ID: 003116489016 Belfair, WA 98528 Family Medicine & Orthopedic NPI: 1447321039 (360) 377-3776 EB, P, R Provider ID: 003325689002 2505 Olympic Hwy N Ste 400 M-F 7:30 AM-6:00 PM NPI: 1467618025 Shelton, WA 98584 Web address: www.pchsweb.org

939 Mt View Dr (800) 230-7526 EB, P, R Ages: 0-99 Shelton, WA 98584 Languages Spoken: Culbertson, Jolene, MS, (F) (360) 427-0663 IB, P, PL, R, RE, Provider: Tagalog Group Name: Peninsula S, T, E, EB, G Ages: 0-99 Community Health Web address: https://www.masonge Clements, Holly C, NP, (F) Provider ID: 002646886004 neral.com/ Group Name: Pmg Sw Wa NPI: 1073610325 Ages: 0-99 Provider ID: 005158085001 627 W Franklin St Hospital Affiliations: NPI: 1366876120 Shelton, WA 98584 Mason General Hospital 2026 Olympic Hwy N Ste 203 (360) 377-3776 EB, P, R Providence St Peter Hospital Shelton, WA 98584 Web address: www.pchsweb.org Multicare Capital Medical Center (360) 427-4355 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

119

Washington - Mason Specialists

Hein, Ursula G, NP, (F) Matthews, Benjamin C, NP, (M) Ross, Margaret F, NP, (F) Group Name: Harrison Medical Group Name: Silver Falls Group Name: Silver Falls Center Dermatology Dermatology Provider ID: 003050772001 Provider ID: 006326341003 Provider ID: 003700425010 NPI: 1326078411 NPI: 1205372604 NPI: 1841638319 21 Ne Romance Hill Rd Ste 105 939 Mountain View Dr Ste 120 939 Mt View Dr Ste 120 Belfair, WA 98528 Shelton, WA 98584 Shelton, WA 98584

(888) 779-6380 EB, P, R (360) 549-5073 E, EB, P, R, RE, (360) 549-5073 E, EB, P, R, RE, Ages: 0-99 S, T S, T Hospital Affiliations: Web address: www.silverfallsderm. Web address: www.silverfallsderm. Peacehealth St Joseph Medical net net Center Ages: 0-99 Ages: 0-99

Hodges, Khamsaengphet, NP, (F) Matthews, Benjamin C, NP, (M) Shepherd, Tess K, NP, (F) Group Name: Planned Group Name: Silver Falls Group Name: Vista Oncology Inc Parenthood Of The Great Nw & Dermatology Provider ID: 007494285001 Hi Provider ID: 006326341005 NPI: 1558829879 Provider ID: 003116594016 NPI: 1205372604 121 W K St NPI: 1619032612 939 Mt View Dr Ste 120 Shelton, WA 98584

2505 Olympic Hwy N Ste 400 Shelton, WA 98584 (360) 868-2410 EB, P, R

Shelton, WA 98584 (360) 549-5073 E, EB, P, R, RE, M 8:30 AM-5:00 PM

(800) 230-7526 EB, P, R S, T Ages: 0-99 Ages: 0-99 Web address: www.silverfallsderm. net Nutritionist (Reg Dietician) Howard, Kenneth D, NP, (M) Ages: 0-99 Group Name: Franciscan Medical Wolfe, Holly, RD, (F) Group Ritter, Teresa M, NP, (F) Group Name: Peninsula Provider ID: 005760629006 Group Name: Franciscan Medical Community Health NPI: 1689046690 Group Provider ID: 005909700001 21 Ne Romance Hill Rd Ste 105 Provider ID: 003042889019 NPI: 1942660592 Belfair, WA 98528 NPI: 1235159484 300 E Campus Dr (360) 277-2975 EB, P, R 21 Ne Romance Hill Rd Ste 105 Belfair, WA 98528

Ages: 0-99 Belfair, WA 98528 (360) 377-3776 EB, P, R

(360) 277-2975 EB, P, R Web address: www.pchsweb.org Levin, Dahlia M, NP, (F) Web address: www.fhshealth.org Ages: 0-99 Group Name: Planned Ages: 0-99 Parenthood Of The Great Nw & Hospital Affiliations: Hi Tacoma General Allenmore Provider ID: 003603627016 Multicare Auburn Medical Center NPI: 1689839128 Good Samaritan Hospital 2505 Olympic Hwy N Ste 400 Mary Bridge Child Hosp/hlth Cntr Shelton, WA 98584

(800) 769-0045 EB, P, R Ages: 0-99

120

Specialists Washington - Mason

Wolfe, Holly, RD, (F) Dibble, Carlos M, MD, (M), B Martens, Carey R, DO, (M), B Group Name: Peninsula Group Name: Mountain View Group Name: Mountain View Community Health Womens Health Clinic (Rhc) Womens Health Clinic (Rhc) Provider ID: 005909700001 Provider ID: 000487119005 Provider ID: 002792802003 NPI: 1942660592 NPI: 1285710830 NPI: 1598880833 31 Ne State Route 300 Ste 200 939 Mt View Dr 2300 Kati Ct Ste A Belfair, WA 98528 Shelton, WA 98584 Shelton, WA 98584

(360) 377-3776 EB, P, R (360) 426-2653 E, EB, G, IB, P, (360) 426-0955 EB, P, R Web address: www.pchsweb.org PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Spanish Mason General Hospital Wolfe, Holly, RD, (F) Ages: 0-99 Gray's Harbor Community Hsp Group Name: Peninsula Hospital Affiliations: Ascension Providence Rochester Community Health Bear River Valley Hospital Hospital Provider ID: 005909700001 Mason General Hospital Crittenton Hospital Medical NPI: 1942660592 Brigham City Community Center 627 W Franklin St Hospital Ascension Crittenton Hospital Shelton, WA 98584 Shc Medical Center Toppenish (360) 377-3776 EB, P, R Martens, Carey R, DO, (M), B Web address: www.pchsweb.org Martens, Carey R, DO, (M), B Group Name: Mountain View Ages: 0-99 Group Name: Mountain View Womens Health Clinic (Rhc) Womens Health Clinic (Rhc) Provider ID: 002792802004 Obstetrics & Gynecology Provider ID: 002792802006 NPI: 1598880833

NPI: 1598880833 24261 N Us Highway 101 Dibble, Carlos M, MD, (M), B 1701 N 13th St Hoodsport, WA 98548 Group Name: Mountain View Shelton, WA 98584 (360) 432-7781 E, EB, G, IB, P, Womens Health Clinic (Rhc) (360) 426-2653 E, EB, G, IB, P, PL, R, RE, S, T Provider ID: 000487119003 PL, R, RE, S, T Ages: 0-99 NPI: 1285710830 Ages: 0-99 Hospital Affiliations: 2300 Kati Court Ste A Hospital Affiliations: Mason General Hospital Shelton, WA 98584 Mason General Hospital Gray's Harbor Community Hsp (360) 426-0955 EB, P, R Gray's Harbor Community Hsp Ascension Providence Rochester Languages Spoken: Ascension Providence Rochester Hospital Provider: Spanish Hospital Crittenton Hospital Medical Ages: 0-99 Crittenton Hospital Medical Center Hospital Affiliations: Center Ascension Crittenton Hospital Bear River Valley Hospital Ascension Crittenton Hospital Mason General Hospital Brigham City Community Hospital Shc Medical Center Toppenish

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

121

Washington - Mason Specialists

Martens, Carey R, DO, (M), B Martin, Andrea N, MD, (F), B De Yao, Jocelyn T, MD, (F), B Group Name: Mountain View Group Name: Mountain View Group Name: Pmg Sw Wa Womens Health Clinic (Rhc) Womens Health Clinic (Rhc) Provider ID: 005457487004 Provider ID: 002792802005 Provider ID: 006152035009 NPI: 1366670416 NPI: 1598880833 NPI: 1104189711 2026 Olympic Hwy N Ste 203 939 Mt View Dr 901 Mountain View Dr Shelton, WA 98584

Shelton, WA 98584 Shelton, WA 98584 (360) 427-4355 EB, P, R

(360) 426-2653 E, EB, G, IB, P, (360) 426-2653 Languages Spoken: PL, R, RE, S, T Accepting Existing Patients Only Provider: Tagalog Ages: 0-99 Ages: 0-99 Web address: www.heartlandcancer Hospital Affiliations: Hospital Affiliations: center.org Mason General Hospital Mason General Hospital Ages: 0-99 Gray's Harbor Community Hsp Hospital Affiliations: Ascension Providence Rochester Oncology Providence St Peter Hospital

Hospital Citizens Medical Center Byrd, Daniel M, MD, (M), B Crittenton Hospital Medical Co Of Logan New Frontiers Hlth Group Name: Pmg Sw Wa Center Svcs Provider ID: 003088026002 Ascension Crittenton Hospital Providence Centralia Hospital NPI: 1821112293 St Catherine Hospital Martin, Andrea N, MD, (F), B 2026 Olympic Hwy N Ste 203 Goodland Regional Medical Group Name: Mountain View Shelton, WA 98584 Center Womens Health Clinic (Rhc) (360) 427-4355 EB, P, R Areas of Expertise: THS Provider ID: 006152035001 Web address: www.providence.org NPI: 1104189711 Ages: 0-99 Miller, Brady G, MD, (M), B 2300 Kati Ct Ste A Hospital Affiliations: Group Name: Pmg Sw Wa Shelton, WA 98584 Providence St Peter Hospital Provider ID: 003130567007 (360) 426-0955 EB, P, R Providence Centralia Hospital NPI: 1902915945 Web address: https://www.masonge Areas of Expertise: MAT1, THS 2026 Olympic Hwy N Ste 203 neral.com/ Shelton, WA 98584

Accepting Existing Patients Only (360) 427-4355 EB, P, R Ages: 0-99 Web address: www.providence.org Hospital Affiliations: Ages: 0-99 Mason General Hospital Hospital Affiliations: Uc Davis Medical Center Providence St Peter Hospital University Of Washington Medical Ctr Seattle Cancer Care Alliance Areas of Expertise: THS

122

Specialists Washington - Mason

Randhawa, Devinderpal S, MD, Wang, Hui, MD, (F), B Ye, Joseph Z, MD, (M), B (M), B Group Name: Pmg Sw Wa Group Name: American Oncology Group Name: Vista Oncology Inc Provider ID: 002920378001 Partners Provider ID: 002789404003 NPI: 1962513580 Provider ID: 002414365003 NPI: 1225072648 2026 Olympic Hwy N Ste 203 NPI: 1700881422 121 W K St Shelton, WA 98584 121 W K St

Shelton, WA 98584 (360) 427-4355 EB, P, R Shelton, WA 98584

(360) 868-2410 Web address: www.providence.org (360) 868-2410 EB, P, R Ages: 0-99 Ages: 0-99 Languages Spoken: Hospital Affiliations: Hospital Affiliations: Provider: Chinese Mason General Hospital Providence St Peter Hospital Staff: Chinese, Korean, Spanish Dlp Maria Parham Medical Center Providence Centralia Hospital Ages: 0-99 Halifax Regional Medical Center Areas of Expertise: THS Hospital Affiliations: Mason General Hospital Robertson, Paul A, MD, (M), B Xuan, Linli, MD, (F), B Providence St Peter Hospital Group Name: Pmg Sw Wa Group Name: Vista Oncology Inc Providence Centralia Hospital Provider ID: 000873254001 Provider ID: 002436864002 Multicare Capital Medical Center NPI: 1639175938 NPI: 1609808831

2026 Olympic Hwy N Ste 203 121 W K St Orthopaedic Surgery

Shelton, WA 98584 Shelton, WA 98584 (360) 427-4355 EB, P, R (360) 868-2410 EB, P, R Henry, Michael P, MD, (M), B Web address: www.providence.org Languages Spoken: Group Name: Mason Ages: 0-99 Provider: Chinese, Korean Health-Mason Clinic Hospital Affiliations: Staff: Chinese, Korean, Spanish, Provider ID: 003158871002 Mason General Hospital Tagalog NPI: 1558685198 Providence St Peter Hospital Cultural Competency: Y 1701 N 13th St Gray's Harbor Community Hsp Ages: 0-99 Shelton, WA 98584

Providence Centralia Hospital Hospital Affiliations: (360) 426-2653 E, EB, G, IB, P, Multicare Capital Medical Center Mason General Hospital PL, R, RE, S, T Areas of Expertise: THS Providence St Peter Hospital Ages: 0-99 Tacoma General Allenmore Hospital Affiliations: Sui, Xingwei D, MD, (M), B Providence Centralia Hospital Mason General Hospital Group Name: Pmg Sw Wa Multicare Capital Medical Center Whidbeyhealth Medical Center Provider ID: 002576871001 Whidbey General Hospital NPI: 1568469534 Innovis Health 2026 Olympic Hwy N Ste 203 Essentia Health Fargo Shelton, WA 98584

(360) 427-4355 EB, P, R Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital Multicare Capital Medical Center Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

123

Washington - Mason Specialists

Henry, Michael P, MD, (M), B Henry, Michael P, MD, (M), B Lamour, Richard J, MD, (M) Group Name: Mason Group Name: Mason Group Name: Mason General Health-Mason Clinic Health-Mason Clinic Hospital/Prof Fees Provider ID: 003158871002 Provider ID: 003158871002 Provider ID: 003640406002 NPI: 1558685198 NPI: 1558685198 NPI: 1164695813 24261 N Us Highway 101 939 Mt View Dr 221 Professional Way Hoodsport, WA 98548 Shelton, WA 98584 Shelton, WA 98584

(360) 432-7781 E, EB, G, IB, P, (360) 426-2653 E, EB, G, IB, P, (360) 426-1611 E, EB, G, P, R, PL, R, RE, S, T PL, R, RE, S, T RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Baptist Hospital Whidbeyhealth Medical Center Whidbeyhealth Medical Center St Rose Dominican Hosp Delima Whidbey General Hospital Whidbey General Hospital Campus Innovis Health Innovis Health Sunrise Hospital & Med Ctr Essentia Health Fargo Essentia Health Fargo Gulf Breeze Hospital Community Regional Medical Henry, Michael P, MD, (M), B Lamour, Richard J, MD, (M) Center Group Name: Mason Group Name: Mason General Health-Mason Clinic Hospital/Prof Fees Lamour, Richard J, MD, (M) Provider ID: 003158871002 Provider ID: 003640406002 Group Name: Mason General NPI: 1558685198 NPI: 1164695813 Hospital/Prof Fees 939 Mountain View Dr 1701 N 13th St Provider ID: 003640406002 Shelton, WA 98584 Shelton, WA 98584 NPI: 1164695813

(360) 426-2653 (360) 426-2653 E, EB, G, IB, P, 939 Mountain View Dr Ages: 0-99 PL, R, RE, S, T Shelton, WA 98584

Hospital Affiliations: Ages: 0-99 (360) 426-2653 E, EB, G, IB, P, Mason General Hospital Hospital Affiliations: PL, R, RE, S, T Whidbeyhealth Medical Center Baptist Hospital Web address: www.masongeenral.c Whidbey General Hospital St Rose Dominican Hosp Delima om Innovis Health Campus Ages: 0-99 Essentia Health Fargo Sunrise Hospital & Med Ctr Hospital Affiliations: Gulf Breeze Hospital Baptist Hospital Community Regional Medical St Rose Dominican Hosp Delima Center Campus Sunrise Hospital & Med Ctr Gulf Breeze Hospital Community Regional Medical Center

124

Specialists Washington - Mason

Physician Assistant Anderegg, Charles W, PA, (M) Jacobs, Carley A, PA, (F)

Group Name: Mgh Shelton Group Name: Hoodsport Family Anderegg, Charles W, PA, (M) Family Medicine & Orthopedic Clinic Group Name: Mgh Shelton Provider ID: 001737486004 Provider ID: 003578097003 Family Medicine & Orthopedic NPI: 1124056437 NPI: 1093993560 Provider ID: 001737486005 939 Mountain View Dr 24261 N Us Highway 101 NPI: 1124056437 Shelton, WA 98584 Hoodsport, WA 98548 1701 N 13th St (360) 426-2653 (360) 432-7781 E, EB, G, IB, P, Shelton, WA 98584 Ages: 0-99 PL, R, RE, S, T

(360) 426-2653 E, EB, G, IB, P, Hospital Affiliations: Ages: 0-99 PL, R, RE, S, T Mason General Hospital King, Jessica J, PA, (F) Web address: https://www.masonge Providence St Peter Hospital Group Name: Silver Falls neral.com/ Multicare Capital Medical Center Dermatology Ages: 0-99 Anderegg, Charles W, PA, (M) Provider ID: 003491358005 Hospital Affiliations: Group Name: Mgh Shelton NPI: 1528000759 Mason General Hospital Family Medicine & Orthopedic 939 Mountain View Dr Ste 120 Providence St Peter Hospital Provider ID: 001737486002 Shelton, WA 98584 Multicare Capital Medical Center NPI: 1124056437 (360) 549-5073 E, EB, P, R, RE, Anderegg, Charles W, PA, (M) 939 Mt View Dr S, T Group Name: Mgh Shelton Shelton, WA 98584 Languages Spoken: Family Medicine & Orthopedic (360) 426-2653 E, EB, G, IB, P, Provider: French Provider ID: 001737486003 PL, R, RE, S, T Ages: 0-99 NPI: 1124056437 Ages: 0-99 Mccormick, Mary K, PA, (F) 24261 N Us Highway 101 Hospital Affiliations: Group Name: Franciscan Medical Hoodsport, WA 98548 Mason General Hospital Group (360) 432-7781 E, EB, G, IB, P, Providence St Peter Hospital Provider ID: 002919737005 PL, R, RE, S, T Multicare Capital Medical Center NPI: 1477724060 Ages: 0-99 Jacobs, Carley A, PA, (F) 21 Ne Romance Hill Rd Ste 105 Hospital Affiliations: Group Name: Hoodsport Family Belfair, WA 98528 Mason General Hospital Clinic (360) 277-2975 EB, P, R Providence St Peter Hospital Provider ID: 003578097002 Ages: 0-99 Multicare Capital Medical Center NPI: 1093993560 2300 Kati Ct Ste A Shelton, WA 98584

(360) 426-0955 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

125

Washington - Mason Specialists

Meyer, Joshua S, PA, (M) Wright, James A, DPM, (M), B Wright, James A, DPM, (M), B Group Name: Tra Medical Group Name: Mgh Family Health Group Name: Mgh Family Health Imaging Ps Ankle And Foot Ankle And Foot Provider ID: 002765129029 Provider ID: 002135349004 Provider ID: 002135349004 NPI: 1043304058 NPI: 1407863228 NPI: 1407863228 2321 W Dayton Airport Rd 1701 N 13th St 24261 N Us Highway 101 Shelton, WA 98584 Shelton, WA 98584 Hoodsport, WA 98548

(360) 426-4433 EB, P, R (360) 426-2653 E, EB, G, IB, P, (360) 432-7781 E, EB, G, IB, P, Web address: www.tramedicalimagi PL, R, RE, S, T PL, R, RE, S, T ng.com Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mason General Hospital Mason General Hospital Moore, Douglas B, PA, (M) Providence St Peter Hospital Providence St Peter Hospital Group Name: Tra Medical Multicare Capital Medical Center Multicare Capital Medical Center Imaging Ps Provider ID: 003451926026 Wright, James A, DPM, (M), B Wright, James A, DPM, (M), B NPI: 1790853422 Group Name: Mgh Family Health Group Name: Mgh Family Health 2321 W Dayton Airport Rd Ankle And Foot Ankle And Foot Shelton, WA 98584 Provider ID: 002135349004 Provider ID: 002135349004

(360) 426-4433 EB, P, R NPI: 1407863228 NPI: 1407863228 Ages: 0-99 1812 N 13th Loop Rd 939 Mountain View Dr Shelton, WA 98584 Shelton, WA 98584 Podiatry (360) 426-3862 EB, P, R (360) 426-2653

Web address: www.masongeneral.c Ages: 0-99 Bagniewski, Abe, DPM, (M), B om Hospital Affiliations: Group Name: Mason General Ages: 0-99 Mason General Hospital Hosp Family Health Hospital Affiliations: Providence St Peter Hospital Provider ID: 002599923002 Mason General Hospital Multicare Capital Medical Center NPI: 1790790376 Providence St Peter Hospital Thurston 1701 N 13th St Multicare Capital Medical Center Shelton, WA 98584 Advanced Heart Failure And (360) 426-2653 E, EB, G, IB, P, PL, R, RE, S, T Transplant Cardiology

Ages: 0-99 Hospital Affiliations: Ali, Omair M, MD, (M) Mason General Hospital Group Name: Multicare Health St Francis Community Hospital System St Clare Hospital Provider ID: 003459614012 St Joseph Medical Center NPI: 1962639864 1603 Cooper Point Rd Nw Olympia, WA 98502

(253) 572-7320 EB, P, R Languages Spoken: Provider: Pushto, Hindi, Pashto,

126

Specialists Washington - Thurston Urdu Bazzetta, Nicole A, NP, (F) Hanisch, Ellen M, NP, (F) Ages: 0-99 Group Name: Multicare Health Group Name: Northwest Medical Hospital Affiliations: System Specialties Tacoma General Allenmore Provider ID: 006964877010 Provider ID: 002522490007 Furiasse, Nicholas M, MD, (M), B NPI: 1174008106 NPI: 1346248754 Group Name: Multicare Health 408 Lilly Rd Ne # A-1 3920 Capital Mall Dr Sw Ste 100 System Olympia, WA 98506 Olympia, WA 98502

Provider ID: 003342393003 (253) 301-5120 EB, P, R (360) 754-5168 EB, P, R NPI: 1154577260 Cultural Competency: Y Languages Spoken: 1603 Cooper Point Rd Nw Ages: 0-99 Provider: Portuguese Olympia, WA 98502 Hospital Affiliations: Web address: www.nwmedicalspeci

(253) 572-7320 EB, P, R Tacoma General Allenmore alties.com Ages: 0-99 Multicare Auburn Medical Center Ages: 0-99 Hospital Affiliations: Good Samaritan Hospital Hospital Affiliations: Northwestern Lake Forest Mary Bridge Child Hosp/hlth Cntr St Clare Hospital Hospital Beverly, Erin R, NP, (F) Johnson, Tera L, NP, (F) Delnor Community Hospital Group Name: Multicare Health Group Name: Multicare Health Tacoma General Allenmore System System Central Dupage Hospital Provider ID: 005587590011 Provider ID: 006338902007 Association NPI: 1548642358 NPI: 1649712548 Kishwaukee Community Hospital 5128 Yelm Hwy Se Ste E 3504 12th Ave Ne Multicare Auburn Medical Center Lacey, WA 98503 Olympia, WA 98506 Good Samaritan Hospital (360) 763-7040 EB, P, R (360) 252-3801 EB, P, R Northwestern Memorial Hospital Cultural Competency: Y Cultural Competency: Y

Advanced Registered Nurse Ages: 0-99 Ages: 0-99 Practitioner Hospital Affiliations: Hospital Affiliations:

Good Samaritan Hospital Tacoma General Allenmore Arpin, Diane M, NP, (F) Tacoma General Allenmore Multicare Auburn Medical Center Group Name: Multicare Health Multicare Auburn Medical Center Good Samaritan Hospital System Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr Provider ID: 003649294009 Garrison, Teresa I, NP, (F) NPI: 1750624052 Group Name: Multicare Health 3504 12th Ave Ne System Olympia, WA 98506 Provider ID: 003230391043 (253) 403-1507 EB, P, R NPI: 1902113038 Cultural Competency: Y 5128 Yelm Hwy Se Ste E Ages: 0-99 Lacey, WA 98503 Hospital Affiliations: (360) 763-7040 EB, P, R Tacoma General Allenmore Ages: 0-99 Hospital Affiliations: Providence Centralia Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

127

Washington - Thurston Specialists

Jones, Edith D, NP, (F) Kice, Michelle E, NP, (F) Lem, Gloria N, NP, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Multicare Health System System System Provider ID: 006292071037 Provider ID: 007271581005 Provider ID: 005280789010 NPI: 1558817312 NPI: 1700428323 NPI: 1982008637 345 Cooper Point Rd Nw Ste 103 3504 12th Ave Ne 5128 Yelm Hwy Se Ste E Olympia, WA 98502 Olympia, WA 98506 Lacey, WA 98503

(360) 763-7515 EB, P, R (253) 403-4613 EB, P, R (360) 763-7040 EB, P, R Cultural Competency: Y Cultural Competency: Y Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Cambodian, Khmer Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Tacoma General Allenmore Tacoma General Allenmore Ages: 0-99 Multicare Auburn Medical Center Mary Bridge Child Hosp/hlth Cntr Hospital Affiliations: Tacoma General Allenmore Jones, Edith D, NP, (F) Kleist, Sarah, NP, (F) Group Name: Multicare Health Group Name: Multicare Health Lem, Gloria N, NP, (F) System System Group Name: Multicare Health Provider ID: 006292071016 Provider ID: 006511619010 System NPI: 1558817312 NPI: 1386166460 Provider ID: 005280789011 5128 Yelm Hwy Se Ste E 1603 Cooper Point Rd Nw NPI: 1982008637 Lacey, WA 98503 Olympia, WA 98502 704 Trosper Rd Sw Ste 118

(360) 763-7040 EB, P, R (253) 572-7320 EB, P, R Tumwater, WA 98512

Cultural Competency: Y Ages: 0-99 (360) 763-7050 EB, P, R Ages: 0-99 Hospital Affiliations: Languages Spoken: Hospital Affiliations: Tacoma General Allenmore Provider: Cambodian, Khmer Tacoma General Allenmore Multicare Auburn Medical Center Cultural Competency: Y Multicare Auburn Medical Center Good Samaritan Hospital Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Hospital Affiliations: Jones, Edith D, NP, (F) Tacoma General Allenmore Group Name: Multicare Health Lem, Gloria N, NP, (F) System Group Name: Multicare Health Martin, Vanessa G, NP, (F) Provider ID: 006292071017 System Group Name: Multicare Health NPI: 1558817312 Provider ID: 005280789014 System 704 Trosper Rd Sw Ste 118 NPI: 1982008637 Provider ID: 003194080012 Tumwater, WA 98512 345 Cooper Point Rd Nw Ste 103 NPI: 1861652042

(360) 763-7050 EB, P, R Olympia, WA 98502 3504 12th Ave Ne

Cultural Competency: Y (360) 763-7515 EB, P, R Olympia, WA 98506

Ages: 0-99 Languages Spoken: (253) 403-4437 EB, P, R Hospital Affiliations: Provider: Cambodian, Khmer Languages Spoken: Tacoma General Allenmore Cultural Competency: Y Provider: Spanish Multicare Auburn Medical Center Ages: 0-99 Ages: 0-20 Hospital Affiliations: Hospital Affiliations: Tacoma General Allenmore Kadlec Regional Medical Center Areas of Expertise: A060, E020,

128

Specialists Washington - Thurston E070, E112, E160, E165 Mollohan, Jacquelin L, NP, (F) Mollohan, Jacquelin L, NP, (F) Maskell, Catherine S, NP, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Northwest Medical System System Specialties Provider ID: 007206553012 Provider ID: 007206553010 Provider ID: 006217555004 NPI: 1346591468 NPI: 1346591468 NPI: 1205116613 345 Cooper Point Rd Nw Ste 103 704 Trosper Rd Sw Ste 118 3920 Capital Mall Dr Sw Ste 100 Olympia, WA 98502 Tumwater, WA 98512

Olympia, WA 98502 (360) 763-7515 EB, P, R (360) 763-7050 EB, P, R

(360) 754-5168 EB, P, R Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mettler, Joanne M, NP, (F) Tacoma General Allenmore Tacoma General Allenmore Group Name: Providence St Peter Multicare Auburn Medical Center Multicare Auburn Medical Center Hospital Good Samaritan Hospital Good Samaritan Hospital Provider ID: 002159259014 Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr NPI: 1265462162 3020 Willamette Dr Ne Mollohan, Jacquelin L, NP, (F) Morley, Courtney R, ARNP, (F) Lacey, WA 98516 Group Name: Multicare Health Group Name: Evergreen

(360) 493-7469 EB, P, R System Treatment Services Web address: www.providence.org Provider ID: 007206553008 Provider ID: 003632976054 Accepting Existing Patients Only NPI: 1346591468 NPI: 1922358183 Ages: 0-99 5128 Yelm Hwy Se Ste E 6700 Martin Way E Ste 117 Hospital Affiliations: Lacey, WA 98503 Olympia, WA 98516

Providence St Peter Hospital (360) 763-7040 EB, P, R (360) 413-6310 EB, P, R Harborview Medical Center Cultural Competency: Y M-F 5:30 AM-4:30 PM Mary Bridge Child Hosp/hlth Cntr Ages: 0-99 Sa 5:30 AM-1:00 PM Hospital Affiliations: Cultural Competency: Y Mettler, Joanne M, NP, (F) Tacoma General Allenmore Ages: 0-99 Group Name: Providence St Peter Multicare Auburn Medical Center Hospital Affiliations: Hospital Good Samaritan Hospital Tacoma General Allenmore Provider ID: 002159259011 Mary Bridge Child Hosp/hlth Cntr Multicare Auburn Medical Center NPI: 1265462162 Good Samaritan Hospital 420 Golf Club Rd Se Ste 203 Mary Bridge Child Hosp/hlth Cntr Lacey, WA 98503 Areas of Expertise: E112 (360) 493-7469 EB, P, R Accepting Existing Patients Only Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Harborview Medical Center Mary Bridge Child Hosp/hlth Cntr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

129

Washington - Thurston Specialists

Nachtigal, Mary C, NP, (F) Ngo, Dean T, NP, (M) Poudel, Manju L, NP, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Multicare Health System System System Provider ID: 003649913023 Provider ID: 005028902013 Provider ID: 006846721011 NPI: 1568786887 NPI: 1346687274 NPI: 1518483882 345 Cooper Point Rd Nw Ste 103 345 Cooper Point Rd Nw Ste 103 345 Cooper Point Rd Nw Ste 103 Olympia, WA 98502 Olympia, WA 98502 Olympia, WA 98502

(360) 763-7515 EB, P, R (360) 763-7515 EB, P, R (360) 763-7515 EB, P, R Ages: 0-99 Cultural Competency: Y Languages Spoken: Hospital Affiliations: Web address: www.immediateclinic Provider: Hindi, Nepali Valley Medical Center .com Ages: 0-99 Tacoma General Allenmore Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Tacoma General Allenmore Nachtigal, Mary C, NP, (F) Tacoma General Allenmore Group Name: Multicare Health Poudel, Manju L, NP, (F) System Ngo, Dean T, NP, (M) Group Name: Multicare Health Provider ID: 003649913019 Group Name: Multicare Health System NPI: 1568786887 System Provider ID: 006846721007 5128 Yelm Hwy Se Ste E Provider ID: 005028902011 NPI: 1518483882 Lacey, WA 98503 NPI: 1346687274 5128 Yelm Hwy Se Ste E

(360) 763-7040 EB, P, R 5128 Yelm Hwy Se Ste E Lacey, WA 98503

Ages: 0-99 Lacey, WA 98503 (360) 763-7040 EB, P, R

Hospital Affiliations: (360) 763-7040 EB, P, R Languages Spoken: Valley Medical Center Cultural Competency: Y Provider: Hindi, Nepali Tacoma General Allenmore Web address: www.immediateclinic Ages: 0-99 .com Hospital Affiliations: Nachtigal, Mary C, NP, (F) Ages: 0-99 Tacoma General Allenmore Group Name: Multicare Health Hospital Affiliations: System Poudel, Manju L, NP, (F) Tacoma General Allenmore Provider ID: 003649913020 Group Name: Multicare Health NPI: 1568786887 Ngo, Dean T, NP, (M) System 704 Trosper Rd Sw Ste 118 Group Name: Multicare Health Provider ID: 006846721008 Tumwater, WA 98512 System NPI: 1518483882

(360) 763-7050 EB, P, R Provider ID: 005028902012 704 Trosper Rd Sw Ste 118 Ages: 0-99 NPI: 1346687274 Tumwater, WA 98512

Hospital Affiliations: 704 Trosper Rd Sw Ste 118 (360) 763-7050 EB, P, R Valley Medical Center Tumwater, WA 98512 Languages Spoken:

Tacoma General Allenmore (360) 763-7050 EB, P, R Provider: Hindi, Nepali Cultural Competency: Y Ages: 0-99 Web address: www.immediateclinic Hospital Affiliations: .com Tacoma General Allenmore Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore

130

Specialists Washington - Thurston

Presson, Judith, ARNP, (F) Schneidmiller, Abigail N, NP, (F) Vaughn, Natalya A, NP, (F) Group Name: Providence St Peter Group Name: Multicare Health Group Name: Pmg Sw Wa Hospital System Provider ID: 005696529003 Provider ID: 005126400002 Provider ID: 002931707006 NPI: 1477959682 NPI: 1235264177 NPI: 1346402195 500 Lilly Rd Ne Ste 100 3020 Willamette Dr Ne 3504 12th Ave Ne Olympia, WA 98506

Lacey, WA 98516 Olympia, WA 98506 (360) 413-8525 EB, P, R

(360) 493-7469 EB, P, R (253) 403-4613 EB, P, R Web address: www.providence.org Web address: www.providence.org Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital St Patrick Hospital Tacoma General Allenmore Providence Centralia Hospital Areas of Expertise: A101, E020, Multicare Auburn Medical Center Areas of Expertise: THS E070, E112, E165, THS Good Samaritan Hospital Villacian, Eugene D, NP, (M) Mary Bridge Child Hosp/hlth Cntr Presson, Judith, ARNP, (F) Group Name: Pmg Sw Wa Multicare Covington Medical Group Name: Providence St Peter Provider ID: 007128685001 Center Hospital NPI: 1629546684 Provider ID: 005126400002 Thach, Thavi T, NP, (F) 3333 Ensign Rd Ne NPI: 1235264177 Group Name: Pmg Sw Wa Olympia, WA 98506

420 Golf Club Rd Se Ste 203 Provider ID: 003482332004 (360) 493-4900 EB, P, R Lacey, WA 98503 NPI: 1245592575 Web address: www.providence.org

(360) 493-7469 EB, P, R 500 Lilly Rd Ne Ste 201 Ages: 0-99 Ages: 0-99 Olympia, WA 98506 Hospital Affiliations:

Hospital Affiliations: (360) 413-8272 EB, P, R Providence St Peter Hospital St Patrick Hospital Languages Spoken: Providence Centralia Hospital Areas of Expertise: A101, E020, Provider: Cambodian, Walen, Anna M, NP, (F) E070, E112, E165, THS Vietnamese Group Name: Multicare Health Web address: www.providence.org Riano, Kimberly E, NP, (F) System Ages: 0-99 Group Name: Planned Provider ID: 005243884017 Hospital Affiliations: Parenthood Of The Great Nw & NPI: 1033513650 Providence St Peter Hospital Hi 345 Cooper Point Rd Nw Ste 103 Areas of Expertise: THS Provider ID: 002789316034 Olympia, WA 98502

NPI: 1033133566 (360) 763-7515 EB, P, R 402 Legion Way Se Ste 201 Ages: 0-99 Olympia, WA 98501 Hospital Affiliations:

(800) 769-0045 EB, P, R Tacoma General Allenmore Cultural Competency: Y Multicare Auburn Medical Center Ages: 0-99 Good Samaritan Hospital Hospital Affiliations: Mary Bridge Child Hosp/hlth Cntr Providence St Peter Hospital Multicare Covington Medical Tacoma General Allenmore Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

131

Washington - Thurston Specialists

Walen, Anna M, NP, (F) Webb, Melanie S, NP, (F) Allergy & Immunology

Group Name: Multicare Health Group Name: Pmg Sw Wa System Provider ID: 007216260001 Andrade, W Pierre, MD, (M), B Provider ID: 005243884013 NPI: 1336797901 Group Name: Allergy & Asthma NPI: 1033513650 525 Lilly Rd Ne Ste 200 Specialty Services 5128 Yelm Hwy Se Ste E Olympia, WA 98506 Provider ID: 000828036001 Lacey, WA 98503 (360) 493-4510 EB, P, R NPI: 1952389702 (360) 763-7040 EB, P, R Web address: www.providence.org 3920 Capital Mall Dr Sw Ste 304 Ages: 0-99 Ages: 0-99 Olympia, WA 98502

Hospital Affiliations: Hospital Affiliations: (253) 589-1380 EB, P, R Tacoma General Allenmore Providence St Peter Hospital Languages Spoken: Multicare Auburn Medical Center Providence Centralia Hospital Provider: Spanish Good Samaritan Hospital Areas of Expertise: THS Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Hospital Affiliations: Works, Jessica M, NP, (F) Multicare Covington Medical Tacoma General Allenmore Group Name: Multicare Health Center St Francis Community Hospital System Good Samaritan Hospital Walen, Anna M, NP, (F) Provider ID: 003119869007 St Clare Hospital Group Name: Multicare Health NPI: 1073841474 Mary Bridge Child Hosp/hlth Cntr System 3504 12th Ave Ne St Joseph Medical Center Provider ID: 005243884015 Olympia, WA 98506 NPI: 1033513650 (253) 403-4613 EB, P, R Brown, James S, MD, (M), B 704 Trosper Rd Sw Ste 118 Cultural Competency: Y Group Name: Allergy & Asthma Tumwater, WA 98512 Ages: 0-99 Specialty Services (360) 763-7050 EB, P, R Hospital Affiliations: Provider ID: 000967811001 Ages: 0-99 Childrens Hospital Of Wisconsin NPI: 1932187614 Hospital Affiliations: 3920 Capital Mall Dr Sw Ste 304 Zorich, Bridgette N, NP, (F) Tacoma General Allenmore Olympia, WA 98502 Group Name: Multicare Health Multicare Auburn Medical Center (253) 589-1380 EB, P, R System Good Samaritan Hospital Ages: 0-99 Provider ID: 007188276002 Mary Bridge Child Hosp/hlth Cntr Hospital Affiliations: NPI: 1336705532 Multicare Covington Medical St Francis Hospital 1603 Cooper Point Rd Nw Center St Clare Hospital Olympia, WA 98502 St Joseph Medical Center (253) 572-7320 EB, P, R Ages: 0-99 Cole, Jennifer W, DO, (F), B Hospital Affiliations: Group Name: Allergy & Asthma Tacoma General Allenmore Specialty Services Multicare Auburn Medical Center Provider ID: 003582757001 Good Samaritan Hospital NPI: 1801948583 Mary Bridge Child Hosp/hlth Cntr 3920 Capital Mall Dr Sw Ste 304 Olympia, WA 98502

(253) 589-1380 EB, P, R Ages: 0-99

132

Specialists Washington - Thurston

Mckinney, Kristi K, MD, (F), B Hesson, Jessica E, AUD, (F) Sims, Allie, AUD, (F) Group Name: Allergy & Asthma Group Name: Hearing & Group Name: Puget Sound Specialty Services Commun Partners Hearing Aid & Audiology Provider ID: 003417682001 Provider ID: 003501292004 Provider ID: 007527102003 NPI: 1386627545 NPI: 1629324447 NPI: 1568069656 3920 Capital Mall Dr Sw Ste 304 365 Cooper Point Rd Nw Ste 101 8830 Tallon Ln Ne Ste D Olympia, WA 98502 Olympia, WA 98502 Lacey, WA 98516

(253) 589-1380 EB, P, R (360) 704-7900 EB, P, R (800) 500-8243 Ages: 0-99 M,W 9:00 AM-5:00 PM Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Ages: 0-99 St Clare Hospital Phillips, Bryce, AUD, (M) Wolfe-Haas, Cheri, AUD, (F) Song, Taiil T, DO, (M), B Group Name: Ear Nose And Group Name: Ear Nose And Group Name: Allergy & Asthma Throat Associates Southwest Throat Associates Southwest Specialty Services Provider ID: 007450664001 Provider ID: 007204817001 Provider ID: 002770683001 NPI: 1689297228 NPI: 1831363001 NPI: 1669532842 128 Lilly Rd Ne Ste 202 128 Lilly Rd Ne # 202 3920 Capital Mall Dr Sw Ste 304 Olympia, WA 98506 Olympia, WA 98506

Olympia, WA 98502 (360) 357-6314 EB, P, R (360) 357-6314 EB, P, R

(253) 589-1380 EB, P, R Languages Spoken: Languages Spoken: Languages Spoken: Staff: Korean, Spanish Staff: Korean, Vietnamese Provider: Korean Ages: 0-99 Ages: 0-99 Ages: 0-99 Scott, Cory A, AUD, (M) Wong, Rochelle, AUD, (F) Hospital Affiliations: Group Name: Ascent Audiolog & Group Name: Puget Sound St Francis Community Hospital Hearing Hearing Aid & Audiology St Clare Hospital Provider ID: 006642943005 Provider ID: 007567545001 St Joseph Medical Center NPI: 1073037495 NPI: 1144840380 University Of Washington 365 Cooper Point Rd Nw Ste 101 8830 Tallon Ln Ne Ste D Medical Ctr Olympia, WA 98502 Lacey, WA 98516

Audiology (360) 704-7900 (800) 500-8243 EB, P, R

Languages Spoken: Ages: 0-99 Demars, Michala C, AUD, (F) Provider: Spanish Group Name: Ascent Audiolog & Ages: 0-99 Hearing Hospital Affiliations: Provider ID: 007192325001 Swedish Medical Center NPI: 1497233688 365 Cooper Point Rd Nw Ste 101 Olympia, WA 98502

(360) 704-7900 EB, P, R M-F 9:00 AM-5:00 PM Web address: www.ascentaudiology olympia.com Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

133

Washington - Thurston Specialists

Cardiac Electrophysiology Wark, Robert S, MD, (M), B Botnaru, Ion, MD, (M), B

Group Name: Pmg Sw Wa Group Name: Olympia Multi Ho, Jeffrey, MD, (M), B Provider ID: 000832389003 Specialty Clinic Group Name: Multicare Health NPI: 1730181769 Provider ID: 002920431003 System 500 Lilly Rd Ne Ste 100 NPI: 1174796080 Provider ID: 004557514003 Olympia, WA 98506 406 Black Hills Ln Sw NPI: 1265761951 (360) 413-8525 EB, P, R Olympia, WA 98502 1603 Cooper Point Rd Nw Web address: www.providence.org (360) 754-1737 EB, P, R Olympia, WA 98502 Ages: 0-99 Languages Spoken:

(253) 572-7320 EB, P, R Hospital Affiliations: Provider: Romanian, Russian Ages: 0-99 Mason General Hospital Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Hospital Affiliations: Providence Regional Medical Providence Centralia Hospital Sturdy Memorial Hospital Center Evere Multicare Capital Medical Center Providence St Peter Hospital Providence Regional Medical Ctr Areas of Expertise: THS Adventhealth Tampa Everett Fh Tampa Tacoma General Allenmore Cardiology Multicare Capital Medical Center

Multicare Auburn Medical Center Botnaru, Ion, MD, (M), B Brennan, William P, MD, (M) Mary Bridge Child Hosp/hlth Cntr Group Name: Olympia Multi Group Name: Providence Rome, Michael P, MD, (M), B Specialty Clinic Cardiology Assoc Group Name: Multicare Health Provider ID: 002920431002 Provider ID: 000261682001 System NPI: 1174796080 NPI: 1487655858 Provider ID: 001263309002 406 A Black Hills Ln Sw 500 Lilly Rd Ne Ste 100 NPI: 1174509863 Olympia, WA 98502 Olympia, WA 98506

1603 Cooper Point Rd Nw (360) 704-3450 EB, P, R (360) 413-8525 EB, P, R Olympia, WA 98502 Languages Spoken: Ages: 0-99

(253) 572-7320 EB, P, R Provider: Romanian, Russian Hospital Affiliations: Ages: 0-99 Ages: 0-99 Mason General Hospital Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Tacoma General Allenmore Sturdy Memorial Hospital Gray's Harbor Community Hsp Good Samaritan Hospital Providence St Peter Hospital Providence Centralia Hospital St Clare Hospital Adventhealth Tampa Mary Bridge Child Hosp/hlth Cntr Fh Tampa St Joseph Medical Center Multicare Capital Medical Center

134

Specialists Washington - Thurston

Chan, Roger S, MD, (M) Kinney, Kurt G, MD, (M) Momah, Kingson I, MD, (M), B Group Name: Olympia Multi Group Name: Multicare Health Group Name: Multicare Health Specialty Clinic Systems System Provider ID: 002957122001 Provider ID: 003026651002 Provider ID: 001753795002 NPI: 1164530606 NPI: 1922015296 NPI: 1619951829 406 Black Hills Ln Sw Ste A 1603 Cooper Point Rd Nw 1603 Cooper Point Rd Nw Olympia, WA 98502 Olympia, WA 98502 Olympia, WA 98502

(360) 754-1737 E, EB, G, P, PL, (253) 572-7320 EB, P, R (253) 572-7320 EB, P, R R, RE, S, T Ages: 0-99 Ages: 0-99 Web address: www.omsc.net Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore St Francis Hospital Hospital Affiliations: Good Samaritan Hospital St Clare Hospital Providence St Peter Hospital St Joseph Medical Center Lee, Tobias T, MD, (M) Multicare Capital Medical Center Group Name: Multicare Health Slim, Ahmad M, MD, (M) Julin, James Gregg, MD, (M) Systems Group Name: Multicare Health Group Name: Olympia Multi Provider ID: 002167430002 System Specialty Clinic NPI: 1801878731 Provider ID: 003538684003 Provider ID: 001849651001 1603 Cooper Point Rd Nw NPI: 1386615433 NPI: 1518963438 Olympia, WA 98502 1603 Cooper Point Rd Nw

406 Black Hills Ln Sw Ste A (253) 572-7320 EB, P, R Olympia, WA 98502

Olympia, WA 98502 Ages: 0-99 (253) 572-7320 EB, P, R

(360) 754-1737 E, EB, G, P, PL, Hospital Affiliations: Languages Spoken: R, RE, S, T Tacoma General Allenmore Provider: Arabic M-F 9:00 AM-4:30 PM St Clare Hospital Ages: 0-99 Web address: omsc.net St Joseph Medical Center Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Malhotra, Vinay, MD, (M), B Hospital Affiliations: Meth Spec Trans Hospital Group Name: Multicare Health Mason General Hospital System Providence St Peter Hospital Provider ID: 001936134002 Providence Centralia Hospital NPI: 1144204355 Multicare Capital Medical Center 1603 Cooper Point Rd Nw Olympia, WA 98502

(253) 572-7320 EB, P, R Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore Peacehealth St Joseph Medical Center Mary Bridge Child Hosp/hlth Cntr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

135

Washington - Thurston Specialists

Swan, Jimmy Z, MD, (M), B Cardiovascular Disease Botnaru, Ion, MD, (M), B

Group Name: Providence Group Name: Olympia Multi Cardiology Assoc Atri, Prashant S, MD, (M), B Specialty Clinic Provider ID: 002287747001 Group Name: Multicare Health Provider ID: 002920431002 NPI: 1447363734 System NPI: 1174796080 413 Lilly Rd Ne Provider ID: 006063114001 406 A Black Hills Ln Sw Olympia, WA 98506 NPI: 1497984918 Olympia, WA 98502 (360) 491-9480 EB, P, R 1603 Cooper Point Rd Nw (360) 704-3450 EB, P, R Languages Spoken: Olympia, WA 98502 Languages Spoken:

Provider: Chinese (253) 572-7320 EB, P, R Provider: Romanian, Russian Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Mason General Hospital Scripps Green Hospital Sturdy Memorial Hospital Mcalester Regional Hospital Scripps Memorial Hospital La Providence St Peter Hospital Providence St Peter Hospital Jolla Adventhealth Tampa Saint Francis Hospital Tacoma General Allenmore Fh Tampa Providence Centralia Hospital Multicare Capital Medical Center Berger, Matthew S, DO, (M) Multicare Capital Medical Center Group Name: Olympia Multi Botnaru, Ion, MD, (M), B Saint Francis Hospital South Specialty Clinic Group Name: Olympia Multi Wolfe, Christopher L, MD, (M), B Provider ID: 005204301002 Specialty Clinic Group Name: Multicare Health NPI: 1679884993 Provider ID: 002920431003 System 406 A Black Hills Ln Sw NPI: 1174796080 Provider ID: 000287671002 Olympia, WA 98502 406 Black Hills Ln Sw

NPI: 1740281294 (360) 754-1737 EB, P, R Olympia, WA 98502 1603 Cooper Point Rd Nw Ages: 0-99 (360) 754-1737 EB, P, R Olympia, WA 98502 Hospital Affiliations: Languages Spoken: (253) 572-7320 EB, P, R Mclaren Bay Region Provider: Romanian, Russian Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Sturdy Memorial Hospital Tacoma General Allenmore Providence St Peter Hospital Multicare Auburn Medical Center Adventhealth Tampa Fh Tampa Multicare Capital Medical Center

136

Specialists Washington - Thurston

Brennan, William P, MD, (M), B Chen, Peter Y, MD, (M), B Igbalode, Kenneth Y, MD, (M), B Group Name: Providence Group Name: Multicare Health Group Name: Capital Med Ctr Cardiology Assoc System Specialty Phys Provider ID: 000261682001 Provider ID: 002087219002 Provider ID: 007477928002 NPI: 1487655858 NPI: 1487638334 NPI: 1235577883 500 Lilly Rd Ne Ste 100 1603 Cooper Point Rd Nw 3900 Capitol Mall Dr Sw Olympia, WA 98506 Olympia, WA 98502 Olympia, WA 98502

(360) 413-8525 EB, P, R (253) 572-7320 EB, P, R (360) 704-4743 E, EB, G, IB, P, Ages: 0-99 Languages Spoken: PL, R, RE, S, T Hospital Affiliations: Provider: Chinese Ages: 0-99 Mason General Hospital Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Hospital Affiliations: Valley Medical Center Gray's Harbor Community Hsp Tacoma General Allenmore Kennedy, Richard P, MD, (M), B Providence Centralia Hospital Multicare Auburn Medical Center Group Name: Pmg Sw Wa Good Samaritan Hospital Chan, Roger S, MD, (M), B Provider ID: 001443337002 Mary Bridge Child Hosp/hlth Cntr Group Name: Olympia Multi NPI: 1134120512 Specialty Clinic Guerra, Daniel R, MD, (M), B 500 Lilly Rd Ne Ste 100 Provider ID: 002957122001 Group Name: Multicare Health Olympia, WA 98506

NPI: 1164530606 Systems (360) 413-8525 EB, P, R 406 Black Hills Ln Sw Ste A Provider ID: 002749828002 Web address: www.providence.org Olympia, WA 98502 NPI: 1467535005 Ages: 0-99

(360) 754-1737 E, EB, G, P, PL, 1603 Cooper Point Rd Nw Hospital Affiliations: R, RE, S, T Olympia, WA 98502 Mason General Hospital

Web address: www.omsc.net (253) 572-7320 EB, P, R Providence St Peter Hospital Ages: 0-99 Languages Spoken: Gray's Harbor Community Hsp Hospital Affiliations: Provider: Spanish Providence Centralia Hospital Providence St Peter Hospital Ages: 0-99 Areas of Expertise: THS Multicare Capital Medical Center Hospital Affiliations: Lee, Tobias T, MD, (M), B St Francis Hospital Group Name: Multicare Health Tacoma General Allenmore Systems Multicare Auburn Medical Center Provider ID: 002167430002 Good Samaritan Hospital NPI: 1801878731 St Clare Hospital 1603 Cooper Point Rd Nw Mary Bridge Child Hosp/hlth Cntr Olympia, WA 98502 St Joseph Medical Center (253) 572-7320 EB, P, R Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore St Clare Hospital St Joseph Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

137

Washington - Thurston Specialists

Lev, Val A, MD, (M), B Malhotra, Vinay, MD, (M), B Pugeda, Jaime G, MD, (M), B Group Name: Multicare Health Group Name: Multicare Health Group Name: Multicare Health Systems System Systems Provider ID: 002449126002 Provider ID: 001936134002 Provider ID: 002302170002 NPI: 1144220252 NPI: 1144204355 NPI: 1639153281 1603 Cooper Point Rd Nw 1603 Cooper Point Rd Nw 1603 Cooper Point Rd Nw Olympia, WA 98502 Olympia, WA 98502 Olympia, WA 98502

(253) 572-7320 EB, P, R (253) 572-7320 EB, P, R (253) 572-7320 EB, P, R Languages Spoken: Ages: 0-99 Languages Spoken: Provider: Polish, Russian Hospital Affiliations: Provider: Filipino, Spanish, Ages: 0-99 Tacoma General Allenmore Tagalog Hospital Affiliations: Peacehealth St Joseph Medical Ages: 0-99 Tacoma General Allenmore Center Hospital Affiliations: Multicare Auburn Medical Center Mary Bridge Child Hosp/hlth Cntr St Francis Hospital Good Samaritan Hospital Tacoma General Allenmore Martinez, Sara C, MD, (F) Mary Bridge Child Hosp/hlth Cntr St Clare Hospital Group Name: Providence Health St Joseph Medical Center And Services Wa Rossow, Charles F, MD, (M), B Li, Qiang, MD, (M), B Provider ID: 006160334001 Group Name: Pmg Sw Wa Group Name: Providence NPI: 1750543906 Provider ID: 003705142003 Cardiology Assoc 500 Lilly Rd Ne Ste 100 NPI: 1669797320 Provider ID: 002317033002 Olympia, WA 98506 500 Lilly Rd Ne Ste 100

NPI: 1861446494 (360) 413-8525 EB, P, R Olympia, WA 98506

500 Lilly Rd Ne Ste 100 Ages: 0-99 (360) 413-8525 EB, P, R Olympia, WA 98506 Hospital Affiliations: Cultural Competency: Y

(360) 413-8525 EB, P, R Providence St Peter Hospital Web address: www.providence.org Ages: 0-99 Providence Centralia Hospital Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Momah, Kingson I, MD, (M), B Providence St Peter Hospital Providence St Peter Hospital Group Name: Multicare Health Multicare Capital Medical Center University Of Washington System Areas of Expertise: THS Medical Ctr Provider ID: 001753795002 Areas of Expertise: THS NPI: 1619951829 1603 Cooper Point Rd Nw Olympia, WA 98502

(253) 572-7320 EB, P, R Ages: 0-99 Hospital Affiliations: St Francis Hospital St Clare Hospital St Joseph Medical Center

138

Specialists Washington - Thurston

Shaheen, Sabrina, MD, (F), B Swan, Jimmy Z, MD, (M), B Werden, Scott D, DO, (M), B Group Name: Multicare Health Group Name: Pmg Sw Wa Group Name: Providence Systems Provider ID: 002287747004 Cardiology Assoc Provider ID: 003378046002 NPI: 1447363734 Provider ID: 003035543012 NPI: 1891970430 500 Lilly Rd Ne Ste 100 NPI: 1659554624 1603 Cooper Point Rd Nw Olympia, WA 98506 413 Lilly Rd Ne

Olympia, WA 98502 (360) 413-8525 EB, P, R Olympia, WA 98506

(253) 572-7320 EB, P, R Languages Spoken: (360) 491-9480 EB, P, R Languages Spoken: Provider: Chinese Ages: 0-99 Provider: Hindi, Urdu Web address: www.providence.org Hospital Affiliations: Ages: 0-99 Ages: 0-99 Providence St Peter Hospital Hospital Affiliations: Hospital Affiliations: Tacoma General Allenmore Tacoma General Allenmore Mason General Hospital St Joseph Medical Center Multicare Auburn Medical Center Mcalester Regional Hospital Werden, Scott D, DO, (M), B Good Samaritan Hospital Providence St Peter Hospital Group Name: Pmg Sw Wa Mary Bridge Child Hosp/hlth Cntr Saint Francis Hospital Provider ID: 003035543009 Providence Centralia Hospital Slim, Ahmad M, MD, (M), B NPI: 1659554624 Multicare Capital Medical Center Group Name: Multicare Health 500 Lilly Rd Ne Ste 100 Saint Francis Hospital South System Olympia, WA 98506 Areas of Expertise: THS Provider ID: 003538684003 (360) 413-8525 EB, P, R NPI: 1386615433 Vora, Devendra K, MD, (M), B Web address: www.providence.org 1603 Cooper Point Rd Nw Group Name: Multicare Health Ages: 0-99 Olympia, WA 98502 System Hospital Affiliations:

(253) 572-7320 EB, P, R Provider ID: 001742508002 Providence St Peter Hospital Languages Spoken: NPI: 1417931627 Tacoma General Allenmore Provider: Arabic 1603 Cooper Point Rd Nw St Joseph Medical Center Ages: 0-99 Olympia, WA 98502 Areas of Expertise: THS

Hospital Affiliations: (253) 572-7320 EB, P, R Wolfe, Christopher L, MD, (M), B Tacoma General Allenmore Ages: 0-99 Group Name: Multicare Health Meth Spec Trans Hospital Hospital Affiliations: System Good Samaritan Hospital Provider ID: 000287671002 Tacoma General Allenmore NPI: 1740281294 Multicare Auburn Medical Center 1603 Cooper Point Rd Nw St Clare Hospital Olympia, WA 98502 Mary Bridge Child Hosp/hlth Cntr (253) 572-7320 EB, P, R St Joseph Medical Center Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Tacoma General Allenmore Multicare Auburn Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

139

Washington - Thurston Specialists

Cardiovascular Surgery Felling, Megan, CM, (F) Sanderson, Katherine B, CNM,

Group Name: Around The Circle (F) Hernandez, Roland A, MD, (M), Midwifery Group Name: Around The Circle B Provider ID: 006663785001 Midwifery Group Name: Pmg Sw Wa NPI: 1811288459 Provider ID: 005425448001 Provider ID: 003843369004 2120 Pacific Ave Se NPI: 1386918126 NPI: 1720213580 Olympia, WA 98506 2120 Pacific Ave Se 525 Lilly Rd Ne Ste 200 (360) 459-7222 EB, P, R Olympia, WA 98506 Olympia, WA 98506 Ages: 0-99 (360) 459-7222 EB, P, R

(360) 493-4510 EB, P, R Ages: 0-99 Hall, Carolee A, CM, (F) Ages: 0-99 Group Name: Around The Circle Hospital Affiliations: Dermatology Midwifery Providence Regional Medical Provider ID: 002632167001 Bauer, Jacob H, MD, (M), B Center Evere NPI: 1851447619 Group Name: Dermatology & Providence Regional Medical Ctr 2120 Pacific Ave Se Allergy Spc/Olympia Everett Olympia, WA 98506 Provider ID: 002909737002 Providence Sacred Heart Med Ctr (360) 459-7222 EB, P, R NPI: 1407029762 & Child M-Th 9:30 AM-3:30 PM 304 W Bay Dr Nw Ste 301 Metrowest Medical Center F 10:00 AM-3:00 PM Olympia, WA 98502 Swedish Medical Center Ages: 0-99 (360) 413-8760 EB, P, R, RE, T

Certified Midwife Hospital Affiliations:

M,Tu,Th 8:30 AM-5:00 PM Providence St Peter Hospital Callaghan, Stacey L, CNM, (F) W 8:00 AM-5:00 PM Lindeke, Aliscia R, CNM, (F) F 8:30 AM-4:00 PM Group Name: Callaghan Stacey L Group Name: Planned Provider ID: 005187514001 Ages: 0-99 Parenthood Of The Great Nw & Hospital Affiliations: NPI: 1891998829 Hi 2731 French Rd Nw Providence St Peter Hospital Provider ID: 003819824002 Olympia, WA 98502 NPI: 1033546718 Cavanagh, Sasha C, MD, (F), B (360) 789-9969 EB, P, R 402 Legion Way Se Ste 201 Group Name: Sasha Cavanagh M-Su 9:00 AM-5:00 PM Olympia, WA 98501 Md Ages: 0-99 Provider ID: 002522292001 (800) 769-0045 EB, P, R Chi-Lee, Sothyry, CNM, (F) Ages: 0-99 NPI: 1700886017 Group Name: Generations Hospital Affiliations: 3703 Ensign Rd Ne Ste 10b Midwifery Services Valley Medical Center Olympia, WA 98506 (360) 455-5091 E, EB, IB, P, R Provider ID: 007410847001 New Day Wifery NPI: 1063040517 Provider ID: 006687545001 Languages Spoken: 3663 College St Se Ste A NPI: 1114382934 Provider: Slovak, Spanish Lacey, WA 98503 1026 State Ave Ne Ages: 0-99 (360) 481-0105 EB, P, R Olympia, WA 98506 Hospital Affiliations: Web address: generationsmidwifery (360) 632-4435 EB, P, R Providence St Peter Hospital services.com Ages: 0-99 Ages: 0-99

140

Specialists Washington - Thurston

Elm, Michael K, MD, (M), B Perry, Benjamin M, DO, (M), B Developmental Pediatrics

Group Name: Dermatology & Group Name: Silver Falls Allergy Spc/Olympia Dermatology Johnson, Kimberly A, MD, (F), B Provider ID: 004712474001 Provider ID: 006450990001 Group Name: Multicare Health NPI: 1871792820 NPI: 1710325758 System 304 W Bay Dr Nw Ste 301 4250 Martin Way E Ste 105 Provider ID: 003217252001 Olympia, WA 98502 Olympia, WA 98516 NPI: 1508873902 (360) 413-8760 EB, P, R, RE, T (503) 362-8385 E, EB, P, R, RE, 3504 12th Ave Ne S, T Olympia, WA 98506 M-Th 8:30 AM-5:00 PM Ages: 0-99 (253) 403-4437 EB, P, R F 8:30 AM-4:00 PM Hospital Affiliations: Ages: 0-99 Web address: www.dasowa.com St Luke's Elmore Medical Center Hospital Affiliations: Ages: 0-99 St Lukes Elmore Medical Center Tacoma General Allenmore Hospital Affiliations: Childrens Hospital Colorado Richert, Shauna M, MD, (F), B Providence St Peter Hospital Group Name: Dermatology & Family Nurse Practitioner Jacobson, Laurie G, MD, (F), B

Allergy Spc/Olympia Group Name: Silver Falls Provider ID: 001771596002 Bernard, Jessie A, FNP, (F) Dermatology NPI: 1154321453 Group Name: Multicare Health Provider ID: 002301988008 304 W Bay Dr Nw Ste 301 System NPI: 1043235492 Olympia, WA 98502 Provider ID: 006615646004 3825 Martin Way E Ste 104 (360) 413-8760 EB, P, R, RE, T NPI: 1437660321 Olympia, WA 98506 1603 Cooper Point Rd Nw (503) 362-8385 E, EB, RE, S, T M-Th 8:30 AM-5:00 PM Olympia, WA 98502 F 8:30 AM-4:00 PM Ages: 0-99 (253) 572-7320 EB, P, R Web address: www.olydermallergy. Ages: 0-99 Hospital Affiliations: com Swedish Health Services Hospital Affiliations: Ages: 0-99 Good Samaritan Hospital New York Eye And Ear Infirmary Hospital Affiliations: Multicare Valley Hospital Tacoma General Allenmore Providence St Peter Hospital Multicare Auburn Medical Center University Of Washington University Of Washington Medical Ctr Mary Bridge Child Hosp/hlth Cntr Medical Ctr Blum, Stephanie R, FNP, (F) Group Name: Telecare Mental Health Services Of Wa In Provider ID: 005207719002 NPI: 1104092857 3285 Ferguson St Sw Tumwater, WA 98512

(510) 337-7950 Ages: 0-99 Areas of Expertise: E112, E160

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

141

Washington - Thurston Specialists

Eller, Beaver E, FNP, (M) Huntington, Sarah C, NP, (F) Mcgee, Laurie A, NP, (F) Group Name: Multicare Group Name: Olympia Ob/Gyn Group Name: Providence St Peter Rockwood Clinic Provider ID: 003653368004 Hospital Provider ID: 004240795019 NPI: 1831531821 Provider ID: 001708507004 NPI: 1760827372 201 Tahoma Blvd Se Ste 204 NPI: 1598777062 345 Cooper Point Rd Nw Ste 103 Yelm, WA 98597 3525 Ensign Rd Ne

Olympia, WA 98502 (360) 413-8413 EB, P, R Olympia, WA 98506

(360) 763-7515 EB, P, R Ages: 0-99 (360) 486-2999 EB, P, R Cultural Competency: Y Hospital Affiliations: Web address: shannon.swartley@pr Does Not Accept New Patients Providence St Peter Hospital ovidence.org Ages: 0-99 Ages: 0-99 Huntington, Sarah C, NP, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Olympia Ob/Gyn Tacoma General Allenmore Providence St Peter Hospital Provider ID: 003653368002 Providence Centralia Hospital Eller, Beaver E, FNP, (M) NPI: 1831531821 Group Name: Multicare 615 Lilly Rd Ne Ste 200 Mcgee, Laurie A, NP, (F) Rockwood Clinic Olympia, WA 98506 Group Name: Providence St Peter

Provider ID: 004240795015 (360) 413-8413 EB, P, R, RE, T Hospital NPI: 1760827372 Provider ID: 001708507004 5128 Yelm Hwy Se Ste E Ages: 0-99 NPI: 1598777062 Lacey, WA 98503 Hospital Affiliations: 3525 Ensign Rd Ne Ste F Providence St Peter Hospital (360) 763-7040 EB, P, R Olympia, WA 98506

Cultural Competency: Y Marsh, Susan B, NP, (F) (360) 486-2999 Does Not Accept New Patients Group Name: Multicare Health Ages: 0-99 Ages: 0-99 System Hospital Affiliations: Hospital Affiliations: Provider ID: 001926938013 Providence St Peter Hospital Tacoma General Allenmore NPI: 1578547840 Providence Centralia Hospital

Eller, Beaver E, FNP, (M) 1603 Cooper Point Rd Nw Mcgee, Laurie A, NP, (F) Group Name: Multicare Olympia, WA 98502 Group Name: Providence St Peter Rockwood Clinic (253) 572-7320 EB, P, R Hospital Provider ID: 004240795016 Ages: 0-99 Provider ID: 001708507004 NPI: 1760827372 Hospital Affiliations: NPI: 1598777062 704 Trosper Rd Sw Ste 118 St Francis Hospital 413 Lilly Rd Ne Tumwater, WA 98512 Tacoma General Allenmore Olympia, WA 98506 Good Samaritan Hospital (360) 763-7050 EB, P, R (360) 486-6402 EB, P, R Cultural Competency: Y St Clare Hospital Web address: shannon.swartley@pr Does Not Accept New Patients ovidence.org Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Tacoma General Allenmore Providence St Peter Hospital Providence Centralia Hospital

142

Specialists Washington - Thurston

Mcgee, Laurie A, NP, (F) Wade, Ronda A, FNP, (F) Waitkevich, Cheryl J, NP, (F) Group Name: Providence St Peter Group Name: Evergreen Group Name: Providence St Peter Hospital Treatment Services Hospital Provider ID: 001708507004 Provider ID: 003676853010 Provider ID: 002889717002 NPI: 1598777062 NPI: 1609081249 NPI: 1386730133 4800 College St Se 6700 Martin Way E Ste 117 3525 Ensign Rd Ne Ste F Lacey, WA 98503 Olympia, WA 98516 Olympia, WA 98506

(360) 486-6402 EB, P, R (360) 413-6310 EB, P, R (360) 486-2999 Web address: shannon.swartley@pr Ages: 0-99 Ages: 0-99 ovidence.org Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Jcl Dv Hospital Providence St Peter Hospital Hospital Affiliations: Honorhealth John C Lincoln Waitkevich, Cheryl J, NP, (F) Providence St Peter Hospital Medical Ctr Group Name: Providence St Peter Providence Centralia Hospital Jcl Nm Hospital Hospital Scttsdle Hlth Osb Snyder, Rachael A, FNP, (F) Provider ID: 002889717002 Honorhealth Scottsdale Shea Group Name: Ideal Option NPI: 1386730133 Medical Ctr Provider ID: 006795302060 413 Lilly Rd Ne Scottsdale Healthcare Shea NPI: 1356843361 Olympia, WA 98506 Medical Ctr 205b Lilly Rd Ne Ste C (360) 486-6402 EB, P, R Scttsdle Hlth Shea Olympia, WA 98506 Ages: 0-99 Scttsdle Hlth Tpk (877) 522-1275 EB, P, R Hospital Affiliations: Areas of Expertise: MAT1 Ages: 0-99 Providence St Peter Hospital Areas of Expertise: THS Waitkevich, Cheryl J, NP, (F) Waitkevich, Cheryl J, NP, (F) Group Name: Providence St Peter Terry, Nicole H, NP, (F) Group Name: Providence St Peter Hospital Group Name: Pmg Sw Wa Hospital Provider ID: 002889717002 Provider ID: 002965105004 Provider ID: 002889717002 NPI: 1386730133 NPI: 1124284484 NPI: 1386730133 3525 Ensign Rd Ne 413 Lilly Rd Ne 4800 College St Se Olympia, WA 98506 Olympia, WA 98506 Lacey, WA 98503 (360) 486-2999 EB, P, R (360) 493-4083 EB, P, R (360) 486-6402 EB, P, R Ages: 0-99 Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Highline Medical Center St Anne Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

143

Washington - Thurston Specialists

Family Practice Blythe, Bryan L, PA, (M), B Dubek, Martin, MD, (M), B

Group Name: Ideal Option Group Name: Ideal Option Abbott, Ronald T, MD, (F) Provider ID: 003485994036 Provider ID: 002318676087 Group Name: Evergreen NPI: 1366422602 NPI: 1356341358 Treatment Services 205b Lilly Rd Ne Ste B 205b Lilly Rd Ne Ste B Provider ID: 001599090001 Olympia, WA 98506 Olympia, WA 98506 NPI: 1851868418 (877) 522-1275 EB, P, R (877) 522-1275 6700 Martin Way E Ste 117 Languages Spoken: Ages: 0-99 Olympia, WA 98516 Provider: French, German, Hospital Affiliations:

(360) 413-6310 EB, P, R Russian, Spanish Sunnyside Community Hospital Ages: 0-99 Web address: https://idealoption.net/ Skagit Valley Hospital Ages: 0-99 Areas of Expertise: MAT1, THS Atabeygi, Amir A, MD, (M), B Hospital Affiliations: Group Name: Multicare Health Dubek, Martin, MD, (M), B Swedish Edmonds System Group Name: Ideal Option Swedish Medical Center Edmonds Provider ID: 006171489011 Provider ID: 002318676091 Areas of Expertise: E112, MAT1, NPI: 1457791659 NPI: 1356341358 THS 5128 Yelm Hwy Se Ste E 205b Lilly Rd Ne Ste C Lacey, WA 98503 Blythe, Bryan L, PA, (M), B Olympia, WA 98506

(360) 763-7040 EB, P, R Group Name: Ideal Option (877) 522-1275 EB, P, R Web address: www.providence.org Provider ID: 003485994042 Ages: 0-99 Ages: 0-99 NPI: 1366422602 Hospital Affiliations: Hospital Affiliations: 205b Lilly Rd Ne Ste C Sunnyside Community Hospital Providence St Peter Hospital Olympia, WA 98506 Skagit Valley Hospital Summit Pacific Medical Center (877) 522-1275 EB, P, R Areas of Expertise: MAT1, THS Tacoma General Allenmore Languages Spoken: Egli, Kenneth J, MD, (M) Providence Centralia Hospital Provider: French, German, Group Name: Ideal Option Areas of Expertise: MAT1 Russian, Spanish Provider ID: 002329225076 Web address: https://idealoption.net/ Baird, Sara A, MD, (F), B NPI: 1205922879 Ages: 0-99 Group Name: Planned 205b Lilly Rd Ne Hospital Affiliations: Parenthood Of The Great Nw & Olympia, WA 98506 Swedish Edmonds Hi (877) 522-1275 EB, P, R Swedish Medical Center Edmonds Provider ID: 003662981091 Ages: 0-99 Areas of Expertise: E112, MAT1, NPI: 1457671547 Areas of Expertise: THS THS 402 Legion Way Se Ste 201 Egli, Kenneth J, MD, (M) Olympia, WA 98501 Group Name: Ideal Option (800) 769-0045 EB, P, R Provider ID: 002329225070 Accepting Existing Patients Only NPI: 1205922879 Ages: 0-99 205b Lilly Rd Ne Ste B Hospital Affiliations: Olympia, WA 98506 Swedish Medical Center (877) 522-1275 EB, P, R Areas of Expertise: MAT1 Ages: 0-99

144

Specialists Washington - Thurston Areas of Expertise: THS Goodblatt, Michael M, MD, (M) Kaushal, Rajit, MD, (M), B Egli, Kenneth J, MD, (M) Group Name: Providence St Peter Group Name: Pmg Sw Wa Group Name: Ideal Option Hospital Provider ID: 003458712001 Provider ID: 002329225057 Provider ID: 005516854001 NPI: 1942432869 NPI: 1205922879 NPI: 1952613374 413 Lilly Rd Ne 205b Lilly Rd Ne Ste C 3525 Ensign Rd Ne Olympia, WA 98506

Olympia, WA 98506 Olympia, WA 98506 (360) 493-4083 EB, P, R

(509) 222-1275 EB, P, R (360) 486-2999 EB, P, R Languages Spoken: Ages: 0-99 Web address: www.providence.org Provider: Hindi Areas of Expertise: THS Ages: 0-99 Web address: www.providence.org Areas of Expertise: THS Ages: 0-99 Erickson, Juliette K, MD, (F), B Hospital Affiliations: Group Name: Providence St Peter Goodblatt, Michael M, MD, (M) Providence St Peter Hospital Hospital Group Name: Providence St Peter Providence Centralia Hospital Provider ID: 002044164007 Hospital Eh Sm Hospital Detroit Lakes NPI: 1851489660 Provider ID: 005516854001 3525 Ensign Rd Ne Ste F NPI: 1952613374 Kim-Aguilar, Ivy, NP, (F) Olympia, WA 98506 3525 Ensign Rd Ne Ste F Group Name: Pmg Sw Wa

(360) 486-2999 Olympia, WA 98506 Provider ID: 007717647001

Ages: 0-99 (360) 486-2999 NPI: 1417581992 Hospital Affiliations: Ages: 0-99 500 Lilly Rd Ne Ste 100 Providence St Peter Hospital Olympia, WA 98506 Goodblatt, Michael M, MD, (M) Gray's Harbor Community Hsp (360) 413-8525 Group Name: Providence St Peter Ages: 0-99 Flament, Jennifer M, MD, (F), B Hospital Hospital Affiliations: Group Name: Planned Provider ID: 005516854001 Providence St Peter Hospital Parenthood Of The Great Nw & NPI: 1952613374 Providence Centralia Hospital Hi 413 Lilly Road Ne Provider ID: 005220738002 Olympia, WA 98506 Laursen, Shawna L, MD, (F), B

NPI: 1912292103 (360) 486-6402 EB, P, R Group Name: Ideal Option 402 Legion Way Se Ste 201 Web address: www.providence.org Provider ID: 001807514027 Olympia, WA 98501 Ages: 0-99 NPI: 1528137908

(800) 769-0045 EB, P, R Areas of Expertise: THS 205b Lilly Rd Ne Ste C Ages: 0-99 Olympia, WA 98506

Hospital Affiliations: (509) 222-1275 EB, P, R Swedish Health Services Ages: 0-99 Swedish Cherry Hill Hospital Affiliations: Swedish Medical Center Island Hospital Areas of Expertise: MAT1 Skagit Valley Hospital Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

145

Washington - Thurston Specialists

Legaspi, Ronillo M, MD, (M), B Mattis, Richard N, MD, (M), B Rueda, Kristine Grace P, MD, (F), Group Name: Multicare Health Group Name: Ideal Option B System Provider ID: 001960065083 Group Name: Ideal Option Provider ID: 005206048033 NPI: 1821040247 Provider ID: 005534771073 NPI: 1689986994 205b Lilly Rd Ne Ste C NPI: 1720349509 345 Cooper Point Rd Nw Ste 103 Olympia, WA 98506 205b Lilly Rd Ne Ste C

Olympia, WA 98502 (877) 522-1275 EB, P, R Olympia, WA 98506

(360) 763-7515 EB, P, R Web address: https://idealoption.net/ (877) 522-1275 EB, P, R Ages: 0-99 Ages: 0-99 Web address: https://idealoption.net/ Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Harrison Medical Center Newport Community Hospital Hospital Affiliations: St Michael Medical Center Areas of Expertise: MAT1, THS Rcch Trios Health Tacoma General Allenmore Areas of Expertise: MAT1, THS Nooney, Robert R, DO, (M), B Leibrand, Howard L, MD, (M), B Group Name: Ideal Family Care Ryan, David M, DO, (M), B Group Name: Ideal Option Provider ID: 001072191004 Group Name: Ideal Option Provider ID: 001708759130 NPI: 1558389544 Provider ID: 000943962057 NPI: 1710914312 404 Yauger Way Sw Ste 150 NPI: 1912918129 205b Lilly Rd Ne Ste B Olympia, WA 98502 205b Lilly Rd Ne Ste C

Olympia, WA 98506 (360) 754-2300 EB, P, R Olympia, WA 98506

(877) 522-1275 M,W,Th 8:30 AM-5:30 PM (509) 222-1275 EB, P, R Web address: https://idealoption.net/ Tu,F 8:30 AM-3:30 PM Ages: 0-99 Ages: 0-99 Web address: drrobertrnooney.com Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Kadlec Regional Medical Center Skagit Valley Hospital Hospital Affiliations: Areas of Expertise: MAT1, THS Areas of Expertise: MAT1 Providence St Peter Hospital Spencer, Alison J, MD, (F), B Multicare Capital Medical Center Leibrand, Howard L, MD, (M), B Group Name: Pmg Sw Wa Group Name: Ideal Option Penoyar, Jonathan B, MD, (M), B Provider ID: 002245927003 Provider ID: 001708759137 Group Name: Pmg Sw Wa NPI: 1215934054 NPI: 1710914312 Provider ID: 003328734004 525 Lilly Rd Ne 205b Lilly Rd Ne Ste C NPI: 1144439266 Olympia, WA 98506

Olympia, WA 98506 413 Lilly Rd Ne (360) 493-7230 EB, P, R

(877) 522-1275 EB, P, R Olympia, WA 98506 Accepting Existing Patients Only

Web address: https://idealoption.net/ (360) 493-4083 EB, P, R Ages: 0-99 Ages: 0-99 Web address: www.providence.org Hospital Affiliations: Hospital Affiliations: Accepting Existing Patients Only Providence St Peter Hospital Skagit Valley Hospital Ages: 0-99 Areas of Expertise: MAT1 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital

146

Specialists Washington - Thurston

Woody, Mckenzie, DO, (F), B Gastroenterology Joe, Rodney W, MD, (M), B

Group Name: Multicare Health Group Name: Gastroenterology System Cumings, Mark D, MD, (M), B Associates Provider ID: 007172771037 Group Name: Gastroenterology Provider ID: 001756815004 NPI: 1679922264 Associates NPI: 1558342501 3525 Ensign Rd Ne Ste B Provider ID: 002763011006 209 Lilly Rd Ne Olympia, WA 98506 NPI: 1629132584 Olympia, WA 98506 (360) 549-7250 EB, P, R 209 Lilly Rd Ne (360) 413-8250 E, EB, IB, P, R, Does Not Accept New Patients Olympia, WA 98506 RE, S, T

Ages: 0-99 (360) 413-8250 E, EB, IB, P, R, Web address: www.gastroassociates Hospital Affiliations: RE, S, T .org Tacoma General Allenmore Languages Spoken: Ages: 0-99 Areas of Expertise: E112, E160 Provider: Mandarin, Tagalog Hospital Affiliations: Web address: www.gastroassociates Providence St Peter Hospital Zampona, Anna, MD, (F), B .org Gray's Harbor Community Hsp Group Name: Pmg Sw Wa Ages: 0-99 Provider ID: 002263116001 Jones, Keaton, MD, (M), B Hospital Affiliations: NPI: 1376545343 Group Name: Olympia Multi Providence St Peter Hospital 413 Lilly Rd Ne Specialty Clinic Mid Valley Hospital Olympia, WA 98506 Provider ID: 006768719001 Wenatchee Valley Hospital (360) 493-4083 EB, P, R NPI: 1568721900 Languages Spoken: Heap, Darien, MD, (M), B 406 A Black Hills Ln Sw Provider: Bulgarian, Greek Group Name: Olympia Multi Olympia, WA 98502 Ages: 0-99 Specialty Clinic (360) 754-1735 EB, P, R Hospital Affiliations: Provider ID: 002537553001 Ages: 0-99 Providence St Peter Hospital NPI: 1982600961 Hospital Affiliations: Providence Centralia Hospital 406 Black Hills Ln Sw Ste A Multicare Capital Medical Center Quincy Valley Hospital Olympia, WA 98502 Kuczynski, John R, MD, (M), B (360) 754-1735 E, EB, G, P, PL, Group Name: Olympia Multi R, RE, S, T Specialty Clinic M-F 9:00 AM-5:00 PM Provider ID: 002814423001 Web address: omsc.net NPI: 1497897771 Ages: 0-99 406 Black Hills Ln Sw Ste A Hospital Affiliations: Olympia, WA 98502 Providence St Peter Hospital (360) 754-1727 E, EB, G, P, PL, Multicare Capital Medical Center R, RE, S, T Areas of Expertise: E112, E160 M,Tu,Th,F 8:00 AM-5:00 PM W 9:00 AM-5:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

147

Washington - Thurston Specialists Web address: omsc.net Mccabe, Marshall, DO, (M) Wagner, Kathryne, MD, (F), B Ages: 0-99 Group Name: Olympia Multi Group Name: Gastroenterology Hospital Affiliations: Specialty Clinic Associates Banner University Med Ctr South Provider ID: 007152957001 Provider ID: 000979492005 Campus NPI: 1447514302 NPI: 1740261817 Multicare Capital Medical Center 406a Black Hills Ln Sw 209 Lilly Rd Ne Areas of Expertise: E112, E160 Olympia, WA 98502 Olympia, WA 98506 Leonard, Lucas, MD, (M), B (360) 754-1735 EB, P, R (360) 413-8250 E, EB, IB, P, R, Group Name: Gastroenterology Ages: 0-99 RE, S, T Associates Languages Spoken: Owens, David A, MD, (M), B Provider ID: 006010570003 Provider: French Group Name: Gastroenterology NPI: 1992796528 Ages: 0-99 Associates 209 Lilly Rd Ne Hospital Affiliations: Provider ID: 002482582007 Olympia, WA 98506 Mason General Hospital NPI: 1144302159 (360) 413-8250 E, EB, IB, P, R, Providence St Peter Hospital 209 Lilly Rd Ne RE, S, T Gray's Harbor Community Hsp Olympia, WA 98506 Ages: 0-99 (360) 413-8250 E, EB, IB, P, R, Hospital Affiliations: General Surgery RE, S, T Sanford Medical Center Languages Spoken: Deitz, David M, MD, (M), B Providence St Peter Hospital Provider: Mandarin, Taiwanese Group Name: South Sound Mccabe, Marshall E, MD, (M), B Web address: www.gastroassociates Surgical Associate Group Name: Olympia Multi .org Provider ID: 003624596001 Specialty Clinic Ages: 0-99 NPI: 1336198118 Provider ID: 000527946001 Hospital Affiliations: 3920 Capitol Mall Dr Sw Ste 203 NPI: 1831191162 Providence St Peter Hospital Olympia, WA 98502

406 Black Hills Ln Sw Ste A Ucsd Medical Center (360) 754-3507 EB, P, R Olympia, WA 98502 Harborview Medical Center Ages: 0-99 (360) 754-1735 E, EB, G, P, PL, University Of Washington Hospital Affiliations: R, RE, S, T Medical Ctr Multicare Capital Medical Center Languages Spoken: Thompson, Michelle B, DO, (F), B Feldmann, Timothy F, MD, (M), Staff: Spanish Group Name: Olympia Multi B M-F 9:00 AM-5:00 PM Specialty Clinic Group Name: Capital Med Ctr Web address: omsc.net Provider ID: 006453846001 Specialty Phys Ages: 0-99 NPI: 1851684765 Provider ID: 006219785001 Hospital Affiliations: 406 Black Hills Ln Sw Ste A NPI: 1073839122 Mason General Hospital Olympia, WA 98502 3920 Capitol Mall Dr Sw Ste 201 Providence St Peter Hospital (360) 754-1735 E, EB, G, P, PL, Olympia, WA 98502 Providence Centralia Hospital R, RE, S, T (360) 596-4880 EB, P, R Multicare Capital Medical Center Web address: www.omsc.net M-F 8:00 AM-4:30 PM Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Multicare Capital Medical Center Multicare Capital Medical Center

148

Specialists Washington - Thurston

Freeman, Rebecca A, MD, (F), B Griffith, Chris N, MD, (M), B Halpin, Ryan J, MD, (M) Group Name: Surgical Associates Group Name: Surgical Associates Group Name: Olympia Provider ID: 004128941001 Provider ID: 000261693003 Orthopaedic Associates NPI: 1205064565 NPI: 1922020296 Provider ID: 003325689001 3610 Ensign Rd Ne 413 Lilly Rd Ne NPI: 1467618025 Olympia, WA 98506 Olympia, WA 98506 3901 Capital Mall Dr Sw Ste B

(360) 493-5252 EB, P, R, RE, T (360) 493-5252 EB, P, R Olympia, WA 98502

Ages: 0-99 (360) 528-8571 E, EB, IB, P, R, Ages: 0-99 Hospital Affiliations: RE, S, T Hospital Affiliations: Providence St Peter Hospital Web address: www.olyortho.com Providence St Peter Hospital Ages: 0-99 Halpin, Ryan J, MD, (M) Rhode Island Hospital Hospital Affiliations: Group Name: Olympia Mason General Hospital Freeman, Rebecca A, MD, (F), B Orthopaedic Associates Providence St Peter Hospital Group Name: Surgical Associates Provider ID: 003325689001 Provider ID: 004128941002 Multicare Capital Medical Center NPI: 1467618025 NPI: 1205064565 3901 Capital Mall Dr Sw Ste A Krug, Richard T, MD, (M), B 413 Lilly Rd Ne Olympia, WA 98502 Group Name: Surgical Associates Olympia, WA 98506 (360) 709-6230 E, EB, IB, P, R, Provider ID: 002000193001 (360) 493-5252 EB, P, R RE, S, T NPI: 1558383828 Ages: 0-99 Languages Spoken: 3610 Ensign Rd Ne Hospital Affiliations: Interpreter: Medical Interp Olympia, WA 98506 Providence St Peter Hospital Vendor (360) 493-5252 EB, P, R, RE, T Rhode Island Hospital Web address: www.olyortho.com Ages: 0-99 Griffith, Chris N, MD, (M), B Ages: 0-99 Hospital Affiliations: Group Name: Surgical Associates Hospital Affiliations: Mason General Hospital Providence St Peter Hospital Provider ID: 000261693002 NPI: 1922020296 Providence St Peter Hospital Paull, Nathaniel B, MD, (M), B 3610 Ensign Rd Ne Multicare Capital Medical Center Group Name: Capital Med Ctr Olympia, WA 98506 Specialty Phys

(360) 493-5252 EB, P, R, RE, T Provider ID: 005635393007 NPI: 1245554294 Ages: 0-99 3900 Capital Mall Dr Sw Hospital Affiliations: Olympia, WA 98502 Providence St Peter Hospital (360) 704-4718 EB, P, R Ages: 0-99 Hospital Affiliations: Multicare Capital Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

149

Washington - Thurston Specialists

Paull, Nathaniel B, MD, (M), B Sebesta, James A, MD, (M), B White, Bethanie R, MD, (F), B Group Name: Capital Med Ctr Group Name: Multicare Health Group Name: Surgical Associates Specialty Phys System Provider ID: 005173767001 Provider ID: 005635393007 Provider ID: 000880313002 NPI: 1659515211 NPI: 1245554294 NPI: 1619004918 3610 Ensign Rd Ne 3920 Capital Mall Dr Sw Ste 201 408 Lilly Rd Ne Ste B Olympia, WA 98506

Olympia, WA 98502 Olympia, WA 98506 (360) 493-5252 EB, P, R, RE, T

(360) 596-4880 EB, P, R (253) 301-5280 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Multicare Capital Medical Center Peacehealth Sw Med Ctr Providence St Peter Hospital

Highline Medical Center Robinson, Kevin D, MD, (M), B White, Bethanie R, MD, (F), B St Anne Hospital Group Name: Surgical Associates Group Name: Surgical Associates Provider ID: 001479265002 Tollefson, David, MD, (M), B Provider ID: 005173767001 NPI: 1184646457 Group Name: South Sound NPI: 1659515211 3610 Ensign Rd Ne Surgical Associate 413 Lilly Rd Ne Olympia, WA 98506 Provider ID: 002034565001 Olympia, WA 98506 (360) 493-5252 EB, P, R (360) 493-5252 EB, P, R, RE, T NPI: 1659315810 3920 Capitol Mall Dr Sw Ste 203 Ages: 0-99 Ages: 0-99 Olympia, WA 98502 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital (360) 754-3507 EB, P, R

Providence St Peter Hospital Ages: 0-99 Woltman, Todd, MD, (M), B Robinson, Kevin D, MD, (M), B Hospital Affiliations: Group Name: Capital Med Ctr Group Name: Surgical Associates Mason General Hospital Specialty Phys Provider ID: 001479265002 Providence St Peter Hospital Provider ID: 002315000002 NPI: 1184646457 Multicare Capital Medical Center NPI: 1275522450

413 Lilly Rd Ne Wasilenko, Sara J, DO, (F), B 3920 Capital Mall Dr Sw Ste 201 Olympia, WA 98506 Group Name: Pmg Sw Wa Olympia, WA 98502 (360) 493-5252 EB, P, R Provider ID: 006436666001 (360) 596-4880 EB, P, R Ages: 0-99 NPI: 1528387941 Ages: 0-99 Hospital Affiliations: 128 Lilly Rd Ne Ste 205 Hospital Affiliations: Providence St Peter Hospital Olympia, WA 98506 Jefferson Healthcare Multicare Capital Medical Center (360) 493-7444 EB, P, R Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital Areas of Expertise: THS

150

Specialists Washington - Thurston

Young, Monica T, MD, (F), B Donahue, Kelly C, MS, (F) Mckittrick, Austin G, MS, (M) Group Name: Capital Med Ctr Group Name: Multicare Health Group Name: Providence Health Specialty Phys System & Svcs Washington Provider ID: 001736587002 Provider ID: 006821884001 Provider ID: 005165630003 NPI: 1033430053 NPI: 1902124233 NPI: 1184023939 3920 Capital Mall Dr Sw Ste 201 3504 12th Ave Ne 4525 3rd Ave Se Ste 200 Olympia, WA 98502 Olympia, WA 98506 Lacey, WA 98503

(360) 596-4880 EB, P, R (253) 403-3476 EB, P, R (360) 754-3934 E, EB, P, R, S, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Web address: www.providence.org University Of Washington Tacoma General Allenmore Ages: 0-99 Medical Ctr Hospital Affiliations: Duerden, Brittney L, MS, (F) Seattle Cancer Care Alliance Providence St Peter Hospital Group Name: Multicare Health Multicare Capital Medical Center Tacoma General Allenmore System Providence Centralia Hospital Genetic Counselor Provider ID: 007065413001

Simon, Julie M, MS, (F) NPI: 1366865438 Cantwell, Maureen E, MS, (F) 3504 12th Ave Ne Group Name: Multicare Health Group Name: Multicare Health Olympia, WA 98506 System Provider ID: 006650083004 Systems (253) 403-3476 EB, P, R Provider ID: 002893553001 Ages: 0-99 NPI: 1093094971 NPI: 1902897150 Hospital Affiliations: 3504 12th Ave Ne 408 Lilly Rd Ne # A-2 Tacoma General Allenmore Olympia, WA 98506 Olympia, WA 98506 (253) 403-3476 EB, P, R Fick, Roger N, MS, (M) Web address: www.masongeneral.c (253) 403-9200 EB, P, R Group Name: Multicare Health Ages: 0-99 om Systems Ages: 0-99 Crosetto, Rebecca C, MS, (F) Provider ID: 002585444001 Hospital Affiliations: Group Name: Multicare Health NPI: 1538460597 Mason General Hospital Systems 3504 12th Ave Ne Providence St Peter Hospital Provider ID: 003221975001 Olympia, WA 98506 Tacoma General Allenmore NPI: 1043482532 (253) 403-3476 EB, P, R Providence Centralia Hospital 408 Lilly Rd Ne # A-2 Ages: 0-99 Multicare Auburn Medical Center Olympia, WA 98506 Good Samaritan Hospital (253) 403-9200 EB, P, R Mary Bridge Child Hosp/hlth Cntr Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

151

Washington - Thurston Specialists

Simon, Julie M, MS, (F) Genetics Gynecologic Oncology

Group Name: Pmg Sw Wa Provider ID: 006650083001 Raff, Michael L, MD, (M), B Massry, Wafic A, MD, (M), B NPI: 1093094971 Group Name: Multicare Health Group Name: Multicare Health 4525 3rd Ave Se Ste 200 Systems System Lacey, WA 98503 Provider ID: 002239365002 Provider ID: 002619664003 (360) 754-3934 E, EB, P, R, S, T NPI: 1568548246 NPI: 1740377530 3504 12th Ave Ne 408 Lilly Rd Ne Ste A2 Web address: www.providence.org Olympia, WA 98506 Olympia, WA 98506 Ages: 0-99 (253) 403-3476 EB, P, R (253) 403-1677 EB, P, R Hospital Affiliations: Ages: 0-99 Languages Spoken: Mason General Hospital Hospital Affiliations: Provider: Spanish, Arabic Providence St Peter Hospital Good Samaritan Hospital Ages: 0-99 Tacoma General Allenmore Seattle Children's Hospital Hospital Affiliations: Providence Centralia Hospital Tacoma General Allenmore Community Hospitals Of Indiana Multicare Auburn Medical Center Multicare Auburn Medical Center Providence-memorial Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr Hospitals Of Providence Memorial Mary Bridge Child Hosp/hlth Cntr Campus Yuen, Amy L, MD, (F) Tacoma General Allenmore Volk, Amber K, MS, (F) Group Name: Multicare Health Community Hospital Group Name: Multicare Health Systems Community Hospital South System Provider ID: 002561863005 Norton Hospital Provider ID: 005313096003 NPI: 1164412813 University Medical Center Of El NPI: 1477943595 3504 12th Ave Ne Paso 3504 12th Ave Ne Olympia, WA 98506 Olympia, WA 98506 (253) 403-3476 EB, P, R O'boyle, John D, MD, (M), B (253) 403-3476 EB, P, R Languages Spoken: Group Name: Pmg Sw Wa Web address: www.essentialhealth. Provider: Tagalog Provider ID: 006886024001 org Ages: 0-99 NPI: 1306808381 Ages: 0-99 Hospital Affiliations: 201 Tahoma Blvd Unit 204 Hospital Affiliations: Tacoma General Allenmore Yelm, WA 98597 Tacoma General Allenmore Good Samaritan Hospital (360) 754-3934 EB, P, R Innovis Health Mary Bridge Child Hosp/hlth Cntr Web address: www.providence.org Essentia Health Fargo Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital

152

Specialists Washington - Thurston

O'boyle, John D, MD, (M), B Reagan, Krista M, MD, (F), B Souri, Bina C, MD, (F) Group Name: Pmg Sw Wa Group Name: Multicare Health Group Name: Bina C Souri Md Provider ID: 006886024001 System Provider ID: 000871785001 NPI: 1306808381 Provider ID: 003488794001 NPI: 1215079850 4525 3rd Ave Se Ste 200 NPI: 1720251523 403 Black Hills Ln Sw Ste C Lacey, WA 98503 408 Lilly Rd Ne # A-1 Olympia, WA 98502

(360) 754-3934 E, EB, P, R, S, T Olympia, WA 98506 (360) 956-1880 EB, P, R

(253) 301-5120 EB, P, R Languages Spoken: Web address: www.providence.org Ages: 0-99 Provider: Hindi, Punjabi, Urdu Ages: 0-99 Hospital Affiliations: Staff: Spanish Hospital Affiliations: Good Samaritan Hospital M,Tu,Th,F 9:00 AM-1:00 PM Providence St Peter Hospital Hartford Hospital W 8:30 AM-4:30 PM Providence Centralia Hospital Tacoma General Allenmore Ages: 0-99

Gynecology Multicare Auburn Medical Center Hospital Affiliations:

Providence St Peter Hospital Richards, Julia, MD, (F) Multicare Capital Medical Center Markle Price, Danielle, MD, (F), Group Name: South Sound

B Women's Ctr Hand Surgery

Group Name: Multicare Health Provider ID: 001167082002 Systems NPI: 1750370466 Graver, Adam J, MD, (M) Provider ID: 003070685001 3920 Capital Mall Dr Sw Ste 400 Group Name: Olympia NPI: 1851579528 Olympia, WA 98502 Orthopaedic Associates 408 Lilly Rd Ne # A-1 (360) 705-1259 E, EB, G, IB, P, Provider ID: 006160295003 Olympia, WA 98506 R, RE, S, T NPI: 1831480748 (253) 301-5120 EB, P, R Languages Spoken: 3901 Capital Mall Dr Sw Ste A Cultural Competency: Y Staff: Spanish Olympia, WA 98502 Ages: 0-99 M-F 8:30 AM-5:00 PM (360) 786-8990 E, EB, IB, P, R, Hospital Affiliations: Web address: www.southsoundwom RE, S, T University Of Calif Irvine Medical enscenter.com Ages: 0-99 Ctr Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Norwood Hospital Multicare Capital Medical Center Tufts Medical Ctr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

153

Washington - Thurston Specialists

Graver, Adam J, MD, (M) Head & Neck Surgery Bigler, Robert, MD, (M), B

Group Name: Olympia Group Name: American Oncology Orthopaedic Associates Jensen, Ray E, MD, (M), B Partners Provider ID: 006160295003 Group Name: Ear Nose And Provider ID: 007431012001 NPI: 1831480748 Throat Associates Southwest NPI: 1689777583 3901 Capital Mall Dr Sw Ste B Provider ID: 001067450003 420 Mcphee Rd Sw Ste A Olympia, WA 98502 NPI: 1972612695 Olympia, WA 98502 (360) 528-8571 E, EB, IB, P, R, 128 Lilly Rd Ne # 202 (360) 352-9200 E, EB, IB, P, R, T RE, S, T Olympia, WA 98506 Ages: 0-99 Ages: 0-99 (360) 357-6314 EB, P, R Hospital Affiliations: Languages Spoken: Hospital Affiliations: Providence St Peter Hospital Staff: Spanish, Vietnamese Tacoma General Allenmore Norwood Hospital Ages: 0-99 Multicare Auburn Medical Center Tufts Medical Ctr Hospital Affiliations: Good Samaritan Hospital Providence St Peter Hospital Peacehealth Sw Med Ctr Graver, Adam J, MD, (M) Osborn, Dustan C, MD, (M) Group Name: Olympia Hematology Group Name: Northwest Medical

Orthopaedic Associates Provider ID: 006160295003 Bigler, Robert, MD, (M), B Specialties NPI: 1831480748 Group Name: American Oncology Provider ID: 000798622002 615 Lilly Rd Ne Ste 100 Partners NPI: 1528061132 Olympia, WA 98506 Provider ID: 007431012001 3920 Capital Mall Dr Sw #100 Olympia, WA 98502 (360) 491-4211 EB, P, R, RE, T NPI: 1689777583 141 Lilly Rd Ne (360) 754-5168 EB, P, R Ages: 0-99 Olympia, WA 98506 M-F 12:00 AM-11:59 PM Hospital Affiliations: Ages: 0-99 (360) 413-8880 EB, P, R Providence St Peter Hospital Ages: 0-99 Hospital Affiliations: Norwood Hospital Hospital Affiliations: Mason General Hospital Tufts Medical Ctr Tacoma General Allenmore Providence St Peter Hospital Gray's Harbor Community Hsp Graver, Adam J, MD, (M) Multicare Auburn Medical Center Providence Centralia Hospital Group Name: Olympia Good Samaritan Hospital Multicare Capital Medical Center Orthopaedic Associates Peacehealth Sw Med Ctr Provider ID: 006160295003 NPI: 1831480748 8140 Freedom Ln Ne Lacey, WA 98516

(360) 754-7622 EB, P, R Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Norwood Hospital Tufts Medical Ctr

154

Specialists Washington - Thurston Telugu Osborn, Dustan C, MD, (M) Chaves, Jorge M, MD, (M), B Ages: 0-99 Group Name: Northwest Medical Group Name: Northwest Medical Hospital Affiliations: Specialties Specialties Nyp-columbia Provider ID: 000798622002 Provider ID: 003295385001 NPI: 1528061132 NPI: 1265610752 Senecal, Francis M, MD, (M), B 3920 Capital Mall Dr Sw Ste 100 3920 Capital Mall Dr Sw Ste 100 Group Name: Northwest Medical Olympia, WA 98502 Olympia, WA 98502 Specialties

(360) 754-5168 EB, P, R (360) 754-5168 EB, P, R Provider ID: 000194460001 Ages: 0-99 Languages Spoken: NPI: 1417046236 Hospital Affiliations: Provider: Spanish 3920 Capital Mall Dr Sw Ste 100 Mason General Hospital Ages: 0-99 Olympia, WA 98502

Providence St Peter Hospital Hospital Affiliations: (360) 754-5168 EB, P, R Gray's Harbor Community Hsp St Joseph Medical Center Ages: 0-99 Providence Centralia Hospital Hospital Affiliations: Mccroskey, Robert D, MD, (M), B Multicare Capital Medical Center Tacoma General Allenmore Group Name: Northwest Medical St Francis Community Hospital Specialties Hematology / Oncology St Clare Hospital Provider ID: 000937406001 St Joseph Medical Center Blau, Sibel K, MD, (F) NPI: 1629064589 Group Name: Northwest Medical 3920 Capital Mall Dr Sw Ste 100 Sui, Xingwei D, MD, (M), B Specialties Olympia, WA 98502 Group Name: Pmg Sw Wa Provider ID: 001470640003 (360) 754-5168 EB, P, R Provider ID: 002576871001 NPI: 1962490797 Languages Spoken: NPI: 1568469534 3920 Capital Mall Dr Sw Ste 100 Provider: Portuguese 201 Tahoma Blvd Unit 204 Olympia, WA 98502 Cultural Competency: Y Yelm, WA 98597

(360) 754-5168 EB, P, R Ages: 0-99 (360) 754-3934 EB, P, R Languages Spoken: Hospital Affiliations: Web address: www.providence.org Provider: Turkish Multicare Auburn Medical Center Ages: 0-99 Ages: 0-99 St Francis Community Hospital Hospital Affiliations: Hospital Affiliations: Good Samaritan Hospital Providence St Peter Hospital St Francis Hospital St Clare Hospital Providence Centralia Hospital Multicare Auburn Medical Center St Joseph Medical Center Multicare Capital Medical Center Good Samaritan Hospital Areas of Expertise: THS Namburi, Swathi, MD, (F) St Clare Hospital Group Name: Northwest Medical St Joseph Medical Center Specialties Provider ID: 004199647003 NPI: 1073831897 3920 Capital Mall Dr Sw Ste 100 Olympia, WA 98502

(360) 754-5168 EB, P, R Languages Spoken: Provider: French, Hindi, Spanish,

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

155

Washington - Thurston Specialists

Sui, Xingwei D, MD, (M), B Hospice & Palliative Medicine Merrifield, Sarah B, MD, (F), B

Group Name: Pmg Sw Wa Group Name: Providence St Peter Provider ID: 002576871001 Erickson, Juliette K, MD, (F), B Hospital NPI: 1568469534 Group Name: Providence St Peter Provider ID: 002166145001 4525 3rd Ave Se Ste 200 Hospital NPI: 1104014364 Lacey, WA 98503 Provider ID: 002044164007 413 Lilly Rd Ne (360) 754-3934 E, EB, P, R, S, T NPI: 1851489660 Olympia, WA 98506 3525 Ensign Rd Ne Ste F (360) 486-6402 EB, P, R Ages: 0-99 Olympia, WA 98506 Web address: www.providence.org Hospital Affiliations: (360) 486-2999 Accepting Existing Patients Only Providence St Peter Hospital Ages: 0-99 Ages: 0-99 Providence Centralia Hospital Hospital Affiliations: Hospital Affiliations: Multicare Capital Medical Center Providence St Peter Hospital Providence Regional Medical Areas of Expertise: THS Gray's Harbor Community Hsp Center Evere

Providence Regional Medical Ctr Veatch, Andrea, MD, (F) Merrifield, Sarah B, MD, (F), B Everett Group Name: Northwest Medical Group Name: Providence St Peter Providence St Peter Hospital Specialties Hospital Massachusetts General Hospital Provider ID: 002121766001 Provider ID: 002166145005 NPI: 1952398158 Providence Centralia Hospital NPI: 1104014364 3920 Capital Mall Dr Sw Ste 100 3525 Ensign Rd Ne Merrifield, Sarah B, MD, (F), B Olympia, WA 98502 Olympia, WA 98506 Group Name: Providence St Peter (360) 754-5168 EB, P, R (360) 486-2999 EB, P, R Hospital Ages: 0-99 Web address: www.providence.org Provider ID: 002166145003 Hospital Affiliations: Accepting Existing Patients Only NPI: 1104014364 Harborview Medical Center Ages: 0-99 4800 College St Se Multicare Auburn Medical Center Hospital Affiliations: Lacey, WA 98503 St Francis Community Hospital Providence Regional Medical (360) 486-6402 EB, P, R Good Samaritan Hospital Center Evere Web address: www.providence.org St Clare Hospital Providence Regional Medical Ctr Accepting Existing Patients Only St Joseph Medical Center Everett Ages: 0-99 University Of Washington Providence St Peter Hospital Hospital Affiliations: Medical Ctr Massachusetts General Hospital Providence Regional Medical

Zhang, Li, MD, (F), B Providence Centralia Hospital Center Evere Group Name: Northwest Medical Providence Regional Medical Ctr Specialties Everett Provider ID: 006000416002 Providence St Peter Hospital NPI: 1972865863 Massachusetts General Hospital 3920 Capital Mall Dr Sw Ste 100 Providence Centralia Hospital Olympia, WA 98502

(360) 754-5168 EB, P, R Ages: 0-99

156

Specialists Washington - Thurston

Vandekieft, Gregg K, MD, (M), B Infectious Disease Groner, Mordechai Z, MD, (M)

Group Name: Providence St Peter Group Name: Pmg Sw Wa Hospital Denman, Britta L, DO, (F) Provider ID: 006358789003 Provider ID: 001050993008 Group Name: Capital Med Ctr NPI: 1427347764 NPI: 1922009885 Specialty Phys 413 Lilly Rd Ne 3525 Ensign Rd Ne Provider ID: 003111017008 Olympia, WA 98506 Olympia, WA 98506 NPI: 1548344823 (360) 491-9480 EB, P, R (360) 486-2999 EB, P, R 3920 Capital Mall Dr Sw Ste 200 Ages: 0-99 Web address: www.providence.org Olympia, WA 98502 Hospital Affiliations:

Ages: 0-99 (360) 596-4612 EB, P, R, RE, T Hamot Medical Center Hospital Affiliations: Upmc Hamot Providence St Peter Hospital Ages: 0-99 Providence St Peter Hospital Providence Centralia Hospital Hospital Affiliations: Casa Grande Regional Med Ctr Shah, Javeed A, MD, (M), B Vandekieft, Gregg K, MD, (M), B Banner Casa Grande Medical Group Name: University Of Group Name: Providence St Peter Center Washington Phys Hospital Providence St Peter Hospital Provider ID: 002958154003 Provider ID: 001050993002 St Francis Hospital Medical Ctr NPI: 1194834085 NPI: 1922009885 Upstate University Hosp Comm 3525 Ensign Rd Ne Ste B 413 Lilly Rd Ne Campus Olympia, WA 98506 Olympia, WA 98506 Banner Univ Medical Cntr (206) 520-5000 EB, P, R (360) 486-6402 EB, P, R Phoenix Campus Languages Spoken: Web address: www.providence.org Lbj Tropical Medical Center Provider: French Ages: 0-99 Ages: 0-99 Hospital Affiliations: Groner, Mordechai Z, MD, (M) Hospital Affiliations: Providence St Peter Hospital Group Name: Pmg Sw Wa Harborview Medical Center Providence Centralia Hospital Provider ID: 006358789003 University Of Washington NPI: 1427347764 Medical Ctr Vandekieft, Gregg K, MD, (M), B 3525 Ensign Rd Ne Ste F Group Name: Providence St Peter Olympia, WA 98506 Standaert, Steven M, MD, (M), B Hospital Group Name: Steven M Standaert (360) 493-4001 EB, P, R Provider ID: 001050993005 Web address: www.providence.org Md NPI: 1922009885 Ages: 0-99 Provider ID: 000769993001 4800 College St Se Hospital Affiliations: NPI: 1750455317 Lacey, WA 98503 Hamot Medical Center 3525 Ensign Rd Ne Ste 02 (360) 486-6402 EB, P, R Upmc Hamot Olympia, WA 98506 Web address: www.providence.org Providence St Peter Hospital (360) 459-1213 EB, P, R Ages: 0-99 Areas of Expertise: THS Languages Spoken: Hospital Affiliations: Provider: French, Spanish Providence St Peter Hospital M-F 9:00 AM-5:00 PM Providence Centralia Hospital Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Multicare Capital Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

157

Washington - Thurston Specialists

Standaert, Steven M, MD, (M), B Abraham, Susan, MD, (F), B Aibak, Haneen, MD, (M), B Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Provider ID: 000769993002 Provider ID: 003358101002 Provider ID: 003514790007 NPI: 1750455317 NPI: 1598926818 NPI: 1932362076 3525 Ensign Rd Ne Ste F 413 Lilly Rd Ne 3333 Ensign Rd Ne Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(360) 493-4001 EB, P, R (360) 493-4083 EB, P, R (360) 493-4900 EB, P, R Languages Spoken: Ages: 0-99 Languages Spoken: Provider: French, Spanish Hospital Affiliations: Provider: French, Hindi, Spanish Web address: www.providence.org Providence St Peter Hospital Accepting Existing Patients Only Ages: 0-99 Providence Centralia Hospital Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Abraham, Waleed, MD, (M), B Providence St Peter Hospital Providence St Peter Hospital Group Name: Pmg Sw Wa Multicare Capital Medical Center Virginia Mason Medical Center Provider ID: 002447208001 Areas of Expertise: THS Providence Centralia Hospital NPI: 1871567495

Internal Medicine 413 Lilly Rd Ne Aibak, Haneen, MD, (M), B

Olympia, WA 98506 Group Name: Pmg Sw Wa Abadullah, Ahmad, MD, (M), B (360) 493-4083 EB, P, R Provider ID: 003514790007 Group Name: Pmg Sw Wa Accepting Existing Patients Only NPI: 1932362076 Provider ID: 002497961002 Ages: 0-99 413 Lilly Rd Ne NPI: 1225005721 Hospital Affiliations: Olympia, WA 98506 413 Lilly Rd Ne Providence St Peter Hospital (360) 493-4083 EB, P, R Olympia, WA 98506 Languages Spoken: Agustsson, Thordur S, MD, (M), (360) 493-4083 EB, P, R Provider: French, Hindi, Spanish B Languages Spoken: Web address: www.providence.org Group Name: Capital Med Ctr Provider: Hindi, Urdu Accepting Existing Patients Only Specialty Phys Web address: www.providence.org Ages: 0-99 Provider ID: 001080055004 Ages: 0-99 Hospital Affiliations: NPI: 1790895977 Hospital Affiliations: Providence St Peter Hospital 3900 Capital Mall Dr Sw Providence St Peter Hospital Virginia Mason Medical Center Olympia, WA 98502 Tacoma General Allenmore Providence Centralia Hospital (360) 704-4743 EB, P, R St Francis Community Hospital Ages: 0-99 Arora, Natasha P, MD, (F), B St Clare Hospital Hospital Affiliations: Group Name: Providence St Joseph Medical Center Monroe Clinic Hospital Cardiology Assoc Saint Anthony Hospital Provider ID: 006270140001 Swedishamerican Hospital NPI: 1336456672 Rockford Memorial Hospital 500 Lilly Rd Ne Ste 100 Javon Bea Hospital Olympia, WA 98506

Areas of Expertise: MAT1 (360) 413-8525 EB, P, R Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

158

Specialists Washington - Thurston

Banipal, Jatinder S, MD, (M) Bongar, Debbierey P, MD, (F), B Brown, Linda L, MD, (F) Group Name: Pmg Sw Wa Group Name: Ideal Option Group Name: Dermatology & Provider ID: 007476020001 Provider ID: 002947197074 Allergy Spc/Olympia NPI: 1609300029 NPI: 1801072137 Provider ID: 003325259001 413 Lilly Rd Ne 205b Lilly Rd Ne Ste C NPI: 1508830126 Olympia, WA 98506 Olympia, WA 98506 703 Lilly Rd Ne Ste 103

(360) 493-4083 EB, P, R (877) 522-1275 EB, P, R Olympia, WA 98506

Web address: www.providence.org Web address: www.kadlec.org (360) 413-8265 EB, P, R Ages: 0-99 Ages: 0-99 M 8:30 AM-4:00 PM Hospital Affiliations: Hospital Affiliations: Tu,Th 8:30 AM-5:30 PM Providence St Peter Hospital Kadlec Regional Medical Center W,F 8:30 AM-3:30 PM Providence Centralia Hospital Areas of Expertise: MAT1, THS Web address: www.dasowa.com Ages: 0-99 Bhatraju, Elenore P, MD, (F), B Borders, Leila T, MD, (F), B Hospital Affiliations: Group Name: Evergreen Group Name: Olympia Providence St Peter Hospital Treatment Services Orthopaedic Associates Providence Centralia Hospital Provider ID: 003498879006 Provider ID: 006525168006 NPI: 1134353857 NPI: 1417375007 Buser, Charles N, MD, (M) 6700 Martin Way E Ste 117 8140 Freedom Ln Ne Group Name: Westcare Clinic Olympia, WA 98516 Lacey, WA 98516 Provider ID: 002759236001

(360) 413-6310 EB, P, R (360) 709-6230 EB, P, R NPI: 1790850337 Cultural Competency: Y Ages: 0-99 3000 Limited Ln Nw Ages: 0-99 Hospital Affiliations: Olympia, WA 98502

Hospital Affiliations: Providence St Peter Hospital (360) 357-9392 EB, P, R Harborview Medical Center Trihealth Evendale Hospital M-Su 9:00 AM-5:00 PM University Of Washington Good Samaritan Web address: www.westcareclinic.c Medical Ctr Hospital-evendale om Areas of Expertise: MAT1 Ages: 0-99 Brennan, William P, MD, (M), B Bongar, Debbierey P, MD, (F), B Group Name: Providence Group Name: Ideal Option Cardiology Assoc Provider ID: 002947197071 Provider ID: 000261682001 NPI: 1801072137 NPI: 1487655858 205b Lilly Rd Ne Ste B 500 Lilly Rd Ne Ste 100 Olympia, WA 98506 Olympia, WA 98506

(877) 522-1275 EB, P, R (360) 413-8525 EB, P, R Web address: www.kadlec.org Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mason General Hospital Kadlec Regional Medical Center Providence St Peter Hospital Areas of Expertise: MAT1, THS Gray's Harbor Community Hsp Providence Centralia Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

159

Washington - Thurston Specialists

Davidson, Bruce L, MD, (M), B Ehrlander, Wyatt C, MD, (M), B Harriage, Scott R, MD, (M), B Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Group Name: Capital Clubhouse Provider ID: 000693108005 Provider ID: 002880369001 Provider ID: 003325407004 NPI: 1619932092 NPI: 1205005642 NPI: 1437207826 500 Lilly Rd Ne Ste 201 413 Lilly Rd Ne 1000 Cherry St Se Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98501

(360) 413-8272 EB, P, R (360) 493-4083 EB, P, R (360) 357-2582 EB, IB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Areas of Expertise: E160 Providence St Peter Hospital Providence St Peter Hospital Himmel, Andrzej T, MD, (M), B Providence St Mary Medical Providence St Mary Medical Group Name: Pmg Sw Wa Center Center Provider ID: 003131765003 Harborview Medical Center Champlain Valley Physicians NPI: 1174711634 Central Washington Hospital Hosp Med Ctr 413 Lilly Rd Ne Kadlec Regional Medical Center Feldman, Dmitry P, DO, (M), B Olympia, WA 98506 University Of Washington Group Name: Pmg Sw Wa (360) 493-4083 EB, P, R Medical Ctr Provider ID: 003136693002 Web address: www.providence.org Skagit Valley Hospital NPI: 1629247689 Ages: 0-99 Seattle Cancer Care Alliance 413 Lilly Rd Ne Hospital Affiliations: Areas of Expertise: THS Olympia, WA 98506 Providence St Peter Hospital Dicarlo, Mary C, MD, (F), B (360) 493-4083 EB, P, R Providence Centralia Hospital Group Name: Pmg Sw Wa Ages: 0-99 Ibarra, John I, MD, (M), B Provider ID: 003135379001 Hospital Affiliations: Group Name: Capital Med Ctr NPI: 1073778643 Providence St Peter Hospital Specialty Phys 413 Lilly Rd Ne Providence St Mary Medical Provider ID: 002693848009 Olympia, WA 98506 Center NPI: 1881606408 (360) 493-4083 EB, P, R Providence Centralia Hospital 3900 Capital Mall Dr Sw Ages: 0-99 Skagit Valley Hospital Olympia, WA 98502 Hospital Affiliations: Ghali, Gabriella N, MD, (F) (360) 704-4743 EB, P, R Providence St Peter Hospital Group Name: Pmg Sw Wa Languages Spoken: Providence Centralia Hospital Provider ID: 003061494003 Provider: Spanish NPI: 1891826186 Ages: 18-99 413 Lilly Rd Ne Hospital Affiliations: Olympia, WA 98506 Deaconess Hospital

(360) 493-4083 EB, P, R St Davids Medical Center Languages Spoken: Tacoma General Allenmore Provider: Arabic Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

160

Specialists Washington - Thurston

Iregui, Manuel G, MD, (M), B Kanwar, Shruti, MD, (F) Khan Sheirwani, Muhammad B, Group Name: Capital Med Ctr Group Name: Pmg Sw Wa MD, (M), B Specialty Phys Provider ID: 006128993001 Group Name: Pmg Sw Wa Provider ID: 002215447002 NPI: 1932534419 Provider ID: 002880365002 NPI: 1598758484 413 Lilly Rd Ne NPI: 1770635930 3900 Capital Mall Dr Sw Olympia, WA 98506 413 Lilly Rd Ne

Olympia, WA 98502 (360) 493-4083 EB, P, R Olympia, WA 98506

(360) 740-4743 EB, P, R Languages Spoken: (360) 493-4083 EB, P, R Ages: 0-99 Provider: Hindi Languages Spoken: Hospital Affiliations: Web address: www.providence.org Provider: Punjabi, Urdu Tacoma General Allenmore Accepting Existing Patients Only Web address: www.providence.org Peacehealth St Joseph Medical Ages: 0-99 Ages: 0-99 Center Hospital Affiliations: Hospital Affiliations: St Francis Community Hospital Providence St Peter Hospital Providence St Peter Hospital St Clare Hospital Providence Centralia Hospital Tacoma General Allenmore Providence St Joseph Hospital Jacob, Shalini M, MD, (F), B Kats, Alexander I, MD, (M), B St Joseph Medical Center Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Provider ID: 002141904001 Provider ID: 002753312002 Kuczynski, John R, MD, (M) NPI: 1144206038 NPI: 1356533228 Group Name: Olympia Multi 413 Lilly Rd Ne 413 Lilly Rd Ne Specialty Clinic Olympia, WA 98506 Olympia, WA 98506 Provider ID: 002814423001

(360) 493-4083 EB, P, R (360) 493-4083 EB, P, R NPI: 1497897771 Languages Spoken: Accepting Existing Patients Only 406 Black Hills Ln Sw Ste A Staff: Spanish Ages: 0-99 Olympia, WA 98502

Ages: 0-99 Hospital Affiliations: (360) 754-1727 E, EB, G, P, PL, Hospital Affiliations: Providence St Peter Hospital R, RE, S, T Peacehealth St John Medical Providence Centralia Hospital M,Tu,Th,F 8:00 AM-5:00 PM Center W 9:00 AM-5:00 PM Providence St Peter Hospital Web address: omsc.net Providence Centralia Hospital Ages: 0-99 Hospital Affiliations: Banner University Med Ctr South Campus Multicare Capital Medical Center Areas of Expertise: E112, E160

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

161

Washington - Thurston Specialists

Kunwar, Shristi, MD, (F) Le, Nha T, MD, (F) Manlapaz, Eller C, MD, (M), B Group Name: Providence Health Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa & Svcs Washington Provider ID: 003518726006 Provider ID: 002286354005 Provider ID: 005406721007 NPI: 1467787440 NPI: 1932116076 NPI: 1497043319 413 Lilly Rd Ne 3333 Ensign Rd Ne 4800 College St Se Olympia, WA 98506 Olympia, WA 98506

Lacey, WA 98503 (360) 493-4083 EB, P, R (360) 493-4900 EB, P, R

(425) 261-4800 EB, P, R Web address: www.providence.org Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Filipino, Spanish Provider: Spanish Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Providence St Peter Hospital Hospital Affiliations: Ages: 0-99 Asante Rogue Regional Medical Montefiore Westchester Square Hospital Affiliations: Center Providence St Peter Hospital Multicare Deaconess Hospital Harrison Medical Center Li, Qiang, MD, (M), B Providence St Mary Medical St Michael Medical Center Group Name: Providence Center Tacoma General Allenmore Cardiology Assoc Virginia Mason Medical Center Providence Centralia Hospital Provider ID: 002317033002 St Elizabeth Hospital Lampert, Austin C, MD, (M), B NPI: 1861446494 Multicare Auburn Medical Center Group Name: Capital Med Ctr 500 Lilly Rd Ne Ste 100 Specialty Phys Olympia, WA 98506 Martinez, Sara C, MD, (F)

Provider ID: 001051623002 (360) 413-8525 EB, P, R Group Name: Providence Health NPI: 1922007848 Ages: 0-99 And Services Wa 3900 Capitol Mall Dr Sw Hospital Affiliations: Provider ID: 006160334001 Olympia, WA 98502 Providence St Peter Hospital NPI: 1750543906

(360) 704-4743 E, EB, G, IB, P, Multicare Capital Medical Center 500 Lilly Rd Ne Ste 100 PL, R, RE, S, T Areas of Expertise: THS Olympia, WA 98506

Ages: 0-99 (360) 413-8525 EB, P, R Hospital Affiliations: Ages: 0-99 Mason General Hospital Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Multicare Capital Medical Center Providence Centralia Hospital

162

Specialists Washington - Thurston

Mccabe, Marshall E, MD, (M), B Merrifield, Sarah B, MD, (F), B Murari, Vivek J, MD, (M) Group Name: Olympia Multi Group Name: Providence St Peter Group Name: Pmg Sw Wa Specialty Clinic Hospital Provider ID: 002481066004 Provider ID: 000527946001 Provider ID: 002166145001 NPI: 1487642591 NPI: 1831191162 NPI: 1104014364 413 Lilly Rd Ne 406 Black Hills Ln Sw Ste A 413 Lilly Rd Ne Olympia, WA 98506

Olympia, WA 98502 Olympia, WA 98506 (360) 493-4083 EB, P, R

(360) 754-1735 E, EB, G, P, PL, (360) 486-6402 EB, P, R Languages Spoken: R, RE, S, T Web address: www.providence.org Provider: Hindi Languages Spoken: Accepting Existing Patients Only Web address: www.providence.org Staff: Spanish Ages: 0-99 Accepting Existing Patients Only M-F 9:00 AM-5:00 PM Hospital Affiliations: Ages: 0-99 Web address: omsc.net Providence Regional Medical Hospital Affiliations: Ages: 0-99 Center Evere Providence St Peter Hospital Hospital Affiliations: Providence Regional Medical Ctr Providence St Mary Medical Mason General Hospital Everett Center Providence St Peter Hospital Providence St Peter Hospital Providence Mt Carmel Hospital Providence Centralia Hospital Massachusetts General Hospital Legacy Salmon Creek Hospital Multicare Capital Medical Center Providence Centralia Hospital Areas of Expertise: MAT1

Merrifield, Sarah B, MD, (F), B Merrifield, Sarah B, MD, (F), B Muraywid, Mohammed M, MD, Group Name: Providence St Peter Group Name: Providence St Peter (M) Hospital Hospital Group Name: Pmg Sw Wa Provider ID: 002166145005 Provider ID: 002166145003 Provider ID: 002719526005 NPI: 1104014364 NPI: 1104014364 NPI: 1518062280 3525 Ensign Rd Ne 4800 College St Se 413 Lilly Rd Ne Olympia, WA 98506 Lacey, WA 98503 Olympia, WA 98506

(360) 486-2999 EB, P, R (360) 486-6402 EB, P, R (360) 493-4083 EB, P, R Web address: www.providence.org Web address: www.providence.org Languages Spoken: Accepting Existing Patients Only Accepting Existing Patients Only Provider: Arabic Ages: 0-99 Ages: 0-99 Web address: www.providence.org Hospital Affiliations: Hospital Affiliations: Accepting Existing Patients Only Providence Regional Medical Providence Regional Medical Ages: 0-99 Center Evere Center Evere Hospital Affiliations: Providence Regional Medical Ctr Providence Regional Medical Ctr Providence St Peter Hospital Everett Everett Providence Centralia Hospital Providence St Peter Hospital Providence St Peter Hospital Swedish Medical Center Massachusetts General Hospital Massachusetts General Hospital St Francis Community Hospital Providence Centralia Hospital Providence Centralia Hospital St Clare Hospital St Joseph Medical Center Areas of Expertise: MAT1

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

163

Washington - Thurston Specialists Web address: www.memorialnephro Namburi, Swathi, MD, (F), B Ott, Carl R, MD, (M), B logy.org Group Name: Northwest Medical Group Name: Capital Med Ctr Ages: 0-99 Specialties Specialty Phys Hospital Affiliations: Provider ID: 004199647003 Provider ID: 000261712006 Providence St Peter Hospital NPI: 1073831897 NPI: 1982613709 Multicare Capital Medical Center 3920 Capital Mall Dr Sw Ste 100 3900 Capital Mall Dr Sw Olympia, WA 98502 Ong, Anna Rae B, MD, (F), B Olympia, WA 98502

(360) 754-5168 EB, P, R Group Name: Pmg Sw Wa (360) 704-4743 EB, P, R Languages Spoken: Provider ID: 003151119003 Ages: 0-99 Provider: French, Hindi, Spanish, NPI: 1164692539 Hospital Affiliations: Telugu 3333 Ensign Rd Ne Providence St Peter Hospital Ages: 0-99 Olympia, WA 98506 Areas of Expertise: MAT1

Hospital Affiliations: (360) 493-4900 EB, P, R Park, Edward, DO, (M), B Nyp-columbia Ages: 0-99 Group Name: Pmg Sw Wa Hospital Affiliations: Newton, David L, MD, (M), B Provider ID: 003371341002 Presbyterian Kaseman Hospital Group Name: Pmg Sw Wa NPI: 1396907317 Kaseman Presbyterian Hospital Provider ID: 005564441001 413 Lilly Rd Ne Providence St Peter Hospital NPI: 1346503596 Olympia, WA 98506 Providence Centralia Hospital 413 Lilly Rd Ne (360) 493-4083 EB, P, R Presbyterian Hospital Olympia, WA 98506 Web address: www.providence.org Kindred Hospital Albuquerque (360) 493-4083 EB, P, R Ages: 0-99 M-F 8:00 AM-5:00 PM Ong, Anna Rae B, MD, (F), B Hospital Affiliations: Sa,Su 12:00 AM-11:59 PM Group Name: Pmg Sw Wa Providence St Peter Hospital Web address: www.providence.org Provider ID: 003151119001 Providence Centralia Hospital Accepting Existing Patients Only NPI: 1164692539 Rafeh, Zaher A, DO, (M), B Ages: 0-99 413 Lilly Rd Ne Group Name: Pmg Sw Wa Olympia, WA 98506 Nguyen, Vo D, MD, (M), B Provider ID: 002231802001 (360) 493-4083 EB, P, R Group Name: Memorial NPI: 1528176898 Web address: www.providence.org Nephrology Ascs 413 Lilly Rd Ne Ages: 0-99 Provider ID: 000917545001 Olympia, WA 98506 Hospital Affiliations: NPI: 1558344382 (360) 493-4083 EB, P, R Presbyterian Kaseman Hospital 3525 Ensign Rd Ne Ste K M-F 8:00 AM-5:00 PM Kaseman Presbyterian Hospital Olympia, WA 98506 Sa,Su 12:00 AM-11:59 PM Providence St Peter Hospital (360) 413-8121 E, EB, IB, P, R Cultural Competency: Y Providence Centralia Hospital Web address: www.providence.org Presbyterian Hospital Languages Spoken: Ages: 0-99 Kindred Hospital Albuquerque Provider: French Hospital Affiliations: Interpreter: Medical Interp Forrest General Hospital Vendor Providence St Mary Medical M-F 8:30 AM-5:00 PM Center Providence Centralia Hospital

164

Specialists Washington - Thurston Ages: 0-99 Shah, Javeed A, MD, (M), B Singh, Raminder, MD, (M), B Hospital Affiliations: Group Name: University Of Group Name: Pmg Sw Wa Providence St Peter Hospital Washington Phys Provider ID: 003033176001 Multicare Capital Medical Center Provider ID: 002958154003 NPI: 1588854038 NPI: 1194834085 413 Lilly Rd Ne Tibbits, Scott J, MD, (M), B 3525 Ensign Rd Ne Ste B Olympia, WA 98506 Group Name: Pmg Sw Wa

Olympia, WA 98506 (360) 493-4083 EB, P, R Provider ID: 001108319001

(206) 520-5000 EB, P, R Languages Spoken: NPI: 1538220132 Languages Spoken: Provider: Hindi, Punjabi 413 Lilly Rd Ne Provider: French Web address: www.providence.org Olympia, WA 98506

Ages: 0-99 Ages: 0-99 (360) 493-4083 EB, P, R Hospital Affiliations: Hospital Affiliations: Web address: www.providence.org Harborview Medical Center Providence St Peter Hospital Ages: 0-99 University Of Washington Providence Centralia Hospital Hospital Affiliations: Medical Ctr Providence St Peter Hospital Sivakumar, Niranjan, MD, (M), B Providence Centralia Hospital Singh, Raminder, MD, (M), B Group Name: Memorial Group Name: Pmg Sw Wa Nephrology Ascs Urbon, Richard L, MD, (M), B Provider ID: 003033176005 Provider ID: 006090924001 Group Name: Capital Med Ctr NPI: 1588854038 NPI: 1750675609 Specialty Phys 3333 Ensign Rd Ne 3525 Ensign Rd Ne Ste K Provider ID: 003132127005 Olympia, WA 98506 Olympia, WA 98506 NPI: 1013905249

(360) 493-4900 EB, P, R (360) 413-8121 E, EB, IB, P, R 3900 Capitol Mall Dr Languages Spoken: Olympia, WA 98502 M-F 8:30 AM-5:00 PM Provider: Hindi, Punjabi (360) 704-4743 E, EB, G, IB, P, Accepting Existing Patients Only Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Hospital Affiliations: Providence St Peter Hospital Multicare Capital Medical Center Harrison Medical Center

Providence Centralia Hospital Standaert, Steven M, MD, (M), B St Michael Medical Center Group Name: Steven M Standaert Providence Centralia Hospital Md Provider ID: 000769993001 NPI: 1750455317 3525 Ensign Rd Ne Ste 02 Olympia, WA 98506

(360) 459-1213 EB, P, R Languages Spoken: Provider: French, Spanish M-F 9:00 AM-5:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

165

Washington - Thurston Specialists

Veatch, Andrea, MD, (F), B Wang, Hui, MD, (F), B Gavin, William A, MD, (M), B Group Name: Northwest Medical Group Name: Pmg Sw Wa Group Name: Providence Specialties Provider ID: 002920378001 Cardiology Assoc Provider ID: 002121766001 NPI: 1962513580 Provider ID: 000261690002 NPI: 1952398158 4525 3rd Ave Se Ste 200 NPI: 1285635730 3920 Capital Mall Dr Sw Ste 100 Lacey, WA 98503 413 Lilly Rd Ne

Olympia, WA 98502 (360) 754-3934 E, EB, P, R, S, T Olympia, WA 98506

(360) 754-5168 EB, P, R (360) 491-9480 EB, P, R Ages: 0-99 Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Harborview Medical Center Hospital Affiliations: Mason General Hospital Multicare Auburn Medical Center Providence St Peter Hospital Providence St Peter Hospital St Francis Community Hospital Providence Centralia Hospital Providence Centralia Hospital Good Samaritan Hospital Areas of Expertise: THS Gavin, William A, MD, (M), B St Clare Hospital Interventional Cardiology Group Name: Providence

St Joseph Medical Center Cardiology Assoc University Of Washington Brennan, William P, MD, (M), B Provider ID: 000261690002 Medical Ctr Group Name: Providence NPI: 1285635730 Wang, Hui, MD, (F), B Cardiology Assoc 500 Lilly Rd Ne Ste 100 Group Name: Pmg Sw Wa Provider ID: 000261682001 Olympia, WA 98506

Provider ID: 002920378001 NPI: 1487655858 (360) 413-8525 EB, P, R NPI: 1962513580 500 Lilly Rd Ne Ste 100 Ages: 0-99 201 Tahoma Blvd Unit 204 Olympia, WA 98506 Hospital Affiliations: Yelm, WA 98597 (360) 413-8525 EB, P, R Mason General Hospital

(360) 754-3934 EB, P, R Ages: 0-99 Providence St Peter Hospital Web address: www.providence.org Hospital Affiliations: Providence Centralia Hospital Ages: 0-99 Mason General Hospital Julin, James Gregg, MD, (M) Hospital Affiliations: Providence St Peter Hospital Group Name: Olympia Multi Providence St Peter Hospital Gray's Harbor Community Hsp Specialty Clinic Providence Centralia Hospital Providence Centralia Hospital Provider ID: 001849651001 Areas of Expertise: THS NPI: 1518963438 406 Black Hills Ln Sw Ste A Olympia, WA 98502

(360) 754-1737 E, EB, G, P, PL, R, RE, S, T M-F 9:00 AM-4:30 PM

166

Specialists Washington - Thurston

Web address: omsc.net Swan, Jimmy Z, MD, (M), B Ages: 0-99 Maternal & Fetal Medicine Group Name: Pmg Sw Wa Hospital Affiliations: Provider ID: 002287747004 Chao, Tamara T, MD, (F) Mason General Hospital NPI: 1447363734 Group Name: Multicare Health Providence St Peter Hospital 500 Lilly Rd Ne Ste 100 Systems Providence Centralia Hospital Olympia, WA 98506 Provider ID: 002982183001 Multicare Capital Medical Center (360) 413-8525 EB, P, R NPI: 1285837526 Swan, Jimmy Z, MD, (M), B Languages Spoken: 408 Lilly Rd Ne # A-2 Group Name: Providence Provider: Chinese Olympia, WA 98506

Cardiology Assoc Web address: www.providence.org (253) 403-9200 EB, P, R Provider ID: 002287747001 Ages: 0-99 Languages Spoken: NPI: 1447363734 Hospital Affiliations: Provider: Cantonese, Spanish 413 Lilly Rd Ne Mason General Hospital Ages: 0-99 Olympia, WA 98506 Mcalester Regional Hospital Hospital Affiliations: (360) 491-9480 EB, P, R Providence St Peter Hospital Tacoma General Allenmore Languages Spoken: Saint Francis Hospital Flood Nichols, Shannon K, DO, Provider: Chinese Providence Centralia Hospital (F), B Ages: 0-99 Multicare Capital Medical Center Group Name: Multicare Health Hospital Affiliations: Saint Francis Hospital South System Mason General Hospital Areas of Expertise: THS Provider ID: 003643026001 Mcalester Regional Hospital Waggoner, John W, MD, (M), B NPI: 1912971573 Providence St Peter Hospital Group Name: Pmg Sw Wa 408 Lilly Rd Ne # A-2 Saint Francis Hospital Provider ID: 002673122004 Olympia, WA 98506 Providence Centralia Hospital NPI: 1922053016 (253) 403-9200 EB, P, R Multicare Capital Medical Center 500 Lilly Rd Ne Ste 100 Cultural Competency: Y Saint Francis Hospital South Olympia, WA 98506 Ages: 0-99 (360) 413-8525 EB, P, R Hospital Affiliations: Web address: www.providence.org Good Samaritan Hospital Accepting Existing Patients Only Tacoma General Allenmore Ages: 0-99 Multicare Auburn Medical Center Hospital Affiliations: Mary Bridge Child Hosp/hlth Cntr Providence St Peter Hospital Providence Centralia Hospital Multicare Capital Medical Center Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

167

Washington - Thurston Specialists

Mckinney, Elizabeth T, MD, (F), Sheng, Jessica S, MD, (F), B Chi-Lee, Sothyry, CNM, (F) B Group Name: Multicare Health Group Name: Generations Group Name: Multicare Health System Midwifery Services Systems Provider ID: 006173182002 Provider ID: 007410847001 Provider ID: 002360015001 NPI: 1306105036 NPI: 1063040517 NPI: 1962430884 408 Lilly Rd Ne # A-2 3663 College St Se Ste A 408 Lilly Rd Ne # A-2 Olympia, WA 98506 Lacey, WA 98503

Olympia, WA 98506 (253) 403-9200 EB, P, R (360) 481-0105 EB, P, R

(253) 403-9200 EB, P, R Cultural Competency: Y Web address: generationsmidwifery Ages: 0-99 Ages: 0-99 services.com Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Tacoma General Allenmore Clauson, Amanda N, CNM, (F) Multicare Auburn Medical Center Molina, Loren P, MD, (F), B Group Name: Olympia Ob/Gyn Good Samaritan Hospital Group Name: Multicare Health Provider ID: 006509070001 U Of I Hosps & Clinics Systems NPI: 1013432202 U Of Iowa Hosp And Clinic Provider ID: 002823089001 201 Tahoma Blvd Se Ste 204 Mary Bridge Child Hosp/hlth Cntr NPI: 1508051020 Yelm, WA 98597 408 Lilly Rd Ne # A-2 Walker, Christie L, MD, (F), B (360) 413-8413 Olympia, WA 98506 Group Name: Multicare Health Ages: 0-99

(253) 403-9200 EB, P, R System Hospital Affiliations: Ages: 0-99 Provider ID: 005591171003 Providence St Peter Hospital Hospital Affiliations: NPI: 1750673554 Clauson, Amanda N, CNM, (F) Tacoma General Allenmore 408 Lilly Rd Ne # A-2 Group Name: Olympia Ob/Gyn Ut Southwestern University Olympia, WA 98506 Provider ID: 006509070001 Hospital (253) 403-9200 EB, P, R NPI: 1013432202 Ut Southwestern Univ Hosp- Zale Ages: 0-99 615 Lilly Rd Ne Ste 200 Liphsy Hospital Affiliations: Olympia, WA 98506 Harborview Medical Center (360) 413-8413 EB, P, R, RE, T University Of Washington Medical Ctr Ages: 0-99

Midwifery Hospital Affiliations:

Providence St Peter Hospital

Callaghan, Stacey L, CNM, (F) Cook, Rachael, CNM, (F) Group Name: Callaghan Stacey L Group Name: New Day Wifery Provider ID: 005187514001 Provider ID: 006530109001 NPI: 1891998829 NPI: 1538525753 2731 French Rd Nw 1026 State Ave Ne Olympia, WA 98502 Olympia, WA 98506

(360) 789-9969 EB, P, R (360) 701-1418 EB, P, R M-Su 9:00 AM-5:00 PM Ages: 0-99 Ages: 0-99

168

Specialists Washington - Thurston

Felling, Megan, CM, (F) Madrigal, Michelle, CNM, (F) Swift, Karen E, CNM, (F) Group Name: Around The Circle Group Name: Around The Circle Group Name: Olympia Ob/Gyn Midwifery Midwifery Provider ID: 001127283002 Provider ID: 006663785001 Provider ID: 007464800001 NPI: 1821159153 NPI: 1811288459 NPI: 1720646680 615 Lilly Rd Ne Ste 200 2120 Pacific Ave Se 2120 Pacific Ave Se Olympia, WA 98506

Olympia, WA 98506 Olympia, WA 98506 (360) 413-8413 EB, P, R, RE, T

(360) 459-7222 EB, P, R (360) 480-1065 EB, P, R Ages: 0-99 Ages: 0-99 Web address: karen@womancareoly mpia.com Heiges, Tiffany, CNM, (F) Neff, Kara L, CPM, (F) Ages: 0-99 Group Name: Around The Circle Group Name: Bright Beginnings Hospital Affiliations: Midwifery Midwifery Providence St Peter Hospital Provider ID: 007163186001 Provider ID: 003690880001 NPI: 1942860291 NPI: 1568808426 Taylor, Kimberly H, CNM, (F) 2120 Pacific Ave Se 143 Thomas St Nw Group Name: Olympia Ob/Gyn Olympia, WA 98506 Olympia, WA 98502 Provider ID: 007007173002 NPI: 1780166132 (360) 459-7222 EB, P, R (360) 888-7430 EB, P, R M-F 9:00 AM-4:00 PM Th 9:00 AM-7:00 PM 201 Tahoma Blvd Se Ste 204 Ages: 0-99 Ages: 0-99 Yelm, WA 98597 Hospital Affiliations: (360) 413-8413 EB, P, R Neff, Kara L, CPM, (F) St Joseph Medical Center Ages: 0-99 Group Name: Bright Beginnings Hospital Affiliations: Lindeke, Aliscia R, CNM, (F) Midwifery Providence St Peter Hospital Group Name: Planned Provider ID: 003690880001 Parenthood Of The Great Nw & NPI: 1568808426 Taylor, Kimberly H, CNM, (F) Hi 806 E Yelm Ave # 8 Group Name: Olympia Ob/Gyn Provider ID: 003819824002 Yelm, WA 98597 Provider ID: 007007173002 NPI: 1780166132 NPI: 1033546718 (360) 888-7430 EB, P, R 402 Legion Way Se Ste 201 W 9:00 AM-7:30 PM 615 Lilly Rd Ne Ste 200 Olympia, WA 98501 Sa 1:30 PM 7:00 PM Olympia, WA 98506 (360) 413-8413 EB, P, R, RE, T (800) 769-0045 EB, P, R Ages: 0-99 Ages: 0-99 Swift, Karen E, CNM, (F) Ages: 0-99 Hospital Affiliations: Group Name: Olympia Ob/Gyn Hospital Affiliations: Valley Medical Center Provider ID: 001127283002 Providence St Peter Hospital NPI: 1821159153 201 Tahoma Blvd Se Ste 204 Yelm, WA 98597

(360) 413-8413 Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

169

Washington - Thurston Specialists

Wise, Jannette, CNM, (F) Naturopath Neonatology / Perinatology

Group Name: Olympia Ob/Gyn Provider ID: 003646489004 Aschtgen, Chad D, ND, (M) Ilg, Ron C, MD, (M), B NPI: 1861736639 Group Name: Institute Of Group Name: Pediatrix Medical 201 Tahoma Blvd Se Ste 204 Complementary Medic Grp/Washingt Yelm, WA 98597 Provider ID: 003026160001 Provider ID: 001744800002 (360) 413-8413 EB, P, R NPI: 1922189380 NPI: 1942262027 Ages: 0-99 4525 3rd Ave Se Ste 200 413 Lilly Rd Ne Hospital Affiliations: Lacey, WA 98503 Olympia, WA 98506

Jacobi Hospital Center (360) 412-8951 E, EB, P, R, S, T (360) 491-9480 EB, P, R Jacobi Medical Center Ages: 0-99 Languages Spoken: Hospital Affiliations: Wise, Jannette, CNM, (F) Provider: Spanish Salem Health Group Name: Olympia Ob/Gyn M-Tu 8:00 AM-5:00 PM Overlake Hospital Medical Center Provider ID: 003646489004 W,Th,F 8:30 AM-5:00 PM Multicare Deaconess Hospital NPI: 1861736639 Web address: www.seattlend.com Providence Centralia Hospital 615 Lilly Rd Ne Ste 200 Ages: 0-99 Olympia, WA 98506 Nephrology

Bailey, Jenna Kathryn, ND, (F) (360) 292-4596 EB, P, R, RE, T Group Name: Seattle Integrative Burtner, Christopher, MD, (M), B Ages: 0-99 Oncology Group Name: Memorial Hospital Affiliations: Provider ID: 006734691001 Nephrology Ascs Jacobi Hospital Center NPI: 1326592304 Provider ID: 002669034001 Jacobi Medical Center 4525 3rd Ave Se Ste 200 NPI: 1720061559 Lacey, WA 98503 Zentner, Morgan L, CNM, (F) 3525 Ensign Rd Ne Ste K (360) 412-8951 E, EB, P, R, S, T Group Name: Julie Dybbro Fnp Olympia, WA 98506 Provider ID: 005069194004 Ages: 0-99 (360) 413-8121 E, EB, IB, P, R NPI: 1013324656 200 Lilly Rd Ne Ste B 2 Kuhlman, Preeta, ND, (F) M-F 8:30 AM-5:00 PM Olympia, WA 98506 Group Name: Naturopathic Ages: 0-99 Health Center Hospital Affiliations: (360) 754-9409 EB, P, R Provider ID: 002001102004 Providence St Peter Hospital Does Not Accept New Patients Ages: 0-99 NPI: 1790104230 Dhondup, Tsering, MD, (M), B Hospital Affiliations: 2625 Parkmont Ln Sw Ste C Group Name: Memorial Providence St Peter Hospital Olympia, WA 98502 Nephrology Ascs (360) 878-8735 EB, P, R Provider ID: 006820970001 Tu,W,F 9:00 AM-5:00 PM NPI: 1942561824 Th 10:00 AM-6:00 PM 3525 Ensign Rd Ne Ste K Sa 10:00 AM-3:00 PM Olympia, WA 98506 Web address: www.naturopathichea (360) 413-8121 E, EB, IB, P, R lthcenter.net Ages: 0-99 M-F 8:30 AM-5:00 PM

170

Specialists Washington - Thurston Ages: 0-99 Thaler, Seth M, MD, (M), B Chowdhary, Abhineet, MD, (M), Hospital Affiliations: Group Name: Memorial B Providence St Peter Hospital Nephrology Ascs Group Name: Olympia Hannan, Elhami N, MD, (M), B Provider ID: 001802931001 Orthopaedic Associates Group Name: Pmg Sw Wa NPI: 1609859602 Provider ID: 003294997009 Provider ID: 002378524009 3525 Ensign Rd Ne Ste K NPI: 1932215308 NPI: 1093803884 Olympia, WA 98506 3901 Capital Mall Dr Sw Ste B

413 Lilly Rd Ne (360) 413-8121 E, EB, IB, P, R Olympia, WA 98502

Olympia, WA 98506 (360) 528-8571 E, EB, IB, P, R, M-F 8:30 AM-5:00 PM (360) 493-4083 EB, P, R RE, S, T Languages Spoken: Ages: 0-99 Languages Spoken: Provider: Arabic, Turkish Hospital Affiliations: Provider: Hindi, Punjabi Web address: www.providence.org Providence St Peter Hospital Cultural Competency: Y Accepting Existing Patients Only Multicare Capital Medical Center Ages: 0-99

Ages: 0-99 Neurological Surgery Hospital Affiliations:

Hospital Affiliations: Providence Regional Medical

Providence Centralia Hospital Chowdhary, Abhineet, MD, (M), Center Evere Prosser Memorial Health B Providence Regional Medical Ctr Kadlec Regional Medical Center Group Name: Olympia Everett Overlake Hospital Medical Center Nguyen, Vo D, MD, (M) Orthopaedic Associates Providence St Peter Hospital Group Name: Memorial Provider ID: 003294997009 Evergreen Medical Center Nephrology Ascs NPI: 1932215308 Virginia Mason Medical Center Provider ID: 000917545001 3901 Capital Mall Dr Sw Ste A Olympia, WA 98502 Evergreenhealth Medical Center NPI: 1558344382 3525 Ensign Rd Ne Ste K (360) 570-3460 E, EB, IB, P, R, Halpin, Ryan J, MD, (M), B Olympia, WA 98506 RE, S, T Group Name: Olympia Languages Spoken: (360) 413-8121 E, EB, IB, P, R Orthopaedic Associates Provider: Hindi, Punjabi Provider ID: 003325689001 Languages Spoken: Cultural Competency: Y NPI: 1467618025 Provider: French Ages: 0-99 3901 Capital Mall Dr Sw Ste A Interpreter: Medical Interp Hospital Affiliations: Olympia, WA 98502 Vendor Providence Regional Medical (360) 709-6230 E, EB, IB, P, R, M-F 8:30 AM-5:00 PM Center Evere RE, S, T Web address: www.memorialnephro Providence Regional Medical Ctr Languages Spoken: logy.org Everett Interpreter: Medical Interp Ages: 0-99 Overlake Hospital Medical Center Vendor Hospital Affiliations: Providence St Peter Hospital Web address: www.olyortho.com Providence St Peter Hospital Evergreen Medical Center Ages: 0-99 Multicare Capital Medical Center Virginia Mason Medical Center Hospital Affiliations: Evergreenhealth Medical Center Mason General Hospital Providence St Peter Hospital Multicare Capital Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

171

Washington - Thurston Specialists

Halpin, Ryan J, MD, (M), B Neurology Bhattacharya, Pratik D, MD, (M),

Group Name: Olympia B Orthopaedic Associates Bell, Gregory D, MD, (M), B Group Name: Pmg Sw Wa Provider ID: 003325689001 Group Name: Multicare Health Provider ID: 003333194005 NPI: 1467618025 System NPI: 1528212768 3901 Capital Mall Dr Sw Ste B Provider ID: 001740348004 1018 Capitol Way S Ste 300 Olympia, WA 98502 NPI: 1538117205 Olympia, WA 98501 (360) 528-8571 E, EB, IB, P, R, 408 Lilly Rd Ne # A-1 (425) 525-3183 EB, P, R RE, S, T Olympia, WA 98506 Accepting Existing Patients Only

Web address: www.olyortho.com (253) 697-4747 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Web address: www.olyneuro.com Providence Regional Medical Mason General Hospital Ages: 0-99 Center Evere Providence St Peter Hospital Hospital Affiliations: Providence Regional Medical Ctr Multicare Capital Medical Center Good Samaritan Hospital Everett Providence St Peter Hospital Kalkaska Memorial Hosp Smitherman, Sheila M, MD, (F), Tacoma General Allenmore Providence St Vincent Med Ctr B Providence Centralia Hospital Huron Valley Sinai Hospital Group Name: Pmg Sw Wa Multicare Auburn Medical Center St Mary Mercy Hospital Provider ID: 002908108001 Mary Bridge Child Hosp/hlth Cntr St Joseph Mercy Chelsea NPI: 1417123779 Multicare Capital Medical Center Harbor Beach Community 615 Lilly Rd Ne Ste 220 Hospital Olympia, WA 98506 (360) 486-6150 EB, P, R Burkey, Adam R, MD, (M) Web address: www.providence.org Group Name: Pain Care Ages: 0-99 Physicians Hospital Affiliations: Provider ID: 002371077005 Providence St Peter Hospital NPI: 1093759995 Areas of Expertise: THS 155 Lilly Rd Ne Ste A Olympia, WA 98506

(206) 538-6300 E, EB, P, R, RE, S, T Web address: www.anesispain.com Ages: 0-99 Hospital Affiliations: Valley Medical Center Northwest Hospital & Med Cntr Hospital Of University Of Pa Penn Presbyterian Medical Center Presbyterian Medical Center Phoenixville Hospital

172

Specialists Washington - Thurston Ages: 0-99 Burkey, Adam R, MD, (M) Farooq, Muhammad U, MD, (M), Hospital Affiliations: Group Name: Pain Care B Legacy Good Samaritan And Physicians Group Name: Pmg Sw Wa Medical Ctr Provider ID: 002371077005 Provider ID: 003060080007 Providence Regional Medical NPI: 1093759995 NPI: 1598945156 Center Evere 155 Lilly Rd Ne Ste B 1018 Capitol Way S Ste 300 Providence Regional Medical Ctr Olympia, WA 98506 Olympia, WA 98501 Everett (206) 538-6300 E, EB, G, IB, P, (425) 525-3183 EB, P, R Providence Sacred Heart Med Ctr PL, R, RE, S, T Web address: www.providence.org & Child Ages: 0-99 Ages: 0-99 Providence St Peter Hospital Hospital Affiliations: Hospital Affiliations: Providence St Mary Medical Valley Medical Center Providence Portland Medical Center Northwest Hospital & Med Cntr Center Hospital Of University Of Pa Providence Regional Medical Laticevschi, Valentin, MD, (M), B Penn Presbyterian Medical Center Center Evere Group Name: Multicare Health Presbyterian Medical Center Providence Regional Medical Ctr System Phoenixville Hospital Everett Provider ID: 006822991001 Providence St Vincent Med Ctr NPI: 1407290307 Espinosa Morales, Aixa D, MD, Mclaren Northern Michigan 408 Lilly Rd Ne Ste A1 (F), B Providence Sacred Heart Med Ctr Olympia, WA 98506 Group Name: Pmg Sw Wa & Child (253) 697-4747 EB, P, R Provider ID: 003389969011 Providence St Peter Hospital Languages Spoken: NPI: 1851449938 Providence St Mary Medical Provider: Romanian, Russian 1018 Capitol Way S Ste 300 Center Ages: 0-99 Olympia, WA 98501 Hospital Affiliations: (425) 525-3183 Freeburg, Joseph D, MD, (M), B Tacoma General Allenmore Languages Spoken: Group Name: Pmg Sw Wa Provider: Spanish Provider ID: 006574200005 Linton, Chike M, MD, (M), B Cultural Competency: Y NPI: 1174898381 Group Name: Olympia Multi Ages: 0-99 1018 Capitol Way S Ste 300 Specialty Clinic Hospital Affiliations: Olympia, WA 98501 Provider ID: 003541860003

St Joseph's Hospital (425) 525-3183 EB, P, R NPI: 1386841849 University Of Toledo Medical M 8:00 AM-8:00 PM 406 Black Hills Ln Sw Ste A Center Tu,W,Th,F 8:00 AM-5:00 PM Olympia, WA 98502

Providence Sacred Heart Med Ctr (360) 236-1451 E, EB, G, P, PL, & Child R, RE, S, T Providence St Mary Medical M-F 9:00 AM-4:00 PM Center Web address: www.omsc.net St Patrick Hospital Ages: 0-99 Providence Milwaukie Hospital Hospital Affiliations: Sentara Princess Anne Hospital Overlake Hospital Medical Center Tacoma General Allenmore Multicare Capital Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

173

Washington - Thurston Specialists Areas of Expertise: E112, E160 Marvi, Michael M, MD, (M), B Mcclenathan, Bethany M, MD, Lopez, George A, MD, (M), B Group Name: Pmg Sw Wa (F), B Group Name: Pmg Sw Wa Provider ID: 002927781002 Group Name: Pmg Sw Wa Provider ID: 002174712009 NPI: 1205054129 Provider ID: 004864617002 NPI: 1578588752 1018 Capitol Way S Ste 300 NPI: 1073759841 1018 Capitol Way S Ste 300 Olympia, WA 98501 1018 Capitol Way S Ste 300

Olympia, WA 98501 (425) 525-3183 EB, P, R Olympia, WA 98501

(425) 525-3183 Cultural Competency: Y (425) 525-3183 EB, P, R Cultural Competency: Y Web address: www.providence.org Web address: www.providence.org Ages: 0-99 Accepting Existing Patients Only Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Providence Regional Medical Hospital Affiliations: Providence Portland Medical Center Evere Providence Little Co Of Mary Center Providence Regional Medical Ctr Med Ctr Tor Providence Regional Medical Everett Providence Holy Cross Med Ctr Center Evere Providence Sacred Heart Med Ctr St Patrick Hospital Providence Regional Medical Ctr & Child Providence Milwaukie Hospital Everett Providence Milwaukie Hospital Providence Little Company Of Providence St Vincent Med Ctr Swedish Medical Center Mary Medica Providence Sacred Heart Med Ctr Houston Methodist Hospital Providence Saint Joseph Medical & Child Chi St Lukes Baylor Col Center Providence St Mary Medical Rush University Medical Center Providence St Jos M Cr-po Center Providence St Joseph Hospital Providence Alaska Medical Cent

Nguyen, Madeline T, MD, (F), B Group Name: Pmg Sw Wa Provider ID: 006489530002 NPI: 1083058275 1018 Capitol Way S Ste 300 Olympia, WA 98501

(425) 525-3183 Ages: 0-99 Hospital Affiliations: Providence Regional Medical Center Evere Providence Regional Medical Ctr Everett Providence Sacred Heart Med Ctr & Child Providence St Peter Hospital Providence St Mary Medical Center

174

Specialists Washington - Thurston

Nguyen, Madeline T, MD, (F), B Okon, Nicholas J, DO, (M), B Singh, Tarvinder P, MD, (M), B Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Provider ID: 006489530002 Provider ID: 002088022007 Provider ID: 007551925003 NPI: 1083058275 NPI: 1346200524 NPI: 1225327091 525 Lilly Rd Ne Ste 210 1018 Capitol Way S Ste 300 1018 Capitol Way S Ste 300 Olympia, WA 98506 Olympia, WA 98501 Olympia, WA 98501

(360) 413-8550 EB, P, R (425) 525-3183 EB, P, R (855) 525-5851 EB, P, R Web address: www.providence.org Cultural Competency: Y Web address: www.providence.org Ages: 0-99 Web address: www.providence.org Accepting Existing Patients Only Hospital Affiliations: Accepting Existing Patients Only Ages: 0-99 Providence Regional Medical Ages: 0-99 Hospital Affiliations: Center Evere Hospital Affiliations: Providence Regional Medical Providence Regional Medical Ctr Providence Portland Medical Center Evere Everett Center Providence Regional Medical Ctr Providence Sacred Heart Med Ctr Providence Regional Medical Everett & Child Center Evere St Patrick Hospital Providence St Peter Hospital Providence Regional Medical Ctr Providence Milwaukie Hospital Providence St Mary Medical Everett Treat, Ruth T, DO, (F), B Center Providence St Vincent Med Ctr Group Name: Pmg Sw Wa Areas of Expertise: THS Northern Nevada Medical Center Provider ID: 003622790010 Providence Sacred Heart Med Ctr NPI: 1629209689 & Child 1018 Capitol Way S Ste 300 Providence St Peter Hospital Olympia, WA 98501 Providence St Mary Medical (855) 525-5851 Center Accepting Existing Patients Only Schwarz, Anisha C, MD, (F), B Ages: 0-99 Group Name: Multicare Health Hospital Affiliations: System Providence Regional Medical Provider ID: 007230176001 Center Evere NPI: 1528301231 Providence Regional Medical Ctr 3504 12th Ave Ne Everett Olympia, WA 98506 St Patrick Hospital

(253) 792-6630 EB, P, R St Marys Medical Center Ages: 0-99 Swedish Medical Center Hospital Affiliations: M Health Fairview St Josephs Good Samaritan Hospital Hospital Tacoma General Allenmore Healtheast St Josephs Hospital Multicare Auburn Medical Center Smdc Medical Center Mary Bridge Child Hosp/hlth Cntr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

175

Washington - Thurston Specialists

Wang, Hanbing, MD, (F), B Nurse Practitioner Annoh, Naa Afadua, NP, (F)

Group Name: Pmg Sw Wa Group Name: Multicare Health Provider ID: 007462651004 Allen, Rebecca E, NP, (F) System NPI: 1679927784 Group Name: Multicare Health Provider ID: 006854312009 1018 Capitol Way S Ste 300 System NPI: 1588140073 Olympia, WA 98501 Provider ID: 000857464005 5128 Yelm Hwy Se Ste E (425) 525-3183 EB, P, R NPI: 1477596781 Lacey, WA 98503 Languages Spoken: 3504 12th Ave Ne (360) 763-7040 EB, P, R Provider: Mandarin Olympia, WA 98506 Cultural Competency: Y

Cultural Competency: Y (253) 403-4437 EB, P, R Ages: 0-99 Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Ages: 0-99 Areas of Expertise: A010, A050, Tacoma General Allenmore Hospital Affiliations: A060, E020, E025, E070, E080, Multicare Auburn Medical Center Providence Regional Medical E112, E160, E165, P010 Good Samaritan Hospital Center Evere Mary Bridge Child Hosp/hlth Cntr Ammons, Jade, FNP, (F) Providence Regional Medical Ctr Group Name: Ideal Option Annoh, Naa Afadua, NP, (F) Everett Provider ID: 006826554041 Group Name: Multicare Health Providence Sacred Heart Med Ctr NPI: 1164836862 System & Child 205b Lilly Rd Ne Ste C Provider ID: 006854312011 Providence St Peter Hospital Olympia, WA 98506 NPI: 1588140073 Swedish Medical Center (877) 522-1275 EB, P, R 704 Trosper Rd Sw Ste 118 Wynn, Michael L, DO, (M), B Ages: 0-99 Tumwater, WA 98512 Group Name: Pmg Sw Wa Areas of Expertise: MAT1, THS (360) 763-7050 EB, P, R Provider ID: 007429776004 Cultural Competency: Y Annoh, Naa Afadua, NP, (F) NPI: 1750332516 Ages: 0-99 Group Name: Multicare Health 1018 Capitol Way S Ste 300 Hospital Affiliations: System Olympia, WA 98501 Tacoma General Allenmore Provider ID: 006854312013 (855) 525-5851 EB, P, R Multicare Auburn Medical Center NPI: 1588140073 Web address: www.providence.org Good Samaritan Hospital 345 Cooper Point Rd Nw Ste 103 Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Olympia, WA 98502 Hospital Affiliations: (360) 763-7515 EB, P, R Archer, Scott L, NP, (M) Providence Regional Medical Cultural Competency: Y Group Name: Pmg Sw Wa Center Evere Ages: 0-99 Provider ID: 003492930001 Providence Regional Medical Ctr Hospital Affiliations: NPI: 1093979940 Everett Tacoma General Allenmore 3333 Ensign Rd Ne Salem Health Multicare Auburn Medical Center Olympia, WA 98506 Good Samaritan Hospital (360) 493-4900 EB, P, R Mary Bridge Child Hosp/hlth Cntr Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

176

Specialists Washington - Thurston

Assefa, Bethell G, NP, (F) Barten, Pamela D, NP, (F) Bowdish, Stephanie M, NP, (F) Group Name: Ideal Option Group Name: Planned Group Name: Ideal Option Provider ID: 006706583027 Parenthood Of The Great Nw & Provider ID: 006204586033 NPI: 1679092704 Hi NPI: 1508216045 205b Lilly Rd Ne Ste C Provider ID: 003116489015 205b Lilly Rd Ne Ste C Olympia, WA 98506 NPI: 1447321039 Olympia, WA 98506

(509) 222-1275 EB, P, R 402 Legion Way Se Ste 201 (877) 522-1275 EB, P, R Web address: https://idealoption.net/ Olympia, WA 98501 Languages Spoken:

Ages: 0-99 (800) 230-7526 EB, P, R Provider: Spanish Areas of Expertise: E112, E160 Languages Spoken: Web address: https://idealoption.net/ Provider: Tagalog Ages: 0-99 Bagley, Sheri L, NP, (F) Ages: 0-99 Areas of Expertise: E112, E160, Group Name: Ideal Option MAT1, THS Provider ID: 006508663002 Bennett, John F, NP, (M) NPI: 1265806475 Group Name: Multicare Health Bucknam, Justine M, NP, (F) 205b Lilly Rd Ne Ste C System Group Name: Multicare Health Olympia, WA 98506 Provider ID: 003506797005 System

(877) 522-1275 EB, P, R NPI: 1689920027 Provider ID: 002735364008 Ages: 0-99 3504 12th Ave Ne NPI: 1821141524 Areas of Expertise: THS Olympia, WA 98506 408 Lilly Rd Ne Ste A2

(253) 403-4437 EB, P, R Olympia, WA 98506 Barnett, Lindsey M, NP, (F) Cultural Competency: Y (253) 403-1677 EB, P, R Group Name: Ideal Option Ages: 0-99 Ages: 0-99 Provider ID: 006528496002 Hospital Affiliations: Hospital Affiliations: NPI: 1053835637 Seattle Children's Hospital St Joseph Medical Center 205b Lilly Rd Ne Ste B Tacoma General Allenmore Olympia, WA 98506 Bundt, Elizabeth W, NP, (F) Mary Bridge Child Hosp/hlth Cntr (877) 522-1275 Group Name: Multicare Health Ages: 0-99 Bowdish, Stephanie M, NP, (F) System Areas of Expertise: MAT1, THS Group Name: Ideal Option Provider ID: 006861527012 Provider ID: 006204586040 NPI: 1619947983 Barnett, Lindsey M, NP, (F) NPI: 1508216045 345 Cooper Point Rd Nw Ste 103 Group Name: Ideal Option 205b Lilly Rd Ne Ste B Olympia, WA 98502 Provider ID: 006528496002 Olympia, WA 98506 (360) 763-7515 EB, P, R NPI: 1053835637 (877) 522-1275 EB, P, R Ages: 0-99 205b Lilly Rd Ne Ste C Languages Spoken: Hospital Affiliations: Olympia, WA 98506 Provider: Spanish Tacoma General Allenmore (877) 522-1275 EB, P, R Web address: https://idealoption.net/ Multicare Auburn Medical Center Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1, THS Areas of Expertise: E112, E160, MAT1, THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

177

Washington - Thurston Specialists Areas of Expertise: THS Bundt, Elizabeth W, NP, (F) Cannady, Angela, NP, (F) Group Name: Multicare Health Group Name: Ideal Option Clements, Holly C, NP, (F) System Provider ID: 007262091036 Group Name: Pmg Sw Wa Provider ID: 006861527001 NPI: 1639725245 Provider ID: 005158085001 NPI: 1619947983 205b Lilly Rd Ne Ste C NPI: 1366876120 5128 Yelm Hwy Se Ste E Olympia, WA 98506 4525 3rd Ave Se Ste 200

Lacey, WA 98503 (877) 522-1275 EB, P, R Lacey, WA 98503

(360) 763-7040 EB, P, R Ages: 0-99 (360) 754-3934 E, EB, P, R, S, T Ages: 0-99 Areas of Expertise: E112, E160 Hospital Affiliations: Web address: www.providence.org Case, James R, NP, (M) Tacoma General Allenmore Ages: 0-99 Group Name: Ideal Option Multicare Auburn Medical Center Hospital Affiliations: Provider ID: 007041174040 Providence St Peter Hospital Bundt, Elizabeth W, NP, (F) NPI: 1457816035 Providence Centralia Hospital Group Name: Multicare Health 205b Lilly Rd Ne Ste C Areas of Expertise: THS System Olympia, WA 98506

Provider ID: 006861527009 (877) 522-1275 EB, P, R Coffman, Annella M, NP, (F) NPI: 1619947983 Web address: https://idealoption.net Group Name: Planned 704 Trosper Rd Sw Ste 118 Ages: 0-99 Parenthood Of The Great Nw & Tumwater, WA 98512 Areas of Expertise: E112, MAT1, Hi

(360) 763-7050 EB, P, R THS Provider ID: 003116606003 Ages: 0-99 NPI: 1699853762 Chisholm, Shawna A, NP, (F) Hospital Affiliations: 402 Legion Way Se Ste 201 Group Name: Ideal Option Tacoma General Allenmore Olympia, WA 98501 Provider ID: 006681990136 Multicare Auburn Medical Center (800) 769-0045 EB, P, R NPI: 1679091524 Ages: 0-99 Calderwood, Linda J, NP, (F) 205b Lilly Rd Ne Ste C Group Name: Providence St Peter Olympia, WA 98506 Coughlin, Sarah R, NP, (F)

Hospital (877) 522-1275 EB, P, R Group Name: Northwest Medical Provider ID: 005605555001 Web address: idealoption.net Specialties NPI: 1114300241 Ages: 0-99 Provider ID: 006946526007 3525 Ensign Rd Ne Ste F Areas of Expertise: MAT1, THS NPI: 1043761992 Olympia, WA 98506 3920 Capital Mall Dr Sw Ste 100 Clements, Holly C, NP, (F) (360) 486-2999 Olympia, WA 98502 Group Name: Pmg Sw Wa Ages: 0-99 (360) 754-5168 EB, P, R Provider ID: 005158085001 Hospital Affiliations: Ages: 0-99 NPI: 1366876120 Ashe Memorial Hospital 201 Tahoma Blvd Unit 204 Watauga Medical Center Yelm, WA 98597 Providence St Peter Hospital (360) 754-3934 EB, P, R Providence Centralia Hospital Ages: 0-99 Caldwell Memorial Hospital Inc Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital

178

Specialists Washington - Thurston

Cruz, Al Jerome C, NP, (M) Cummings, Thomas C, NP, (M) Diaz, Amy M, NP, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Pmg Sw Wa System System Provider ID: 003590275003 Provider ID: 007043901014 Provider ID: 002957957026 NPI: 1083952527 NPI: 1932585585 NPI: 1841450699 3333 Ensign Rd Ne 345 Cooper Point Rd Nw Ste 103 345 Cooper Point Rd Nw Ste 103 Olympia, WA 98506

Olympia, WA 98502 Olympia, WA 98502 (360) 493-4900 EB, P, R

(360) 763-7515 EB, P, R (360) 763-7515 EB, P, R Ages: 0-99 Languages Spoken: Ages: 0-99 Hospital Affiliations: Provider: Tagalog Hospital Affiliations: Harborview Medical Center Ages: 0-99 Tacoma General Allenmore Areas of Expertise: THS Hospital Affiliations: Cummings, Thomas C, NP, (M) Diaz, Amy M, NP, (F) Tacoma General Allenmore Group Name: Multicare Health Group Name: Pmg Sw Wa Cruz, Al Jerome C, NP, (M) System Provider ID: 003590275003 Group Name: Multicare Health Provider ID: 002957957041 NPI: 1083952527 System NPI: 1841450699 413 Lilly Rd Ne Provider ID: 007043901010 5128 Yelm Hwy Se Ste E Olympia, WA 98506

NPI: 1932585585 Lacey, WA 98503 (360) 493-4083 EB, P, R

5128 Yelm Hwy Se Ste E (360) 763-7040 EB, P, R Ages: 0-99 Lacey, WA 98503 Ages: 0-99 Hospital Affiliations:

(360) 763-7040 EB, P, R Hospital Affiliations: Harborview Medical Center Languages Spoken: Tacoma General Allenmore Areas of Expertise: THS Provider: Tagalog Cummings, Thomas C, NP, (M) Dixon, Galina S, NP, (F) Ages: 0-99 Group Name: Multicare Health Group Name: Vogelgesang Hospital Affiliations: System Provider ID: 006372065001 Tacoma General Allenmore Provider ID: 002957957024 NPI: 1801125125 Cruz, Al Jerome C, NP, (M) NPI: 1841450699 3240 14th Ave Nw Group Name: Multicare Health 704 Trosper Rd Sw Ste 118 Olympia, WA 98502

System Tumwater, WA 98512 (360) 866-7990 E, EB, IB, P, R,

Provider ID: 007043901011 (360) 763-7050 EB, P, R RE, S, T NPI: 1932585585 Ages: 0-99 Languages Spoken: 704 Trosper Rd Sw Ste 118 Hospital Affiliations: Provider: Russian Tumwater, WA 98512 Tacoma General Allenmore M-Th 7:00 AM-3:00 PM

(360) 763-7050 EB, P, R F 7:00 AM-12:00 PM Languages Spoken: Ages: 0-99 Provider: Tagalog Hospital Affiliations: Ages: 0-99 Providence Regional Medical Hospital Affiliations: Center Evere Tacoma General Allenmore Providence Regional Medical Ctr Everett Areas of Expertise: MAT1

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

179

Washington - Thurston Specialists

Draper, Todd R, NP, (M) Dwyer, Elizabeth H, NP, (F) Eller, Beaver E, FNP, (M) Group Name: Ideal Option Group Name: Multicare Health Group Name: Multicare Provider ID: 006902313051 System Rockwood Clinic NPI: 1760912182 Provider ID: 003691439017 Provider ID: 004240795019 205b Lilly Rd Ne Ste B NPI: 1750720868 NPI: 1760827372 Olympia, WA 98506 5128 Yelm Hwy Se Ste E 345 Cooper Point Rd Nw Ste 103

(877) 522-1275 EB, P, R Lacey, WA 98503 Olympia, WA 98502

Web address: https://idealpotion.net/ (360) 763-7040 EB, P, R (360) 763-7515 EB, P, R Ages: 0-99 Languages Spoken: Cultural Competency: Y Areas of Expertise: E112, E160, Provider: Spanish Does Not Accept New Patients THS Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Draper, Todd R, NP, (M) Tacoma General Allenmore Tacoma General Allenmore Group Name: Ideal Option Areas of Expertise: MAT1 Provider ID: 006902313022 Eller, Beaver E, FNP, (M) NPI: 1760912182 Dwyer, Elizabeth H, NP, (F) Group Name: Multicare 205b Lilly Rd Ne Ste C Group Name: Multicare Health Rockwood Clinic Olympia, WA 98506 System Provider ID: 004240795015

(509) 222-1275 EB, P, R Provider ID: 003691439018 NPI: 1760827372 Web address: https://idealpotion.net/ NPI: 1750720868 5128 Yelm Hwy Se Ste E Ages: 0-99 704 Trosper Rd Sw Ste 118 Lacey, WA 98503

Areas of Expertise: E112, E160, Tumwater, WA 98512 (360) 763-7040 EB, P, R

THS (360) 763-7050 EB, P, R Cultural Competency: Y Languages Spoken: Does Not Accept New Patients Dwyer, Elizabeth H, NP, (F) Provider: Spanish Ages: 0-99 Group Name: Multicare Health Ages: 0-99 Hospital Affiliations: System Hospital Affiliations: Tacoma General Allenmore Provider ID: 003691439021 Tacoma General Allenmore NPI: 1750720868 Eller, Beaver E, FNP, (M) Areas of Expertise: MAT1 345 Cooper Point Rd Nw Ste 103 Group Name: Multicare Olympia, WA 98502 Eberle, Corlene A, NP, (F) Rockwood Clinic

(360) 763-7515 EB, P, R Group Name: Ideal Option Provider ID: 004240795016 Languages Spoken: Provider ID: 005154455039 NPI: 1760827372 Provider: Spanish NPI: 1588630792 704 Trosper Rd Sw Ste 118 Ages: 0-99 205b Lilly Rd Ne Ste C Tumwater, WA 98512

Hospital Affiliations: Olympia, WA 98506 (360) 763-7050 EB, P, R

Tacoma General Allenmore (877) 522-1275 EB, P, R Cultural Competency: Y Areas of Expertise: MAT1 Ages: 0-99 Does Not Accept New Patients Areas of Expertise: MAT1, THS Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore

180

Specialists Washington - Thurston

Ellingson-Miller, Robin G, NP, Fox, Eric, NP, (M) Galloway, Flora L, NP, (F) (F) Group Name: Ideal Option Group Name: Northwest Medical Group Name: Providence St Peter Provider ID: 006980591006 Specialties Hospital NPI: 1346756137 Provider ID: 006876539004 Provider ID: 002760002005 205b Lilly Rd Ne Ste C NPI: 1205330503 NPI: 1851313134 Olympia, WA 98506 3920 Capital Mall Dr Sw Ste 100

413 Lilly Rd Ne (877) 522-1275 EB, P, R Olympia, WA 98502

Olympia, WA 98506 Ages: 0-99 (360) 754-5168 EB, P, R

(360) 491-9480 EB, P, R Areas of Expertise: MAT1 Ages: 0-99 Web address: www.providence.org Fredericks, Mary E, NP, (F) Garrison, Teresa I, NP, (F) Ages: 0-99 Group Name: Providence Health Group Name: Multicare Health Hospital Affiliations: And Services Washingto System Providence St Peter Hospital Provider ID: 005316546005 Provider ID: 003230391043 Providence Centralia Hospital NPI: 1306188032 NPI: 1902113038 Areas of Expertise: THS 413 Lilly Rd Ne 5128 Yelm Hwy Se Ste E Eng, Whitney A, NP, (F) Olympia, WA 98506 Lacey, WA 98503

Group Name: Multicare Health (360) 493-9060 EB, P, R (360) 763-7040 EB, P, R System Ages: 0-99 Ages: 0-99 Provider ID: 006624257004 Hospital Affiliations: Hospital Affiliations: NPI: 1538678206 Providence Centralia Hospital Providence Centralia Hospital 1603 Cooper Point Rd Nw Areas of Expertise: A101, E020, Geist, Marles J, NP, (F) Olympia, WA 98502 E070, E112, E165, MAT1 Group Name: Northwest Medical (253) 572-7320 EB, P, R Fredericks, Mary E, NP, (F) Specialties Ages: 0-99 Group Name: Pmg Sw Wa Provider ID: 001262546002 Hospital Affiliations: Provider ID: 005316546001 NPI: 1073759486 Multicare Auburn Medical Center NPI: 1306188032 3920 Capital Mall Dr Sw Ste 100 Fletcher, Yvette A, NP, (F) 413 Lilly Road Ne Olympia, WA 98502

Group Name: Ideal Option Olympia, WA 98506 (360) 754-5168

Provider ID: 003128631076 (360) 493-7060 EB, P, R Ages: 0-99 NPI: 1356380356 Ages: 0-99 Hospital Affiliations: 205b Lilly Rd Ne Ste C Hospital Affiliations: Providence Centralia Hospital Olympia, WA 98506 Providence Centralia Hospital Multicare Capital Medical Center

(877) 522-1275 EB, P, R Areas of Expertise: A101, E020, Georgia, Celina M, NP, (F) Ages: 0-99 E070, E112, E165, MAT1 Group Name: Capital Clubhouse Areas of Expertise: E112, E160 Provider ID: 006829286010 NPI: 1225543622 1000 Cherry St Se Olympia, WA 98501

(360) 349-0033 EB, IB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

181

Washington - Thurston Specialists

Godfrey, Geoffrey L, NP, (M) Grant, Debra F, NP, (F) Gwerder, Laurie J, NP, (F) Group Name: Ideal Option Group Name: Debra F Grant Np Group Name: Multicare Health Provider ID: 003038282036 Provider ID: 001023855003 System NPI: 1689610925 NPI: 1396860375 Provider ID: 003682223013 205b Lilly Rd Ne Ste C 806 E Yelm Ave NPI: 1801981550 Olympia, WA 98506 Yelm, WA 98597 345 Cooper Point Rd Nw Ste 104

(877) 522-1275 EB, P, R (360) 458-5438 EB, P, R Olympia, WA 98502

Web address: www.idealoption.ne Ages: 0-99 (360) 763-7530 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: St Joseph Medical Center Hospital Affiliations: Island Hospital Good Samaritan Hospital Grant, Debra F, NP, (F) Areas of Expertise: E112, E160, Tacoma General Allenmore Group Name: Debra F Grant Np MAT1 Multicare Auburn Medical Center Provider ID: 001023855001 Mary Bridge Child Hosp/hlth Cntr Goodson, Tonya R, NP, (F) NPI: 1396860375 Group Name: Multicare Health 806 E Yelm Ave Ste 8 Harris, Brittney, NP, (F) System Yelm, WA 98597 Group Name: Ideal Option

Provider ID: 005838910012 (360) 458-5438 EB, P, R Provider ID: 007237101036 NPI: 1902213770 Tu,F 9:00 AM-6:00 PM NPI: 1437791662 5128 Yelm Hwy Se Ste E Ages: 0-99 205b Lilly Rd Ne Ste C Lacey, WA 98503 Hospital Affiliations: Olympia, WA 98506

(360) 763-7040 EB, P, R St Joseph Medical Center (877) 522-1275 EB, P, R Ages: 0-99 Ages: 0-99 Graves, Jill E, NP, (F) Hospital Affiliations: Areas of Expertise: E112, THS Group Name: Ideal Option Arbor Health Morton Hospital Provider ID: 005138520070 Henderson, Erin J, NP, (F) Tacoma General Allenmore NPI: 1477896397 Group Name: Vogelgesang Goodson, Tonya R, NP, (F) 205b Lilly Rd Ne Ste B Provider ID: 002975900005 Group Name: Multicare Health Olympia, WA 98506 NPI: 1578632527

System (877) 522-1275 3240 14th Ave Nw Provider ID: 005838910013 Ages: 0-99 Olympia, WA 98502

NPI: 1902213770 (360) 866-7990 E, EB, IB, P, R, Graves, Jill E, NP, (F) 704 Trosper Rd Sw Ste 118 RE, S, T Group Name: Ideal Option Tumwater, WA 98512 M-Th 7:00 AM-3:00 PM Provider ID: 005138520077 (360) 763-7050 EB, P, R F 7:00 AM-12:00 PM NPI: 1477896397 Ages: 0-99 Ages: 0-15 205b Lilly Rd Ne Ste C Hospital Affiliations: Hospital Affiliations: Olympia, WA 98506 Arbor Health Morton Hospital Harrison Medical Center (877) 522-1275 EB, P, R Tacoma General Allenmore St Michael Medical Center Ages: 0-99 Areas of Expertise: MAT1

182

Specialists Washington - Thurston Areas of Expertise: E112, E160 Hinz, Sharon A, NP, (F) Huang, Kenneth Y, NP, (M) Group Name: Olympia Ob/Gyn Group Name: Multicare Health Huntington, Sarah C, NP, (F) Provider ID: 001811261002 System Group Name: Olympia Ob/Gyn NPI: 1326109687 Provider ID: 006309877015 Provider ID: 003653368004 201 Tahoma Blvd Se Ste 204 NPI: 1467800425 NPI: 1831531821 Yelm, WA 98597 3504 12th Ave Ne 201 Tahoma Blvd Se Ste 204

(360) 413-8413 Olympia, WA 98506 Yelm, WA 98597

Ages: 0-99 (360) 252-3801 EB, P, R (360) 413-8413 EB, P, R Hospital Affiliations: Languages Spoken: Ages: 0-99 Providence St Peter Hospital Provider: Chinese, Mandarin Hospital Affiliations: Web address: www.olympicmedical Providence St Peter Hospital Hinz, Sharon A, NP, (F) .org Group Name: Olympia Ob/Gyn Huntington, Sarah C, NP, (F) Does Not Accept New Patients Provider ID: 001811261001 Group Name: Olympia Ob/Gyn Ages: 0-99 NPI: 1326109687 Provider ID: 003653368002 Hospital Affiliations: 615 Lilly Rd Ne Ste 200 NPI: 1831531821 Olympic Medical Center Olympia, WA 98506 615 Lilly Rd Ne Ste 200 Tacoma General Allenmore (360) 413-8413 EB, P, R, RE, T Olympia, WA 98506 Lake Chelan Community Hosp (360) 413-8413 EB, P, R, RE, T Web address: www.olyobgyn.com Hudson, Gabrielle A, NP, (F) Ages: 0-99 Group Name: Pmg Sw Wa Ages: 0-99 Hospital Affiliations: Provider ID: 007187128001 Hospital Affiliations: Providence St Peter Hospital NPI: 1376108803 Providence St Peter Hospital

Hodges, Khamsaengphet, NP, (F) 500 Lilly Rd Ne Ste 100 Jenkins, Melissa M, NP, (F) Group Name: Planned Olympia, WA 98506 Group Name: Northwest Medical Parenthood Of The Great Nw & (360) 413-8525 EB, P, R Specialties Hi Languages Spoken: Provider ID: 007019417006 Provider ID: 003116594015 Interpreter: Medical Interp NPI: 1902390289 NPI: 1619032612 Vendor 3920 Capital Mall Dr Sw Ste 100 402 Legion Way Se Ste 201 Web address: www.providence.org Olympia, WA 98502

Olympia, WA 98501 Ages: 0-99 (360) 754-5168 EB, P, R

(800) 230-7526 EB, P, R Areas of Expertise: A060, A101, Ages: 0-99 Ages: 0-99 E020, E070, E112, E165, E310, THS Kaiser, Nathan E, FNP, (M) Group Name: Ideal Option Hunt, Emily E, NP, (F) Provider ID: 003671102096 Group Name: Sea-Mar NPI: 1184060980 Community Health 205b Lilly Rd Ne Ste B Provider ID: 005844048003 Olympia, WA 98506

NPI: 1619333242 (877) 522-1275 202 Cullens Rd Nw Web address: https://idealoption.net/ Yelm, WA 98597 Ages: 0-99 (206) 764-8010 EB, P, R Hospital Affiliations: Ages: 0-99 Methodist Jennie Edmundson

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

183

Washington - Thurston Specialists Areas of Expertise: E285, P010, Kinney, Andrea K, NP, (F) Lem, Gloria N, NP, (F) THS Group Name: Multicare Health Group Name: Multicare Health Kaiser, Nathan E, FNP, (M) System System Group Name: Ideal Option Provider ID: 005298711007 Provider ID: 005280789014 Provider ID: 003671102100 NPI: 1225433378 NPI: 1982008637 NPI: 1184060980 1603 Cooper Point Rd Nw 345 Cooper Point Rd Nw Ste 103 205b Lilly Rd Ne Ste C Olympia, WA 98502 Olympia, WA 98502

Olympia, WA 98506 (253) 572-7320 EB, P, R (360) 763-7515 EB, P, R

(509) 222-1275 EB, P, R Ages: 0-99 Languages Spoken: Web address: https://idealoption.net/ Hospital Affiliations: Provider: Cambodian, Khmer Ages: 0-99 Good Samaritan Hospital Cultural Competency: Y Hospital Affiliations: Tacoma General Allenmore Ages: 0-99 Methodist Jennie Edmundson Multicare Auburn Medical Center Hospital Affiliations: Areas of Expertise: E285, P010, Mary Bridge Child Hosp/hlth Cntr Tacoma General Allenmore THS Kohler Krava, Ellen K, NP, (F) Lem, Gloria N, NP, (F) Kelly, Michael C, NP, (F) Group Name: Ideal Option Group Name: Multicare Health Group Name: Olympia Provider ID: 005175692092 System Emergency Services NPI: 1710390620 Provider ID: 005280789010 Provider ID: 002246062001 205b Lilly Rd Ne Ste C NPI: 1982008637 NPI: 1760425201 Olympia, WA 98506 5128 Yelm Hwy Se Ste E

413 Lilly Rd Ne (877) 522-1275 EB, P, R Lacey, WA 98503

Olympia, WA 98506 Languages Spoken: (360) 763-7040 EB, P, R

(360) 493-7420 EB, P, R Provider: Spanish Languages Spoken: Ages: 0-99 Web address: https://idealoption.net/ Provider: Cambodian, Khmer Ages: 0-99 Cultural Competency: Y Kenny, Angela Y, NP, (F) Areas of Expertise: THS Ages: 0-99 Group Name: Multicare Health Hospital Affiliations: Systems Larsen, Dorian, NP, (M) Tacoma General Allenmore Provider ID: 003623337001 Group Name: Ideal Option NPI: 1417215666 Provider ID: 005504258038 Lem, Gloria N, NP, (F) 3504 12th Ave Ne NPI: 1356489041 Group Name: Multicare Health Olympia, WA 98506 205b Lilly Rd Ne Ste B System

(253) 403-4437 EB, P, R Olympia, WA 98506 Provider ID: 005280789011

Ages: 0-99 (509) 222-1275 NPI: 1982008637 Hospital Affiliations: Ages: 0-99 704 Trosper Rd Sw Ste 118 Tacoma General Allenmore Areas of Expertise: E112, E160, Tumwater, WA 98512

Areas of Expertise: A060, E020, MAT1, THS (360) 763-7050 EB, P, R E070, E112, E160, E165 Languages Spoken: Provider: Cambodian, Khmer Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore

184

Specialists Washington - Thurston

Levin, Dahlia M, NP, (F) Lynch, Patricia D, NP, (F) Marcus, Deborah R, NP, (F) Group Name: Planned Group Name: Multicare Health Group Name: Planned Parenthood Of The Great Nw & System Parenthood Of The Great Nw & Hi Provider ID: 003208491016 Hi Provider ID: 003603627015 NPI: 1295049120 Provider ID: 005255018001 NPI: 1689839128 704 Trosper Rd Sw Ste 118 NPI: 1760538144 402 Legion Way Se Ste 201 Tumwater, WA 98512 402 Legion Way Se Ste 201

Olympia, WA 98501 (360) 763-7050 EB, P, R Olympia, WA 98501

(800) 769-0045 EB, P, R Cultural Competency: Y (800) 769-0045 EB, P, R Ages: 0-99 Ages: 0-99 M-Th 8:00 AM-5:00 PM Hospital Affiliations: F 8:00 AM-12:00 PM Lynch, Patricia D, NP, (F) Good Samaritan Hospital Ages: 0-99 Group Name: Multicare Health Tacoma General Allenmore System Marsh, Susan B, NP, (F) Multicare Auburn Medical Center Provider ID: 003208491019 Group Name: Multicare Health Mary Bridge Child Hosp/hlth Cntr NPI: 1295049120 System 345 Cooper Point Rd Nw Ste 103 Macdonald, Tonya F, NP, (F) Provider ID: 001926938013 Olympia, WA 98502 Group Name: Multicare Health NPI: 1578547840

(360) 763-7515 EB, P, R System 1603 Cooper Point Rd Nw Cultural Competency: Y Provider ID: 003532173015 Olympia, WA 98502

Ages: 0-99 NPI: 1982993945 (253) 572-7320 EB, P, R Hospital Affiliations: 5128 Yelm Hwy Se Ste E Ages: 0-99 Good Samaritan Hospital Lacey, WA 98503 Hospital Affiliations:

Tacoma General Allenmore (360) 763-7040 EB, P, R St Francis Hospital Multicare Auburn Medical Center Cultural Competency: Y Tacoma General Allenmore Mary Bridge Child Hosp/hlth Cntr Ages: 0-99 Good Samaritan Hospital Hospital Affiliations: St Clare Hospital Lynch, Patricia D, NP, (F) Tacoma General Allenmore Group Name: Multicare Health Matthews, Benjamin C, NP, (M) Multicare Auburn Medical Center System Group Name: Silver Falls Provider ID: 003208491015 Macdonald, Tonya F, NP, (F) Dermatology NPI: 1295049120 Group Name: Multicare Health Provider ID: 006326341004 5128 Yelm Hwy Se Ste E System NPI: 1205372604 Lacey, WA 98503 Provider ID: 003532173016 3825 Martin Way E Ste 104

(360) 763-7040 EB, P, R NPI: 1982993945 Olympia, WA 98506

Cultural Competency: Y 704 Trosper Rd Sw Ste 118 (503) 362-8385 E, EB, RE, S, T Ages: 0-99 Tumwater, WA 98512 Web address: www.silverfallsderm. Hospital Affiliations: (360) 763-7050 EB, P, R Good Samaritan Hospital Cultural Competency: Y net Tacoma General Allenmore Ages: 0-99 Ages: 0-99 Multicare Auburn Medical Center Hospital Affiliations: Mary Bridge Child Hosp/hlth Cntr Tacoma General Allenmore Multicare Auburn Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

185

Washington - Thurston Specialists

Mcgee, Laurie A, NP, (F) Mcgee, Laurie A, NP, (F) Mcleod, Heather S, NP, (F) Group Name: Providence St Peter Group Name: Providence St Peter Group Name: Providence St Peter Hospital Hospital Hospital Provider ID: 001708507004 Provider ID: 001708507004 Provider ID: 003116671003 NPI: 1598777062 NPI: 1598777062 NPI: 1982792123 3525 Ensign Rd Ne 4800 College St Se 420 Golf Club Rd Se Ste 203 Olympia, WA 98506 Lacey, WA 98503 Lacey, WA 98503

(360) 486-2999 EB, P, R (360) 486-6402 EB, P, R (360) 493-7469 EB, P, R Web address: shannon.swartley@pr Web address: shannon.swartley@pr Languages Spoken: ovidence.org ovidence.org Provider: Spanish Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Providence St Peter Hospital Providence Centralia Hospital Providence Centralia Hospital Areas of Expertise: THS

Mcgee, Laurie A, NP, (F) Mcginley, Michelle, NP, (F) Mettler, Joanne M, NP, (F) Group Name: Providence St Peter Group Name: Olympia Group Name: Providence St Peter Hospital Orthopaedic Associates Hospital Provider ID: 001708507004 Provider ID: 004905065004 Provider ID: 002159259014 NPI: 1598777062 NPI: 1386074599 NPI: 1265462162 3525 Ensign Rd Ne Ste F 615 Lilly Rd Ne Ste 100 3020 Willamette Dr Ne Olympia, WA 98506 Olympia, WA 98506 Lacey, WA 98516

(360) 486-2999 (360) 491-4211 EB, P, R, RE, T (360) 493-7469 EB, P, R Ages: 0-99 Web address: www.providence.org Hospital Affiliations: Ages: 0-99 Accepting Existing Patients Only Providence St Peter Hospital Hospital Affiliations: Ages: 0-99 Providence Centralia Hospital Providence St Peter Hospital Hospital Affiliations: Multicare Capital Medical Center Providence St Peter Hospital Mcgee, Laurie A, NP, (F) Harborview Medical Center Group Name: Providence St Peter Mcleod, Heather S, NP, (F) Mary Bridge Child Hosp/hlth Cntr Hospital Group Name: Providence St Peter Provider ID: 001708507004 Hospital NPI: 1598777062 Provider ID: 003116671003 413 Lilly Rd Ne NPI: 1982792123 Olympia, WA 98506 3020 Willamette Dr Ne Lacey, WA 98516 (360) 486-6402 EB, P, R Web address: shannon.swartley@pr (360) 493-7469 EB, P, R ovidence.org Languages Spoken: Ages: 0-99 Provider: Spanish Hospital Affiliations: Web address: www.providence.org Providence St Peter Hospital Ages: 0-99 Providence Centralia Hospital Hospital Affiliations: Providence St Peter Hospital Areas of Expertise: THS

186

Specialists Washington - Thurston

Mettler, Joanne M, NP, (F) Myklak, Rina, NP, (F) Nachtigal, Mary C, NP, (F) Group Name: Providence St Peter Group Name: Ideal Option Group Name: Multicare Health Hospital Provider ID: 005343960047 System Provider ID: 002159259011 NPI: 1578954657 Provider ID: 003649913019 NPI: 1265462162 205b Lilly Rd Ne Ste B NPI: 1568786887 420 Golf Club Rd Se Ste 203 Olympia, WA 98506 5128 Yelm Hwy Se Ste E

Lacey, WA 98503 (877) 522-1275 EB, P, R Lacey, WA 98503

(360) 493-7469 EB, P, R Ages: 0-99 (360) 763-7040 EB, P, R Accepting Existing Patients Only Areas of Expertise: THS Ages: 0-99 Ages: 0-99 Hospital Affiliations: Myklak, Rina, NP, (F) Hospital Affiliations: Valley Medical Center Group Name: Ideal Option Providence St Peter Hospital Tacoma General Allenmore Provider ID: 005343960024 Harborview Medical Center NPI: 1578954657 Nachtigal, Mary C, NP, (F) Mary Bridge Child Hosp/hlth Cntr 205b Lilly Rd Ne Ste C Group Name: Multicare Health Miller, Leanne M, NP, (F) Olympia, WA 98506 System

Group Name: Ideal Option (877) 522-1275 EB, P, R Provider ID: 003649913020 Provider ID: 003463129034 Ages: 0-99 NPI: 1568786887 NPI: 1841425097 Areas of Expertise: THS 704 Trosper Rd Sw Ste 118 205b Lilly Rd Ne Ste C Tumwater, WA 98512 Nachtigal, Mary C, NP, (F) Olympia, WA 98506 (360) 763-7050 EB, P, R Group Name: Multicare Health (877) 522-1275 EB, P, R Ages: 0-99 System Web address: https://idealoption.net/ Hospital Affiliations: Provider ID: 003649913023 Ages: 0-99 Valley Medical Center NPI: 1568786887 Areas of Expertise: E112, E160 Tacoma General Allenmore 345 Cooper Point Rd Nw Ste 103 Mitchell, Susan M, NP, (F) Olympia, WA 98502 Newlove, Tanya M, NP, (F)

Group Name: Ideal Option (360) 763-7515 EB, P, R Group Name: Capital Med Ctr Provider ID: 003394371087 Ages: 0-99 Specialty Phys NPI: 1740502616 Hospital Affiliations: Provider ID: 006845900001 205b Lilly Rd Ne Ste C Valley Medical Center 3900 Capital Mall Dr Sw Olympia, WA 98506 Tacoma General Allenmore Olympia, WA 98502

(877) 522-1275 EB, P, R (360) 704-4743 EB, P, R Web address: https://idealoption.net/ Ages: 0-99 Ages: 0-99 Nguh, Florence, NP, (F) Moua, Ka, NP, (F) Group Name: Ideal Option Group Name: Ideal Option Provider ID: 006784374028 Provider ID: 007273277001 NPI: 1093258998 NPI: 1780946764 205b Lilly Rd Ne Ste C 205b Lilly Rd Ne Ste C Olympia, WA 98506

Olympia, WA 98506 (877) 522-1275 EB, P, R

(877) 522-1275 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

187

Washington - Thurston Specialists

Nichols, Chloe, NP, (F) Peay, James R, NP, (M) Pham, Ngoc-Tam T, NP, (F) Group Name: Ideal Option Group Name: Ideal Option Group Name: Multicare Health Provider ID: 006292118012 Provider ID: 004048052024 System NPI: 1053654541 NPI: 1164869988 Provider ID: 005358293019 205b Lilly Rd Ne Ste C 205b Lilly Rd Ne Ste B NPI: 1154713287 Olympia, WA 98506 Olympia, WA 98506 345 Cooper Point Rd Nw Ste 103

(877) 522-1275 EB, P, R (877) 522-1275 EB, P, R Olympia, WA 98502

Ages: 0-99 Ages: 0-99 (360) 763-7515 EB, P, R Areas of Expertise: MAT1, THS Languages Spoken: Ottey, Peggy A, NP, (F) Provider: Vietnamese Group Name: Ideal Option Peay, James R, NP, (M) Cultural Competency: Y Provider ID: 007169678036 Group Name: Ideal Option Ages: 0-99 NPI: 1336322544 Provider ID: 004048052035 Hospital Affiliations: 205b Lilly Rd Ne Ste B NPI: 1164869988 Tacoma General Allenmore Olympia, WA 98506 205b Lilly Rd Ne Ste C (877) 522-1275 EB, P, R Olympia, WA 98506 Pham, Ngoc-Tam T, NP, (F)

Ages: 0-99 (877) 522-1275 EB, P, R Group Name: Multicare Health Ages: 0-99 System Ottey, Peggy A, NP, (F) Areas of Expertise: THS Provider ID: 005358293014 Group Name: Ideal Option NPI: 1154713287 Provider ID: 007169678043 Pepperdine, Lisa, NP, (F) 5128 Yelm Hwy Se Ste E NPI: 1336322544 Group Name: Planned Lacey, WA 98503 205b Lilly Rd Ne Ste C Parenthood Of The Great Nw & (360) 763-7040 EB, P, R Olympia, WA 98506 Hi Languages Spoken: (877) 522-1275 EB, P, R Provider ID: 003116696001 Provider: Vietnamese Ages: 0-99 NPI: 1821176058 Cultural Competency: Y 402 Legion Way Se Ste 201 Paragin, Lindsay, NP, (F) Ages: 0-99 Olympia, WA 98501 Group Name: Ideal Option Hospital Affiliations: (800) 769-0045 EB, P, R Provider ID: 006945651047 Tacoma General Allenmore Ages: 0-99 NPI: 1770067613 Pham, Ngoc-Tam T, NP, (F) 205b Lilly Rd Ne Ste C Petrukitas, Peter A, NP, (M) Group Name: Multicare Health Olympia, WA 98506 Group Name: Multicare Health System (509) 222-1275 EB, P, R System Provider ID: 005358293015 Ages: 0-99 Provider ID: 003722086011 NPI: 1154713287 Hospital Affiliations: NPI: 1396175220 704 Trosper Rd Sw Ste 118 Evergreenhealth Medical Center 1603 Cooper Point Rd Nw Tumwater, WA 98512 Areas of Expertise: THS Olympia, WA 98502 (360) 763-7050 EB, P, R (253) 572-7320 EB, P, R Languages Spoken: Ages: 0-99 Provider: Vietnamese Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore

188

Specialists Washington - Thurston Web address: www.providence.org Porter, Trisha-Leigh C, NP, (F) Presson, Judith, ARNP, (F) Ages: 0-99 Group Name: Ideal Option Group Name: Providence St Peter Hospital Affiliations: Provider ID: 006676092089 Hospital Providence St Peter Hospital NPI: 1073919726 Provider ID: 005126400002 Areas of Expertise: E112, E160 205b Lilly Rd Ne Ste B NPI: 1235264177 Olympia, WA 98506 420 Golf Club Rd Se Ste 203 Ramos, Michael D, NP, (M)

(877) 522-1275 Lacey, WA 98503 Group Name: Pmg Sw Wa

Ages: 0-99 (360) 493-7469 EB, P, R Provider ID: 003417567001 Areas of Expertise: MAT1, THS Ages: 0-99 NPI: 1447473202 Hospital Affiliations: 413 Lilly Rd Ne Porter, Trisha-Leigh C, NP, (F) St Patrick Hospital Olympia, WA 98506 Group Name: Ideal Option Areas of Expertise: A101, E020, (360) 493-4083 EB, P, R Provider ID: 006676092094 E070, E112, E165, THS Web address: www.providence.org NPI: 1073919726 Ages: 0-99 205b Lilly Rd Ne Ste C Purvis, Faith M, NP, (F) Hospital Affiliations: Olympia, WA 98506 Group Name: Ideal Option Providence St Peter Hospital (877) 522-1275 EB, P, R Provider ID: 007135803001 Ages: 0-99 NPI: 1669032975 Roberts, Andrea, NP, (F) Areas of Expertise: MAT1, THS 205b Lilly Rd Ne Ste C Group Name: Ideal Option Olympia, WA 98506 Provider ID: 005388536149 Presson, Judith, ARNP, (F) (509) 222-1275 EB, P, R NPI: 1801287529 Group Name: Providence St Peter Ages: 0-99 205b Lilly Rd Ne Ste C Hospital Areas of Expertise: E112, E160, Olympia, WA 98506 Provider ID: 005126400002 THS (877) 522-1275 EB, P, R NPI: 1235264177 Web address: https://idealoption.net/ 3020 Willamette Dr Ne Rae, Benjamin G, NP, (M) Ages: 0-99 Lacey, WA 98516 Group Name: Ideal Option (360) 493-7469 EB, P, R Provider ID: 006954096049 Robinson, Nicole L, NP, (F) Web address: www.providence.org NPI: 1770051229 Group Name: Ideal Option Ages: 0-99 205b Lilly Rd Ne Ste C Provider ID: 006950108103 Hospital Affiliations: Olympia, WA 98506 NPI: 1972084978

St Patrick Hospital (509) 222-1275 EB, P, R 205b Lilly Rd Ne Ste C Areas of Expertise: A101, E020, Ages: 0-99 Olympia, WA 98506

E070, E112, E165, THS Areas of Expertise: E112 (509) 222-1275 EB, P, R Ages: 0-99 Ramos, Michael D, NP, (M) Hospital Affiliations: Group Name: Capital Clubhouse Trinity Hospitals Provider ID: 003417567002 Areas of Expertise: MAT1 NPI: 1447473202 1000 Cherry St Se Olympia, WA 98501

(360) 357-2582 EB, IB, P, R M-F 4:00 PM 8:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

189

Washington - Thurston Specialists

Ross, Margaret F, NP, (F) Schmelzer, Benjamin A, NP, (M) Shaffer, Barbara, NP, (F) Group Name: Silver Falls Group Name: Multicare Health Group Name: Planned Dermatology System Parenthood Of The Great Nw & Provider ID: 003700425009 Provider ID: 006738564019 Hi NPI: 1841638319 NPI: 1164922217 Provider ID: 003210048004 3825 Martin Way E Ste 104 5128 Yelm Hwy Se Ste E NPI: 1023027406 Olympia, WA 98506 Lacey, WA 98503 402 Legion Way Se Ste 201

(866) 599-3376 E, EB, RE, S, T (360) 763-7040 EB, P, R Olympia, WA 98501

Ages: 0-99 (800) 769-0045 EB, P, R Web address: www.silverfallsderm. Hospital Affiliations: Ages: 0-99 net Tacoma General Allenmore Shepherd, Tess K, NP, (F) Ages: 0-99 Multicare Auburn Medical Center Group Name: Vista Oncology Inc Good Samaritan Hospital Salveson, Roberta L, NP, (F) Provider ID: 007494285001 Group Name: Multicare Health Mary Bridge Child Hosp/hlth Cntr NPI: 1558829879 System Schmelzer, Benjamin A, NP, (M) 141 Lilly Rd Ne Provider ID: 002228018005 Group Name: Multicare Health Olympia, WA 98506 NPI: 1336260280 System (360) 413-8880 EB, P, R 3504 12th Ave Ne Provider ID: 006738564020 F 8:30 AM-5:00 PM Olympia, WA 98506 NPI: 1164922217 Ages: 0-99 (253) 403-3476 EB, P, R 704 Trosper Rd Sw Ste 118 Shepherd, Tess K, NP, (F) Languages Spoken: Tumwater, WA 98512 Provider: Spanish Group Name: Vista Oncology Inc (360) 763-7050 EB, P, R Provider ID: 007494285001 Ages: 0-99 Ages: 0-99 NPI: 1558829879 Hospital Affiliations: Hospital Affiliations: 420 Mcphee Rd Sw Tacoma General Allenmore Tacoma General Allenmore Olympia, WA 98502 Schmelzer, Benjamin A, NP, (M) Multicare Auburn Medical Center (360) 352-9200 EB, P, R Good Samaritan Hospital Group Name: Multicare Health Th 8:30 AM-5:00 PM System Mary Bridge Child Hosp/hlth Cntr Ages: 0-99 Provider ID: 006738564023 Sedra, Heidi L, NP, (F) Snyder, Rachael A, FNP, (F) NPI: 1164922217 Group Name: Pmg Sw Wa Group Name: Ideal Option 345 Cooper Point Rd Nw Ste 103 Provider ID: 003536355004 Provider ID: 006795302060 Olympia, WA 98502 NPI: 1568712776 NPI: 1356843361 (360) 763-7515 EB, P, R 413 Lilly Road Ne 205b Lilly Rd Ne Ste C Ages: 0-99 Olympia, WA 98506 Hospital Affiliations: Olympia, WA 98506 (360) 493-4083 (877) 522-1275 EB, P, R Tacoma General Allenmore Ages: 0-99 Ages: 0-99 Multicare Auburn Medical Center Hospital Affiliations: Areas of Expertise: THS Good Samaritan Hospital Gray's Harbor Community Hsp Mary Bridge Child Hosp/hlth Cntr Multicare Capital Medical Center

190

Specialists Washington - Thurston

Soloy, Jan A, NP, (F) Terry, Nicole H, NP, (F) Van Bourgondien, Dolores I, NP, Group Name: Evergreen Group Name: Pmg Sw Wa (F) Treatment Services Provider ID: 002965105004 Group Name: Ideal Option Provider ID: 001155556003 NPI: 1124284484 Provider ID: 003708686037 NPI: 1306004379 413 Lilly Rd Ne NPI: 1457788390 6700 Martin Way E Ste 117 Olympia, WA 98506 205b Lilly Rd Ne Ste C

Olympia, WA 98516 (360) 493-4083 EB, P, R Olympia, WA 98506

(360) 413-6310 EB, P, R Web address: www.providence.org (877) 522-1275 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Stoker, Allyson M, NP, (F) Providence St Peter Hospital Plantation General Hospital Group Name: Multicare Health Highline Medical Center Memorial Regional Hospital System St Anne Hospital Provider ID: 005506322004 Villacian, Eugene D, NP, (M) NPI: 1659773109 Thach, Thavi T, NP, (F) Group Name: Pmg Sw Wa 3504 12th Ave Ne Group Name: Pmg Sw Wa Provider ID: 007128685001 Olympia, WA 98506 Provider ID: 003482332004 NPI: 1629546684

(253) 403-4437 EB, P, R NPI: 1245592575 3333 Ensign Rd Ne Cultural Competency: Y 500 Lilly Rd Ne Ste 201 Olympia, WA 98506

Ages: 0-99 Olympia, WA 98506 (360) 493-4900 EB, P, R

(360) 413-8272 EB, P, R Web address: www.providence.org Taggart, Sharon L, NP, (F) Languages Spoken: Ages: 0-99 Group Name: Planned Provider: Cambodian, Hospital Affiliations: Parenthood Of The Great Nw & Vietnamese Providence St Peter Hospital Hi Web address: www.providence.org Providence Centralia Hospital Provider ID: 003624483001 Ages: 0-99 NPI: 1710975719 Wahl, Lisa G, NP, (F) Hospital Affiliations: 402 Legion Way Se Ste 201 Group Name: Providence St Peter Providence St Peter Hospital Olympia, WA 98501 Hospital Areas of Expertise: THS (800) 769-0045 EB, P, R Provider ID: 002889721010 Ages: 0-99 Timm, Deanne C, NP, (F) NPI: 1518153949 Group Name: Ideal Option 3020 Willamette Dr Ne Provider ID: 002229953051 Lacey, WA 98516

NPI: 1851375091 (360) 493-7469 EB, P, R 205b Lilly Rd Ne Ste C Ages: 0-99 Olympia, WA 98506 Hospital Affiliations:

(877) 522-1275 EB, P, R Providence St Peter Hospital Web address: https://idealoption.net/ Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

191

Washington - Thurston Specialists

Waitkevich, Cheryl J, NP, (F) Waitkevich, Cheryl J, NP, (F) Walen, Anna M, NP, (F) Group Name: Providence St Peter Group Name: Providence St Peter Group Name: Multicare Health Hospital Hospital System Provider ID: 002889717002 Provider ID: 002889717002 Provider ID: 005243884013 NPI: 1386730133 NPI: 1386730133 NPI: 1033513650 3525 Ensign Rd Ne 4800 College St Se 5128 Yelm Hwy Se Ste E Olympia, WA 98506 Lacey, WA 98503 Lacey, WA 98503

(360) 486-2999 EB, P, R (360) 486-6402 EB, P, R (360) 763-7040 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Tacoma General Allenmore Multicare Auburn Medical Center Waitkevich, Cheryl J, NP, (F) Walen, Anna M, NP, (F) Good Samaritan Hospital Group Name: Providence St Peter Group Name: Multicare Health Mary Bridge Child Hosp/hlth Cntr Hospital System Multicare Covington Medical Provider ID: 002889717002 Provider ID: 005243884017 Center NPI: 1386730133 NPI: 1033513650 3525 Ensign Rd Ne Ste F 345 Cooper Point Rd Nw Ste 103 Walen, Anna M, NP, (F) Olympia, WA 98506 Olympia, WA 98502 Group Name: Multicare Health

(360) 486-2999 (360) 763-7515 EB, P, R System Ages: 0-99 Ages: 0-99 Provider ID: 005243884015 Hospital Affiliations: Hospital Affiliations: NPI: 1033513650 Providence St Peter Hospital Tacoma General Allenmore 704 Trosper Rd Sw Ste 118 Multicare Auburn Medical Center Tumwater, WA 98512 Waitkevich, Cheryl J, NP, (F) Good Samaritan Hospital (360) 763-7050 EB, P, R Group Name: Providence St Peter Mary Bridge Child Hosp/hlth Cntr Ages: 0-99 Hospital Multicare Covington Medical Hospital Affiliations: Provider ID: 002889717002 Center Tacoma General Allenmore NPI: 1386730133 Multicare Auburn Medical Center 413 Lilly Rd Ne Good Samaritan Hospital Olympia, WA 98506 Mary Bridge Child Hosp/hlth Cntr (360) 486-6402 EB, P, R Multicare Covington Medical Ages: 0-99 Center Hospital Affiliations: Providence St Peter Hospital

192

Specialists Washington - Thurston

Webb, Melanie S, NP, (F) Yang, Jeewon, NP, (F) Yu, Wing Nga, NP, (F) Group Name: Pmg Sw Wa Group Name: Olympia Family Group Name: Multicare Health Provider ID: 007216260001 Medicine System NPI: 1336797901 Provider ID: 005406797004 Provider ID: 006983431017 525 Lilly Rd Ne Ste 200 NPI: 1275935066 NPI: 1063997807 Olympia, WA 98506 3920 Capitol Mall Dr Sw Ste 200 345 Cooper Point Rd Nw Ste 103

(360) 493-4510 EB, P, R Olympia, WA 98502 Olympia, WA 98502

Web address: www.providence.org (360) 596-4899 EB, P, R (360) 763-7515 EB, P, R Ages: 0-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Provider: Korean Provider: Cantonese Providence St Peter Hospital Ages: 0-99 Cultural Competency: Y Providence Centralia Hospital Hospital Affiliations: Ages: 0-99 Areas of Expertise: THS Multicare Capital Medical Center Hospital Affiliations: Tacoma General Allenmore Wilson, Annalee, NP, (F) Young, Nancy A, NP, (F) Multicare Auburn Medical Center Group Name: American Oncology Group Name: Providence St Peter Good Samaritan Hospital Partners Hospital Mary Bridge Child Hosp/hlth Cntr Provider ID: 003385950003 Provider ID: 003126941003 NPI: 1760767412 NPI: 1174602635 Yu, Wing Nga, NP, (F) 141 Lilly Rd Ne 3020 Willamette Dr Ne Group Name: Multicare Health Olympia, WA 98506 Lacey, WA 98516 System

(360) 868-2410 EB, P, R (360) 493-7469 EB, P, R Provider ID: 006983431013 Ages: 0-99 Ages: 0-99 NPI: 1063997807 Hospital Affiliations: Hospital Affiliations: 5128 Yelm Hwy Se Ste E Multicare Deaconess Hospital Providence St Peter Hospital Lacey, WA 98503

Kootenai Health (360) 763-7040 EB, P, R Young, Nancy A, NP, (F) Northwest Specialty Hospital Languages Spoken: Group Name: Providence St Peter Provider: Cantonese Wright, Jacqueline J, NP, (F) Hospital Cultural Competency: Y Group Name: Planned Provider ID: 003126941003 Ages: 0-99 Parenthood Of The Great Nw & NPI: 1174602635 Hospital Affiliations: Hi 420 Golf Club Rd Se Ste 203 Tacoma General Allenmore Provider ID: 006778914002 Lacey, WA 98503 Multicare Auburn Medical Center NPI: 1174012223 (360) 493-7469 EB, P, R Good Samaritan Hospital 402 Legion Way Se Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Olympia, WA 98501 Hospital Affiliations:

(800) 769-0045 EB, P, R Providence St Peter Hospital Ages: 0-99 Areas of Expertise: A101, E020, E070, E112, E165

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

193

Washington - Thurston Specialists

Yu, Wing Nga, NP, (F) Zahour, Kathryn L, NP, (F) Frank, Trina, RD, (F) Group Name: Multicare Health Group Name: Northwest Vein & Group Name: Sea-Mar System Aesth Ctr Community Health Provider ID: 006983431015 Provider ID: 003146021004 Provider ID: 006579981001 NPI: 1063997807 NPI: 1972831741 NPI: 1477084028 704 Trosper Rd Sw Ste 118 500 Lilly Rd Ne Ste 160 3030 Limited Ln Nw Tumwater, WA 98512 Olympia, WA 98506 Olympia, WA 98502

(360) 763-7050 EB, P, R (360) 339-8535 EB, P, R (360) 491-1399 EB, P, R Languages Spoken: Web address: www.nwveins.com Ages: 0-99 Provider: Cantonese Ages: 0-99 Frank, Trina, RD, (F) Cultural Competency: Y Hospital Affiliations: Group Name: Sea-Mar Ages: 0-99 Vanderbilt University Med Ctr Community Health Hospital Affiliations: Vanderbilt University Medical Provider ID: 006579981001 Tacoma General Allenmore Center NPI: 1477084028 Multicare Auburn Medical Center Vanderbilt Childrens Hospital 669 Woodland Square Loop Se Good Samaritan Hospital Zimmerman, Margaret D, NP, (F) Lacey, WA 98503 Mary Bridge Child Hosp/hlth Cntr Group Name: Margaret D (360) 359-4840 EB, P, R Zahour, Kathryn L, NP, (F) Zimmerman Arnp Ages: 0-99 Group Name: Northwest Vein & Provider ID: 001305961002 Furrer, Sharon C, RD, (F) Aesth Ctr NPI: 1902834781 Group Name: Pmg Sw Wa Provider ID: 003146021006 205 Lilly Rd Ne Ste A2 Provider ID: 003399440001 NPI: 1972831741 Olympia, WA 98506 NPI: 1467698910 1610 Bishop Rd Sw Ste 101 (360) 339-8225 EB, P, R 4800 College St Se Tumwater, WA 98512 M,Tu,Th 9:00 AM-5:00 PM Lacey, WA 98503 (360) 339-8535 EB, P, R, RE, T Ages: 0-99 (360) 493-7567 EB, P, R

W 8:00 AM-5:00 PM Nutritionist (Reg Dietician) Web address: www.providence.org

Web address: www.nwveins.com Ages: 0-99 Ages: 0-99 Davis Lesh, Kristin J, RD, (F) Areas of Expertise: THS Group Name: Multicare Health Hospital Affiliations: Furrer, Sharon C, RD, (F) System Vanderbilt University Med Ctr Group Name: Pmg Sw Wa Provider ID: 003465997001 Vanderbilt University Medical Provider ID: 003399440001 NPI: 1720371354 Center NPI: 1467698910 408 Lilly Rd Ne Ste B Vanderbilt Childrens Hospital 525 Lilly Rd Ne Olympia, WA 98506 Olympia, WA 98506 (253) 301-5280 EB, P, R (360) 493-7567 EB, P, R Cultural Competency: Y Web address: www.providence.org Ages: 0-99 Ages: 0-99 Hospital Affiliations: Areas of Expertise: THS Tacoma General Allenmore Multicare Auburn Medical Center Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr

194

Specialists Washington - Thurston

Hall, Kathryn R, RD, (F) Visser, Cathy, RD, (F) Bell, Darrel J, MD, (M) Group Name: Multicare Health Group Name: True For You Group Name: Olympia Ob/Gyn System Nutrition Provider ID: 002865880002 Provider ID: 006085266001 Provider ID: 007551948001 NPI: 1669419594 NPI: 1336519354 NPI: 1235520529 201 Tahoma Blvd Se Ste 204 408 Lilly Rd Ne Ste B 307 Percival St Nw Yelm, WA 98597

Olympia, WA 98506 Olympia, WA 98502 (360) 413-8413

(253) 301-5280 EB, P, R (360) 870-5601 E, EB, IB, P, R, S W 8:00 AM-12:00 PM Ages: 0-99 Web address: www.olyobgyn.com Web address: www.trueforyounutrit Ages: 0-99 Pearce, Sandra, RD, (F) ion.com Hospital Affiliations: Group Name: Capital Med Ctr Ages: 0-99 Providence St Peter Hospital

Specialty Phys Provider ID: 006955462001 Williamson, Nila N, RD, (F) Bell, Darrel J, MD, (M) NPI: 1518451483 Group Name: Olympia Pediatrics Group Name: Olympia Ob/Gyn 3920 Capital Mall Dr Sw Ste 201 Pllc Provider ID: 002865880001 Olympia, WA 98502 Provider ID: 003602375002 NPI: 1669419594 NPI: 1265752018 (360) 596-4880 EB, P, R 615 Lilly Rd Ne Ste 200 Ages: 0-99 3434 12th Ave Ne Olympia, WA 98506 Olympia, WA 98506 (360) 413-8413 EB, P, R, RE, T Vander Linden, Nancy, RD, (F) (360) 413-8470 EB, P, R Group Name: Multicare Health Ages: 0-99 Web address: www.olyobgyn.com System Hospital Affiliations: Ages: 0-99 Provider ID: 006295045001 Seattle Children's Hospital Hospital Affiliations: NPI: 1497129019 Providence St Peter Hospital 408 Lilly Rd Ne Ste B Obstetrics & Gynecology

Olympia, WA 98506 Bhullar, Puneet, MD, (F), B Arocho, Milagros, MD, (F) Group Name: Olympia Ob/Gyn (253) 301-5280 EB, P, R Languages Spoken: Group Name: Waterfalls Provider ID: 005761178003 Provider: Spanish Longevity Center NPI: 1184910861 Ages: 0-99 Provider ID: 001158636004 201 Tahoma Blvd Se Ste 204 Hospital Affiliations: NPI: 1689864852 Yelm, WA 98597 Tacoma General Allenmore 9144 Burnett Rd Se Ste B-3 (360) 413-8413 Multicare Auburn Medical Center Yelm, WA 98597 Ages: 0-99 Good Samaritan Hospital (360) 400-2111 EB, P, R Hospital Affiliations: Mary Bridge Child Hosp/hlth Cntr Languages Spoken: Providence St Peter Hospital Provider: Spanish St Barnabas Hospital Staff: Dutch Tu,Th,F 9:00 AM-5:00 PM Web address: www.waterfallslonge vity.com Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

195

Washington - Thurston Specialists

Bhullar, Puneet, MD, (F), B Cunningham, Eve S, MD, (F), B Currie, Diana M, MD, (F), B Group Name: Olympia Ob/Gyn Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Provider ID: 005761178002 Provider ID: 002884264002 Provider ID: 003498451002 NPI: 1184910861 NPI: 1477601409 NPI: 1942371828 615 Lilly Rd Ne Ste 200 3425 Ensign Rd Ne Ste 220 3425 Ensign Rd Ne Ste 220 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(360) 413-8413 EB, P, R, RE, T (360) 493-7230 EB, P, R (360) 493-7230 EB, P, R Languages Spoken: Web address: www.providence.org Ages: 0-99 Provider: Spanish Ages: 0-99 Hospital Affiliations: Web address: swr_kelley.frandanisa Hospital Affiliations: Providence St Peter Hospital @providence.org Providence St Peter Hospital St Barnabas Hospital Accepting Existing Patients Only Areas of Expertise: THS

Ages: 10-99 Calvert, Sarah T, MD, (F) Currie, Diana M, MD, (F), B Does Not Accept Male Patients Group Name: Olympia Ob/Gyn Group Name: Obhg Washington Hospital Affiliations: Provider ID: 003351362005 Provider ID: 003498451003 Providence St Peter Hospital NPI: 1194976365 NPI: 1942371828 201 Tahoma Blvd Se Ste 204 Providence Centralia Hospital 413 Lilly Rd Ne Yelm, WA 98597 Cunningham, Eve S, MD, (F), B Olympia, WA 98506 (360) 413-8413 Group Name: Pmg Sw Wa (864) 908-3530 EB, P, R W 8:00 AM-12:00 PM Provider ID: 002884264002 Ages: 0-99 Web address: www.olyobgyn.com NPI: 1477601409 Hospital Affiliations: Ages: 0-99 525 Lilly Rd Ne Providence St Peter Hospital Hospital Affiliations: Olympia, WA 98506 Providence St Peter Hospital Currie, Diana M, MD, (F), B (360) 493-7230 EB, P, R Group Name: Pmg Sw Wa Languages Spoken: Calvert, Sarah T, MD, (F) Provider ID: 003498451002 Provider: Spanish Group Name: Olympia Ob/Gyn NPI: 1942371828 Web address: www.fhshealth.org Provider ID: 003351362001 525 Lilly Rd Ne Accepting Existing Patients Only NPI: 1194976365 Olympia, WA 98506 615 Lilly Rd Ne Ste 200 Ages: 10-99 (360) 493-7230 EB, P, R Does Not Accept Male Patients Olympia, WA 98506 Ages: 0-99 Hospital Affiliations: (360) 413-8413 EB, P, R, RE, T Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Web address: www.olyobgyn.com Providence Centralia Hospital Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

196

Specialists Washington - Thurston

Dickason, Laurel, MD, (F), B Johnson, Debra A, MD, (F), B Markle Price, Danielle, MD, (F), Group Name: South Sound Group Name: South Sound B Women's Ctr Women's Ctr Group Name: Multicare Health Provider ID: 001406465002 Provider ID: 001709343002 Systems NPI: 1104815950 NPI: 1588653398 Provider ID: 003070685001 3920 Capital Mall Dr Sw Ste 400 3920 Capital Mall Dr Sw Ste 400 NPI: 1851579528 Olympia, WA 98502 Olympia, WA 98502 408 Lilly Rd Ne # A-1

(360) 705-1259 E, EB, G, IB, P, (360) 705-1259 E, EB, G, IB, P, Olympia, WA 98506

R, RE, S, T R, RE, S, T (253) 301-5120 EB, P, R Languages Spoken: Languages Spoken: Cultural Competency: Y Staff: Spanish Staff: Spanish Ages: 0-99 M-W 8:30 AM-5:00 PM M-Th 8:30 AM-5:00 PM Hospital Affiliations: Th,F 8:00 AM-5:00 PM F 8:00 AM-5:00 PM University Of Calif Irvine Medical Web address: www.southsoundwom Web address: www.southsoundwom Ctr enscenter.com enscenter.com Mcclure, George B, MD, (M), B Ages: 0-99 Ages: 0-99 Group Name: Pmg Sw Wa Hospital Affiliations: Hospital Affiliations: Provider ID: 002987199002 Providence St Peter Hospital Providence St Peter Hospital NPI: 1669584199 Multicare Capital Medical Center Good Shepherd Medical Center 3425 Ensign Rd Ne Ste 220 Multicare Capital Medical Center Hanks, Laura R, MD, (F) Olympia, WA 98506 Group Name: Olympia Ob/Gyn Jordan, Lisbeth M, MD, (F), B (360) 493-7230 EB, P, R Provider ID: 007149697003 Group Name: Obhg Washington Web address: www.providence.org NPI: 1205223997 Provider ID: 001802268005 Ages: 0-99 201 Tahoma Blvd Se Ste 204 NPI: 1922177674 Hospital Affiliations: Yelm, WA 98597 413 Lilly Rd Ne Providence St Peter Hospital

(360) 413-8413 Olympia, WA 98506 Areas of Expertise: THS

W 8:00 AM-12:00 PM (888) 492-9480 EB, P, R Mckinney, Elizabeth T, MD, (F), Ages: 0-99 M-F 8:00 AM-4:00 PM B Hospital Affiliations: Cultural Competency: Y Group Name: Multicare Health Providence St Peter Hospital Web address: www.obhg.com Systems Ages: 0-99 Hanks, Laura R, MD, (F) Provider ID: 002360015001 Hospital Affiliations: Group Name: Olympia Ob/Gyn NPI: 1962430884 Valley Medical Center Provider ID: 007149697001 408 Lilly Rd Ne # A-2 Swedish Health Services NPI: 1205223997 Olympia, WA 98506 Northwest Hospital & Med Cntr 615 Lilly Rd Ne Ste 200 (253) 403-9200 EB, P, R Evergreenhealth Medical Center Olympia, WA 98506 Ages: 0-99 Areas of Expertise: E112 (360) 413-8413 EB, P, R, RE, T Hospital Affiliations: Tacoma General Allenmore Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

197

Washington - Thurston Specialists

Molina, Loren P, MD, (F), B O'boyle, Amy L, MD, (F), B Reagan, Krista M, MD, (F) Group Name: Multicare Health Group Name: Pmg Sw Wa Group Name: Multicare Health Systems Provider ID: 006576722002 System Provider ID: 002823089001 NPI: 1679548341 Provider ID: 003488794001 NPI: 1508051020 149 Lilly Rd Ne NPI: 1720251523 408 Lilly Rd Ne # A-2 Olympia, WA 98506 408 Lilly Rd Ne # A-1

Olympia, WA 98506 (360) 486-6772 EB, P, R Olympia, WA 98506

(253) 403-9200 EB, P, R Web address: www.providence.org (253) 301-5120 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Tacoma General Allenmore Providence St Peter Hospital Good Samaritan Hospital Ut Southwestern University Areas of Expertise: THS Hartford Hospital Hospital Tacoma General Allenmore O'boyle, Amy L, MD, (F), B Ut Southwestern Univ Hosp- Zale Multicare Auburn Medical Center Group Name: Pmg Sw Wa Liphsy Provider ID: 006576722002 Richards, Julia, MD, (F), B Moruzzi, James F, MD, (M), B NPI: 1679548341 Group Name: South Sound Group Name: Olympia Womens 3425 Ensign Rd Ne Ste 220 Women's Ctr Health Olympia, WA 98506 Provider ID: 001167082002

Provider ID: 000873120001 (360) 493-7230 EB, P, R NPI: 1750370466 NPI: 1841288396 Web address: swr_kelley.frandanisa 3920 Capital Mall Dr Sw Ste 400 403 Black Hills Ln Sw Ste E @providence.org Olympia, WA 98502

Olympia, WA 98502 Ages: 0-99 (360) 705-1259 E, EB, G, IB, P,

(360) 786-1515 EB, P, R Hospital Affiliations: R, RE, S, T M,Tu,Th,F 8:00 AM-5:00 PM Providence St Peter Hospital Languages Spoken: W 1:00 PM 5:00 PM Areas of Expertise: THS Staff: Spanish Ages: 0-99 M-F 8:30 AM-5:00 PM O'boyle, Amy L, MD, (F), B Hospital Affiliations: Web address: www.southsoundwom Group Name: Obhg Washington Providence St Peter Hospital enscenter.com Provider ID: 006576722003 Multicare Capital Medical Center Ages: 0-99 NPI: 1679548341 Hospital Affiliations: Mvundura, Elisha, MD, (M), B 413 Lilly Road Ne Providence St Peter Hospital Group Name: Pmg Sw Wa Olympia, WA 98506 Multicare Capital Medical Center Provider ID: 002907231002 (864) 908-3530 EB, P, R NPI: 1083872410 Ages: 0-99 3425 Ensign Rd Ne Ste 220 Hospital Affiliations: Olympia, WA 98506 Providence St Peter Hospital

(360) 493-7230 EB, P, R Areas of Expertise: THS Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital Areas of Expertise: THS

198

Specialists Washington - Thurston Web address: www.olyobgyn.com Robinson, Karen E, MD, (F), B Tarney, Christopher M, MD, (M), Ages: 0-99 Group Name: Pmg Sw Wa B Hospital Affiliations: Provider ID: 002611153021 Group Name: Pmg Sw Wa Providence St Peter Hospital NPI: 1720014707 Provider ID: 007583174001 3425 Ensign Rd Ne Ste 220 Sorenson, Laurie T, MD, (F), B NPI: 1528303336 Olympia, WA 98506 Group Name: Olympia Ob/Gyn 4525 3rd Ave Se Ste 200

(360) 493-7230 EB, P, R Provider ID: 000831259001 Lacey, WA 98503

Ages: 0-99 NPI: 1194871087 (360) 754-3934 EB, P, R Hospital Affiliations: 615 Lilly Rd Ne Ste 200 Web address: www.providence.org Providence St Peter Hospital Olympia, WA 98506 Ages: 0-99

Swedish Medical Center (360) 413-8413 EB, P, R, RE, T Hospital Affiliations: Medstar Southern Maryland Providence St Peter Hospital Hospital Ctr Languages Spoken: Areas of Expertise: THS Southern Maryland Hospital Staff: Spanish Than, Duong T, MD, (F), B Center Web address: www.olyobgyn.com Group Name: Obhg Washington Areas of Expertise: THS Ages: 0-99 Hospital Affiliations: Provider ID: 003515080002 Robinson, Karen E, MD, (F), B Providence St Peter Hospital NPI: 1558625897 Group Name: Obhg Washington 413 Lilly Rd Ne Provider ID: 002611153007 Souri, Bina C, MD, (F), B Olympia, WA 98506 Group Name: Bina C Souri Md NPI: 1720014707 (800) 967-2289 EB, P, R 413 Lilly Rd Ne Provider ID: 000871785001 Ages: 0-99 Olympia, WA 98506 NPI: 1215079850 Hospital Affiliations: 403 Black Hills Ln Sw Ste C (864) 908-3530 EB, P, R Providence Centralia Hospital Web address: swr_kimberly.dewey Olympia, WA 98502 Walker, Kym, MD, (F), B @providence.org (360) 956-1880 EB, P, R Group Name: South Sound Ages: 0-99 Languages Spoken: Women's Ctr Hospital Affiliations: Provider: Hindi, Punjabi, Urdu Provider ID: 002798743002 Providence St Peter Hospital Staff: Spanish NPI: 1609987296 Swedish Medical Center M,Tu,Th,F 9:00 AM-1:00 PM 3920 Capital Mall Dr Sw Ste 400 Medstar Southern Maryland W 8:30 AM-4:30 PM Olympia, WA 98502 Hospital Ctr Ages: 0-99 (360) 705-1259 E, EB, G, IB, P, Southern Maryland Hospital Hospital Affiliations: R, RE, S, T Center Providence St Peter Hospital Multicare Capital Medical Center Languages Spoken: Sorenson, Laurie T, MD, (F), B Staff: Spanish Group Name: Olympia Ob/Gyn M-Th 8:30 AM-5:00 PM Provider ID: 000831259003 F 8:00 AM-5:00 PM NPI: 1194871087 Web address: www.southsoundwom 201 Tahoma Blvd Se Ste 204 enscenter.com Yelm, WA 98597 Ages: 0-99

(360) 413-8413 Hospital Affiliations: W 8:00 AM-12:00 PM Multicare Capital Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

199

Washington - Thurston Specialists

Wong, Carrie C, MD, (F), B Harmon, Kirk T, MD, (M), B Carlson, Sheli M, OTR, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Providence System System Centralia Physical Therapy Provider ID: 002100232005 Provider ID: 000403797008 Provider ID: 007390981001 NPI: 1053367144 NPI: 1043262652 NPI: 1245589464 408 Lilly Rd Ne Ste B 345 Cooper Point Rd Nw Ste 104 4833 Tumwater Valley Dr Se #150 Olympia, WA 98506 Olympia, WA 98502 Tumwater, WA 98501

(253) 301-5280 EB, P, R (360) 763-7530 EB, P, R (360) 493-4160 EB, P, R Ages: 0-99 Web address: www.multicare.org/d Ages: 0-99 Hospital Affiliations: octors/kirk-harmon/ Hospital Affiliations: Good Samaritan Hospital Ages: 0-99 Providence St Peter Hospital Providence Centralia Hospital Van Gerpen, Royce F, MD, (M), B Occupational Medicine Areas of Expertise: THS

Group Name: Multicare Health Adams, Archie, MD, (M), B System Dorsey, Susan M, OTR, (F) Group Name: Multicare Health Provider ID: 000399893002 Group Name: Parent To Parent Systems NPI: 1639107022 St Provider ID: 003238727001 345 Cooper Point Rd Nw Ste 104 Provider ID: 007022476001 NPI: 1053567008 Olympia, WA 98502 NPI: 1407054372 345 Cooper Point Rd Nw Ste 104 (360) 763-7530 EB, P, R 2108 Caton Way Sw Olympia, WA 98502 Ages: 0-99 Olympia, WA 98502

(360) 763-7530 EB, P, R Hospital Affiliations: (360) 352-1126 EB, P, R Languages Spoken: Good Samaritan Hospital Web address: www.ssp2p.org Provider: Mandarin Tacoma General Allenmore Ages: 0-3 Ages: 0-99 Multicare Auburn Medical Center Gropper-Baum, Lynne, OTR, (F) Mary Bridge Child Hosp/hlth Cntr Alinea, Mario G, MD, (M), B Group Name: Parent To Parent

Group Name: Multicare Health Occupational Therapy St

Systems Provider ID: 003599284001 Provider ID: 002246012001 Altimari, Jennifer M, OTR, (F) NPI: 1992009914 NPI: 1093810459 Group Name: Olympia 2108 Caton Way Sw 345 Cooper Point Rd Nw Ste 104 Orthopaedic Associates Olympia, WA 98502 Olympia, WA 98502 Provider ID: 006888568001 (360) 352-1126 EB, P, R

(360) 763-7530 EB, P, R NPI: 1871076000 Languages Spoken: Ages: 0-99 3901 Capital Mall Dr Sw Ste D Staff: Spanish Hospital Affiliations: Olympia, WA 98502 Web address: www.ssp2p.org

Tacoma General Allenmore (360) 709-6221 EB, IB, P, R Ages: 0-99 Multicare Auburn Medical Center Web address: www.olyortho.com Good Samaritan Hospital Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr

200

Specialists Washington - Thurston

Hermiz, James T, OTR, (M) Mitby, Cynthia J, OTR, (F) Rogers, Kelley R, OTR, (F) Group Name: Olympia Group Name: Parent To Parent Group Name: Providence Orthopaedic Associates St Centralia Physical Therapy Provider ID: 007503644001 Provider ID: 007022459001 Provider ID: 005663606002 NPI: 1083033021 NPI: 1881938470 NPI: 1588931208 615 Lilly Rd Ne Ste 240 2108 Caton Way Sw 4833 Tumwater Valley Dr Se #150 Olympia, WA 98506 Olympia, WA 98502 Tumwater, WA 98501

(360) 413-3850 EB, P, R (360) 352-1126 EB, P, R (360) 493-4160 EB, P, R Ages: 0-99 Web address: www.ssp2p.org Web address: www.providence.org Ages: 0-3 Ages: 0-99 Mayer, Katherine, OTR, (F) Hospital Affiliations: Group Name: Parent To Parent Peterson, Rachelle M, OTR, (F) Providence St Peter Hospital St Group Name: Providence Providence Centralia Hospital Provider ID: 007005760001 Centralia Physical Therapy Areas of Expertise: THS NPI: 1821589961 Provider ID: 007474998001 2108 Caton Way Sw NPI: 1629554274 Schmitz, Theresa A, OTR, (F) Olympia, WA 98502 4833 Tumwater Valley Dr Se #150 Group Name: Schmitz

(360) 352-1126 EB, P, R Tumwater, WA 98501 Occupational Therapy Services

Web address: www.ssp2p.org (360) 493-4160 EB, P, R Provider ID: 003697977002 Ages: 0-3 Ages: 0-99 NPI: 1295754117 Hospital Affiliations: 677 Woodland Square Loop Se Mcconnell, Kristina, OTR, (F) Providence St Peter Hospital Lacey, WA 98503 Group Name: Olympia Providence Centralia Hospital (360) 539-8801 RE Orthopaedic Associates Areas of Expertise: THS Ages: 0-99 Provider ID: 007095492002 NPI: 1457647240 Reimer, Jennifer N, OTR, (F) Schwartz, Lisa A, OTR, (F) 3901 Capital Mall Dr Sw Ste D Group Name: Reimer Jennifer N Group Name: Providence Olympia, WA 98502 Provider ID: 005872190001 Centralia Physical Therapy

(360) 491-8439 EB, IB, P, R NPI: 1467688457 Provider ID: 007371837001 Ages: 0-99 3231 Willamette Dr Ne Ste A NPI: 1124373451 Lacey, WA 98516 4833 Tumwater Valley Dr Se # 150 Mckey, Brenda H, OTR, (F) (360) 789-2332 EB, P, R Olympia, WA 98501 Group Name: Providence Ages: 0-99 (360) 493-4160 EB, P, R Centralia Physical Therapy Web address: www.providence.org Provider ID: 007474971001 Ages: 0-99 NPI: 1538580956 Hospital Affiliations: 4833 Tumwater Valley Dr Se #150 Providence St Peter Hospital Tumwater, WA 98501 Providence Centralia Hospital (360) 493-4160 EB, P, R Areas of Expertise: THS Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

201

Washington - Thurston Specialists Web address: www.olyortho.com Singh, Arvanbir, OTR, (M) Vaughan, Lesley F, OTR, (F) Ages: 0-99 Group Name: Olympia Group Name: Inspire Physical Orthopaedic Associates Sisco, Kate E, OTR, (F) Therapy Wa Provider ID: 007492997001 Group Name: Olympia Provider ID: 003707853003 NPI: 1184237273 Orthopaedic Associates NPI: 1922105683 3901 Capital Mall Dr Sw Ste D Provider ID: 003292087001 4740 Avery Ln Se Olympia, WA 98502 NPI: 1336228261 Lacey, WA 98503

(360) 709-6221 EB, IB, P, R 615 Lilly Rd Ne Ste 120 (360) 491-1815 E, EB, G, P, R, Ages: 0-99 Olympia, WA 98506 RE, S, T

(360) 491-4211 EB, P, R M-F 7:30 AM-5:30 PM Sisco, Kate E, OTR, (F) Web address: www.olyortho.com Ages: 0-99 Group Name: Olympia Ages: 0-99 Orthopaedic Associates Velsher Hurd, Melissa, OTR, (F) Provider ID: 003292087001 Uhri, Billie E, OTR, (F) Group Name: Yelm Physical NPI: 1336228261 Group Name: Billie Uhri Otr L Therapy Services 3901 Capital Mall Dr Sw Ste A Provider ID: 000542983002 Provider ID: 006440246008 Olympia, WA 98502 NPI: 1184601387 NPI: 1194257246

(360) 786-8990 E, EB, IB, P, R, 4780 Capitol Blvd Se Unit 2 417 W Yelm Ave RE, S, T Tumwater, WA 98501 Yelm, WA 98597

Web address: www.olyortho.com (360) 943-2827 EB, P, R (360) 458-2444 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 R, RE, S, T Ages: 0-99 Sisco, Kate E, OTR, (F) Uhri, Billie E, OTR, (F) Group Name: Olympia Group Name: Billie Uhri Otr L Watson, Danielle L, OTR, (F) Orthopaedic Associates Provider ID: 000542983002 Group Name: Inspire Physical Provider ID: 003292087001 NPI: 1184601387 Therapy Wa NPI: 1336228261 7211 Bayview Dr Ne Provider ID: 006415256001 3901 Capital Mall Dr Sw Ste B Olympia, WA 98506 NPI: 1205377538

Olympia, WA 98502 (360) 943-2827 EB, P, R 4740 Avery Ln Se

(360) 786-8990 E, EB, IB, P, R, Ages: 0-99 Lacey, WA 98503

RE, S, T (360) 491-1815 E, EB, G, P, R, Vaughan, Lesley F, OTR, (F) Web address: www.olyortho.com RE, S, T Group Name: Inspire Physical Ages: 0-99 M,Tu,W,F 7:30 AM-5:30 PM Therapy Wa Th 7:30 AM-5:00 PM Sisco, Kate E, OTR, (F) Provider ID: 003707853005 Ages: 0-99 Group Name: Olympia NPI: 1922105683 Orthopaedic Associates 100 Dennis St Sw Ste A Wilder, Beth A, OTR, (F) Provider ID: 003292087001 Tumwater, WA 98501 Group Name: Beth Wilder Otr L

NPI: 1336228261 (360) 819-4335 E, EB, G, IB, P, Provider ID: 002415259001 3901 Capital Mall Dr Sw Ste D R, RE, S, T NPI: 1821070046 Olympia, WA 98502 Ages: 0-99 4780 Capitol Blvd Se Unit 2

(360) 709-6221 EB, IB, P, R Tumwater, WA 98501

M-Th 7:00 AM-6:00 PM (360) 790-2176 EB, P, R F,Sa 7:00 AM-5:00 PM Ages: 0-99

202

Specialists Washington - Thurston

Oncology Byrd, Daniel M, MD, (M), B De Yao, Jocelyn T, MD, (F), B

Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Blau, Sibel K, MD, (F), B Provider ID: 003088026003 Provider ID: 005457487004 Group Name: Northwest Medical NPI: 1821112293 NPI: 1366670416 Specialties 4525 3rd Ave Se Ste 200 4525 3rd Ave Se Ste 200 Provider ID: 001470640003 Lacey, WA 98503 Lacey, WA 98503 NPI: 1962490797 (360) 754-3934 E, EB, P, R, S, T (360) 754-3934 E, EB, P, R, S, T 3920 Capital Mall Dr Sw Ste 100 Olympia, WA 98502 Web address: www.providence.org Languages Spoken: Ages: 0-99 Provider: Tagalog (360) 754-5168 EB, P, R Languages Spoken: Hospital Affiliations: Web address: www.heartlandcancer Provider: Turkish Providence St Peter Hospital center.org Ages: 0-99 Providence Centralia Hospital Ages: 0-99 Hospital Affiliations: Areas of Expertise: MAT1, THS Hospital Affiliations: Providence St Peter Hospital St Francis Hospital De Yao, Jocelyn T, MD, (F), B Citizens Medical Center Multicare Auburn Medical Center Group Name: Pmg Sw Wa Co Of Logan New Frontiers Hlth Good Samaritan Hospital Provider ID: 005457487004 Svcs St Clare Hospital NPI: 1366670416 Providence Centralia Hospital St Joseph Medical Center 201 Tahoma Blvd Unit 204 St Catherine Hospital Yelm, WA 98597 Byrd, Daniel M, MD, (M), B Goodland Regional Medical (360) 754-3934 EB, P, R Group Name: Pmg Sw Wa Center Languages Spoken: Provider ID: 003088026005 Areas of Expertise: THS NPI: 1821112293 Provider: Tagalog 201 Tahoma Blvd Unit 204 Web address: www.heartlandcancer Kang, Min S, MD, (M), B Yelm, WA 98597 center.org Group Name: American Oncology Ages: 0-99 Partners (360) 754-3934 EB, P, R Ages: 0-99 Hospital Affiliations: Provider ID: 001858535003 Hospital Affiliations: Providence St Peter Hospital NPI: 1457358749 Providence St Peter Hospital Citizens Medical Center 420 Mcphee Rd Sw Providence Centralia Hospital Co Of Logan New Frontiers Hlth Olympia, WA 98502 Areas of Expertise: MAT1, THS Svcs (360) 352-9200 EB, P, R Providence Centralia Hospital Languages Spoken: St Catherine Hospital Provider: Korean, Chinese, Goodland Regional Medical Center Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

203

Washington - Thurston Specialists Mandarin, Spanish Ages: 0-99 Miller, Brady G, MD, (M), B Staff: Chinese, Korean, Spanish Hospital Affiliations: Group Name: Pmg Sw Wa Cultural Competency: Y Mason General Hospital Provider ID: 003130567008 Web address: www.vista-oncology. Providence St Peter Hospital NPI: 1902915945 com Gray's Harbor Community Hsp 201 Tahoma Blvd Unit 204 Ages: 0-99 Providence Centralia Hospital Yelm, WA 98597 Hospital Affiliations: Multicare Capital Medical Center (360) 754-3934 EB, P, R Mason General Hospital Web address: www.providence.org Osborn, Dustan C, MD, (M), B Providence St Peter Hospital Ages: 0-99 Group Name: Northwest Medical Gray's Harbor Community Hsp Hospital Affiliations: Specialties Providence Centralia Hospital Uc Davis Medical Center Provider ID: 000798622002 Multicare Capital Medical Center Providence St Peter Hospital NPI: 1528061132 Areas of Expertise: E112, E160 University Of Washington 3920 Capital Mall Dr Sw Ste 100 Martin, Ludmila K, MD, (F) Medical Ctr Olympia, WA 98502

Group Name: Northwest Medical Seattle Cancer Care Alliance (360) 754-5168 EB, P, R Specialties Areas of Expertise: THS Ages: 0-99 Provider ID: 003656553007 Hospital Affiliations: Miller, Brady G, MD, (M), B NPI: 1568653509 Mason General Hospital Group Name: Pmg Sw Wa 3920 Capital Mall Dr Sw Ste 100 Providence St Peter Hospital Provider ID: 003130567003 Olympia, WA 98502 Gray's Harbor Community Hsp NPI: 1902915945 (360) 754-5168 EB, P, R Providence Centralia Hospital 4525 3rd Ave Se Ste 200 Ages: 0-99 Multicare Capital Medical Center Lacey, WA 98503 Mccroskey, Robert D, MD, (M), B (360) 754-3934 E, EB, P, R, S, T Randhawa, Devinderpal S, MD, Group Name: Northwest Medical (M), B Specialties Web address: www.providence.org Group Name: Vista Oncology Inc Provider ID: 000937406001 Ages: 0-99 Provider ID: 002789404003 NPI: 1629064589 Hospital Affiliations: NPI: 1225072648 3920 Capital Mall Dr Sw Ste 100 Uc Davis Medical Center 141 Lilly Rd Ne Olympia, WA 98502 Providence St Peter Hospital Olympia, WA 98506

(360) 754-5168 EB, P, R University Of Washington (360) 413-8880 EB, P, R Languages Spoken: Medical Ctr M,Tu,Th,F 8:30 AM-5:00 PM Provider: Portuguese Seattle Cancer Care Alliance Ages: 0-99 Cultural Competency: Y Areas of Expertise: THS Hospital Affiliations:

Ages: 0-99 Osborn, Dustan C, MD, (M), B Mason General Hospital Hospital Affiliations: Group Name: Northwest Medical Dlp Maria Parham Medical Center Multicare Auburn Medical Center Specialties Halifax Regional Medical Center St Francis Community Hospital Provider ID: 000798622002 Good Samaritan Hospital NPI: 1528061132 St Clare Hospital 3920 Capital Mall Dr Sw #100 St Joseph Medical Center Olympia, WA 98502

(360) 754-5168 EB, P, R M-F 12:00 AM-11:59 PM

204

Specialists Washington - Thurston

Randhawa, Devinderpal S, MD, Robertson, Paul A, MD, (M), B Sui, Xingwei D, MD, (M), B (M), B Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa Group Name: Vista Oncology Inc Provider ID: 000873254001 Provider ID: 002576871001 Provider ID: 002789404003 NPI: 1639175938 NPI: 1568469534 NPI: 1225072648 4525 3rd Ave Se Ste 200 201 Tahoma Blvd Unit 204 420 Mcphee Rd Sw Ste A Lacey, WA 98503 Yelm, WA 98597

Olympia, WA 98502 (360) 754-3934 E, EB, P, R, S, T (360) 754-3934 EB, P, R

(360) 352-9200 Web address: www.providence.org Ages: 0-99 Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Mason General Hospital Hospital Affiliations: Providence St Peter Hospital Dlp Maria Parham Medical Center Mason General Hospital Providence Centralia Hospital Halifax Regional Medical Center Providence St Peter Hospital Multicare Capital Medical Center Gray's Harbor Community Hsp Areas of Expertise: THS Robertson, Paul A, MD, (M), B Providence Centralia Hospital Group Name: Pmg Sw Wa Multicare Capital Medical Center Sui, Xingwei D, MD, (M), B Provider ID: 000873254001 Areas of Expertise: THS Group Name: Pmg Sw Wa NPI: 1639175938 Provider ID: 002576871001 201 Tahoma Blvd Unit 204 Semien, Monique C, MD, (F), B NPI: 1568469534 Yelm, WA 98597 Group Name: Pmg Sw Wa 4525 3rd Ave Se Ste 200

(360) 754-3934 EB, P, R Provider ID: 006144008001 Lacey, WA 98503

Web address: www.providence.org NPI: 1013095660 (360) 754-3934 E, EB, P, R, S, T Ages: 0-99 4525 3rd Ave Se Ste 200 Hospital Affiliations: Lacey, WA 98503 Ages: 0-99 Mason General Hospital (360) 754-3934 E, EB, P, R, S, T Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Web address: www.providence.org Gray's Harbor Community Hsp Providence Centralia Hospital Ages: 0-99 Providence Centralia Hospital Multicare Capital Medical Center Hospital Affiliations: Multicare Capital Medical Center Areas of Expertise: THS Providence St Peter Hospital Areas of Expertise: THS Providence Centralia Hospital Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

205

Washington - Thurston Specialists

Veatch, Andrea, MD, (F) Wang, Hui, MD, (F), B Xuan, Linli, MD, (F), B Group Name: Northwest Medical Group Name: Pmg Sw Wa Group Name: Vista Oncology Inc Specialties Provider ID: 002920378001 Provider ID: 002436864002 Provider ID: 002121766001 NPI: 1962513580 NPI: 1609808831 NPI: 1952398158 4525 3rd Ave Se Ste 200 420 Mcphee Rd Sw 3920 Capital Mall Dr Sw Ste 100 Lacey, WA 98503 Olympia, WA 98502

Olympia, WA 98502 (360) 754-3934 E, EB, P, R, S, T (360) 352-9200 EB, P, R

(360) 754-5168 EB, P, R Languages Spoken: Ages: 0-99 Web address: www.providence.org Provider: Chinese, Korean Hospital Affiliations: Ages: 0-99 Staff: Chinese, Korean, Spanish, Harborview Medical Center Hospital Affiliations: Tagalog Multicare Auburn Medical Center Providence St Peter Hospital Cultural Competency: Y St Francis Community Hospital Providence Centralia Hospital Ages: 0-99 Good Samaritan Hospital Areas of Expertise: THS Hospital Affiliations:

St Clare Hospital Xuan, Linli, MD, (F), B Mason General Hospital St Joseph Medical Center Group Name: Vista Oncology Inc Providence St Peter Hospital University Of Washington Provider ID: 002436864002 Tacoma General Allenmore Medical Ctr NPI: 1609808831 Providence Centralia Hospital

141 Lilly Rd Ne Multicare Capital Medical Center Wang, Hui, MD, (F), B Group Name: Pmg Sw Wa Olympia, WA 98506 Ye, Joseph Z, MD, (M), B Provider ID: 002920378001 (360) 352-2900 EB, P, R Group Name: American Oncology NPI: 1962513580 Languages Spoken: Partners 201 Tahoma Blvd Unit 204 Provider: Chinese, Korean Provider ID: 002414365003 Yelm, WA 98597 Staff: Chinese, Korean, Spanish, NPI: 1700881422

(360) 754-3934 EB, P, R Tagalog 141 Lilly Rd Ne Web address: www.providence.org Cultural Competency: Y Olympia, WA 98506

Ages: 0-99 Ages: 0-99 (360) 413-8880 EB, P, R Hospital Affiliations: Hospital Affiliations: Languages Spoken: Providence St Peter Hospital Mason General Hospital Provider: Chinese Providence Centralia Hospital Providence St Peter Hospital Staff: Chinese, Korean, Spanish Areas of Expertise: THS Tacoma General Allenmore Ages: 0-99 Providence Centralia Hospital Hospital Affiliations: Multicare Capital Medical Center Mason General Hospital Providence St Peter Hospital Providence Centralia Hospital Multicare Capital Medical Center

206

Specialists Washington - Thurston

Ye, Joseph Z, MD, (M), B Ophthalmology Chern, Sandra, MD, (F)

Group Name: American Oncology Group Name: Sound Retina Partners Banda, Himanshu K, MD, (M), B Provider ID: 001247507003 Provider ID: 002414365003 Group Name: Sound Retina NPI: 1417957515 NPI: 1700881422 Provider ID: 006433890002 3620 Ensign Rd Ne Ste B 420 Mcphee Rd Sw NPI: 1205179496 Olympia, WA 98506 Olympia, WA 98502 3620 Ensign Rd Ne Ste B (360) 878-8906 EB, P, R (360) 352-9200 EB, P, R Olympia, WA 98506 Ages: 0-99

Languages Spoken: (360) 878-8906 EB, P, R Hospital Affiliations: Provider: Chinese Ages: 0-99 Lutheran Hospital Of Indiana Ages: 0-99 Hospital Affiliations: Parkview Hospital Hospital Affiliations: Tacoma General Allenmore St Joseph Hospital Mason General Hospital Carey, Brian J, MD, (M), B Chung, Paul Y, MD, (M), B Providence St Peter Hospital Group Name: Pacific Cataract & Group Name: Pacific Cataract & Providence Centralia Hospital Laser Institute Laser Institute Multicare Capital Medical Center Provider ID: 001099858001 Provider ID: 001376943002 Ye, Joseph Z, MD, (M), B NPI: 1942377502 NPI: 1306953617 Group Name: American Oncology 115 New View Ct Ne 115 New View Ct Ne Partners Olympia, WA 98506 Olympia, WA 98506

Provider ID: 002414365003 (360) 252-1642 E, EB, IB, P, R, (360) 252-1642 E, EB, IB, P, R, NPI: 1700881422 S, T S, T 420 Mcphee Rd Sw Ste A Languages Spoken: Ages: 0-99 Olympia, WA 98502 Provider: German Hospital Affiliations: (360) 352-9200 E, EB, IB, P, R, T Ages: 0-99 Providence Centralia Hospital Hospital Affiliations: Portneuf Medical Center Languages Spoken: Swedish Health Services St Lukes Regional Medical Center Provider: Chinese St Lukes Wood Rvr Med Ctr Cochrane, Rochelle D, MD, (F) Ages: 0-99 St Lukes Regional Medical Center Hospital Affiliations: Group Name: Pacific Cataract & Mason General Hospital Castillo, Noel M, MD, (M) Laser Institute Providence St Peter Hospital Group Name: Olympia Eye Clinic Provider ID: 002938392002 Providence Centralia Hospital Provider ID: 007123436001 NPI: 1063606374 Multicare Capital Medical Center NPI: 1316404999 115 New View Ct Ne 215 Lilly Rd Ne Olympia, WA 98506 Olympia, WA 98506 (800) 888-9960 E, EB, IB, P, R,

(360) 972-3533 EB, P, R S, T Web address: www.nvisioncenters.c Ages: 0-99 om Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

207

Washington - Thurston Specialists

Edgington, Bryan D, MD, (M), B Ford, Robert O, MD, (M), B Geissler, Francis T, MD, (M), B Group Name: Pacific Cataract & Group Name: Pacific Cataract & Group Name: Eye Mds Of Puget Laser Institute Laser Institute Sound Provider ID: 002554740002 Provider ID: 001777878001 Provider ID: 001928795003 NPI: 1699748020 NPI: 1295842524 NPI: 1386683837 115 New View Ct Ne 115 New View Ct Ne 2401 Bristol Ct Sw Ste B101 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98502

(360) 252-1642 E, EB, IB, P, R, (360) 252-1642 E, EB, IB, P, R, (360) 753-2955 E, EB, P, R, RE, S, T S, T S, T Ages: 0-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Provider: German Staff: Spanish Oregon Health Science University Ages: 0-99 Web address: www.eyemdspugetso George Washington Univ Hosp Hospital Affiliations: und.com St Lukes Regional Medical Center Providence Centralia Hospital Ages: 0-99 Oregon Health & Science St Lukes Regional Medical Center Hospital Affiliations: University Providence St Peter Hospital Gano, David L, MD, (M), B St Joseph Medical Center Ford, Robert M, MD, (M), B Group Name: Pacific Cataract & Group Name: Pacific Cataract & Laser Institute Giebel, Arthur W, MD, (M), B Laser Institute Provider ID: 002836648001 Group Name: Pacific Cataract & Provider ID: 003363352001 NPI: 1891862769 Laser Institute NPI: 1598959108 115 New View Ct Ne Provider ID: 001435269002 115 New View Ct Ne Olympia, WA 98506 NPI: 1083665954

Olympia, WA 98506 (360) 252-1642 E, EB, IB, P, R, 115 New View Ct Ne

(360) 252-1642 E, EB, IB, P, R, S, T Olympia, WA 98506

S, T Languages Spoken: (360) 252-1642 E, EB, IB, P, R, Languages Spoken: Provider: Spanish, German S, T Provider: German Ages: 0-99 Ages: 0-99 Web address: https://www.pcli.com/ Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Alaska Regional Hospital St Anthony Hospital Hospital Affiliations: Providence Centralia Hospital Wallowa Memorial Hospital Univ Of Rochester/strong Saint Anthony Hospital Memorial Hosp Walla Walla General Hospital Strong Memorial Hospital Providence St Mary Medical St Lukes Meridian Med Ctr Center Providence Centralia Hospital Good Shepherd Medical Center Providence Centralia Hospital

208

Specialists Washington - Thurston

Gurdian, Silvio J, MD, (M), B Leng, Jason W, MD, (M) Samples, John R, MD, (M), B Group Name: Eye Mds Of Puget Group Name: Pacific Cataract & Group Name: Olympia Eye Clinic Sound Laser Institute Provider ID: 000014972001 Provider ID: 002074949003 Provider ID: 003280831001 NPI: 1598717860 NPI: 1164497558 NPI: 1730396326 724 Columbia St Nw Ste 100 2401 Bristol Ct Sw Ste B101 115 New View Ct Ne Olympia, WA 98501

Olympia, WA 98502 Olympia, WA 98506 (360) 456-4800 EB, P, R

(360) 753-2955 E, EB, P, R, RE, (360) 252-1642 E, EB, IB, P, R, Languages Spoken: S, T S, T Staff: Spanish M-Th 8:00 AM-5:00 PM Languages Spoken: M,Tu,Th,F 8:00 AM-5:00 PM F 8:00 AM-3:00 PM Provider: German W 7:00 AM-5:00 PM Ages: 0-99 Ages: 0-99 Web address: www.olyeye.com Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Providence St Vincent Med Ctr Providence Centralia Hospital Hospital Affiliations: Peacehealth Sw Med Ctr Legacy Good Samaritan And Samples, John R, MD, (M), B Legacy Salmon Creek Hospital Medical Ctr Group Name: Olympia Eye Clinic Providence St Vincent Med Ctr Guzek, James P, MD, (M), B Provider ID: 000014972001 Tuality Healthcare Group Name: Pacific Cataract & NPI: 1598717860 Porter Hospital Laser Institute 215 Lilly Rd Ne Oregon Health Science University Provider ID: 002168944002 Olympia, WA 98506 NPI: 1104878859 (360) 456-4800 EB, P, R Seery, Loren S, MD, (M), B 115 New View Ct Ne Languages Spoken: Group Name: Pacific Cataract & Olympia, WA 98506 Staff: Spanish Laser Institute

(360) 252-1642 E, EB, IB, P, R, M,W 8:00 AM-7:00 PM Provider ID: 003193902001 S, T Tu,Th,F 8:00 AM-5:00 PM NPI: 1407069123 Web address: http://www.pcli.com/ Web address: www.olyeye.com 115 New View Ct Ne Ages: 0-99 Ages: 0-99 Olympia, WA 98506

Hospital Affiliations: Hospital Affiliations: (360) 252-1642 E, EB, IB, P, R, St Lukes Jerome Legacy Good Samaritan And S, T Central Washington Hospital Medical Ctr Languages Spoken: Providence Centralia Hospital Providence St Vincent Med Ctr Provider: German Tuality Healthcare Ages: 0-99 Porter Hospital Hospital Affiliations: Oregon Health Science University St Lukes Wood Rvr Med Ctr Providence Centralia Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

209

Washington - Thurston Specialists

Skale, David M, MD, (M), B Birchard, Keith R, MD, (M), B Carpenter, Clyde T, MD, (M), B Group Name: Retina & Macula Group Name: Washington Group Name: Olympia Specialists Orthopaedic Cr Orthopaedic Associates Provider ID: 003622761001 Provider ID: 002421503001 Provider ID: 001770671002 NPI: 1568636462 NPI: 1164534350 NPI: 1205906294 3620 Ensign Rd Ne Ste B 704 Lilly Rd Se 3901 Capital Mall Dr Sw Ste A Olympia, WA 98506 Olympia, WA 98501 Olympia, WA 98502

(360) 923-2200 EB, P, R (360) 736-2889 EB, P, R (360) 786-8990 E, EB, IB, P, R, Web address: http://www.retina-ma Ages: 0-99 RE, S, T cula.com/ Hospital Affiliations: Web address: www.olyortho.com Ages: 0-99 Providence Centralia Hospital Ages: 0-99 Hospital Affiliations: Willapa Harbor Hospital Hospital Affiliations: Central Washington Hospital Providence St Peter Hospital Byrd, Gregory D, MD, (M), B Loma Linda University Med Ctr Multicare Capital Medical Center Group Name: Olympia Truxal, Anthony R, MD, (M), B Orthopaedic Associates Carpenter, Clyde T, MD, (M), B Group Name: Sound Retina Provider ID: 003356598001 Group Name: Olympia Provider ID: 002100380002 NPI: 1992959746 Orthopaedic Associates NPI: 1508817594 3901 Capital Mall Dr Sw Provider ID: 001770671002 3620 Ensign Rd Ne Ste B Olympia, WA 98502 NPI: 1205906294

Olympia, WA 98506 (360) 491-8439 E, EB, P, R, RE, 3901 Capital Mall Dr Sw Ste D

(360) 878-8906 EB, P, R S, T Olympia, WA 98502

Ages: 0-99 Web address: www.olyortho.com (360) 786-8990 EB, IB, P, R Hospital Affiliations: Ages: 0-99 Web address: www.olyortho.com Providence St Peter Hospital Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Providence St Peter Hospital Hospital Affiliations: Multicare Capital Medical Center Providence St Peter Hospital Orthopaedic Surgery Multicare Capital Medical Center

Byrd, Gregory D, MD, (M), B Bender, Chad, MD, (M), B Group Name: Olympia Eggers, Christopher D, PT, (M) Group Name: Washington Orthopaedic Associates Group Name: Providence Orthopaedic Cr Provider ID: 003356598001 Centralia Physical Therapy Provider ID: 006927644001 NPI: 1992959746 Provider ID: 002394387001 NPI: 1003891276 3901 Capital Mall Dr Sw Ste B NPI: 1811092349 704 Lilly Rd Se Olympia, WA 98502 4833 Tumwater Valley Dr Se # 150 Olympia, WA 98501 (360) 528-8571 E, EB, IB, P, R, Olympia, WA 98501

(360) 736-2889 EB, P, R RE, S, T (360) 493-4160 EB, P, R Ages: 0-99 M-F 7:00 AM-5:00 PM Web address: www.providence.org Web address: www.olyortho.com Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Providence Centralia Hospital Multicare Capital Medical Center

210

Specialists Washington - Thurston

Frost, Nathan L, MD, (M), B Graver, Adam J, MD, (M), B Lamour, Richard J, MD, (M) Group Name: Multicare Health Group Name: Olympia Group Name: Olympia Systems Orthopaedic Associates Orthopaedic Associates Provider ID: 003458049001 Provider ID: 006160295003 Provider ID: 003640406001 NPI: 1306904552 NPI: 1831480748 NPI: 1164695813 3504 12th Ave Ne 615 Lilly Rd Ne Ste 100 615 Lilly Rd Ne Ste 100 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(253) 403-1507 EB, P, R (360) 491-4211 EB, P, R, RE, T (360) 709-6230 EB, P, R, RE, T Cultural Competency: Y Ages: 0-99 Ages: 0-99 Web address: www.olyortho.com Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Seattle Children's Hospital Providence St Peter Hospital Hospital Affiliations: Norwood Hospital Baptist Hospital Graver, Adam J, MD, (M), B Tufts Medical Ctr St Rose Dominican Hosp Delima Group Name: Olympia Campus Graver, Adam J, MD, (M), B Orthopaedic Associates Sunrise Hospital & Med Ctr Group Name: Olympia Provider ID: 006160295003 Gulf Breeze Hospital Orthopaedic Associates NPI: 1831480748 Community Regional Medical Provider ID: 006160295003 3901 Capital Mall Dr Sw Ste A Center Olympia, WA 98502 NPI: 1831480748 8140 Freedom Ln Ne Lamour, Richard J, MD, (M) (360) 786-8990 E, EB, IB, P, R, RE, S, T Lacey, WA 98516 Group Name: Olympia Ages: 0-99 (360) 754-7622 EB, P, R Orthopaedic Associates Hospital Affiliations: Ages: 0-99 Provider ID: 003640406001 Providence St Peter Hospital Hospital Affiliations: NPI: 1164695813 Norwood Hospital Providence St Peter Hospital 615 Lilly Rd Ne Ste 120 Tufts Medical Ctr Norwood Hospital Olympia, WA 98506 Tufts Medical Ctr (360) 491-4211 EB, P, R Graver, Adam J, MD, (M), B Ages: 0-99 Kang, Daniel G, MD, (M), B Group Name: Olympia Hospital Affiliations: Group Name: Olympia Orthopaedic Associates Baptist Hospital Orthopaedic Associates Provider ID: 006160295003 St Rose Dominican Hosp Delima Provider ID: 004936314002 NPI: 1831480748 Campus NPI: 1659532364 3901 Capital Mall Dr Sw Ste B Sunrise Hospital & Med Ctr 3901 Capital Mall Dr Sw Ste A Olympia, WA 98502 Gulf Breeze Hospital Olympia, WA 98502 (360) 528-8571 E, EB, IB, P, R, Community Regional Medical (360) 709-6230 E, EB, IB, P, R, RE, S, T Center Ages: 0-99 RE, S, T Hospital Affiliations: Web address: www.olyortho.com Providence St Peter Hospital Ages: 0-99 Norwood Hospital Hospital Affiliations: Tufts Medical Ctr Campbell County Hospital District

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

211

Washington - Thurston Specialists

Masini, Brendan D, MD, (M), B Whitesell, Rebecca C, MD, (F) Will, Ryan E, MD, (M), B Group Name: Olympia Group Name: Multicare Health Group Name: Olympia Orthopaedic Associates Systems Orthopaedic Associates Provider ID: 006236970003 Provider ID: 005303882001 Provider ID: 002932726002 NPI: 1962607200 NPI: 1265690119 NPI: 1972792844 615 Lilly Rd Ne Ste 100 3504 12th Ave Ne 615 Lilly Rd Ne Ste 120 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(360) 491-4211 (253) 403-1507 EB, P, R (360) 491-4211 EB, P, R Ages: 0-99 Ages: 0-99 Web address: www.olyortho.com Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Heart Of The Rockies Regional Tacoma General Allenmore Hospital Affiliations: Med Ctr Multicare Auburn Medical Center Regions Hospital Good Samaritan Hospital Providence St Peter Hospital Nestor, Bryan J, MD, (M), B Mary Bridge Child Hosp/hlth Cntr Multicare Capital Medical Center Group Name: Washington M Health Fairview Univ Of Mn Orthopaedic Cr Will, Ryan E, MD, (M), B Med Ctr Provider ID: 001319114001 Group Name: Olympia University Of Minnesota Medical NPI: 1487761102 Orthopaedic Associates Center F 704 Lilly Rd Se Provider ID: 002932726002

Olympia, WA 98501 NPI: 1972792844 Otolaryngology

(360) 736-2889 EB, P, R 615 Lilly Rd Ne Ste 100 Ages: 0-99 Olympia, WA 98506 Jensen, Ray E, MD, (M), B Hospital Affiliations: (360) 491-4211 EB, P, R, RE, T Group Name: Ear Nose And United Hospital Throat Associates Southwest Hospital For Special Surgery Web address: www.olyortho.com Provider ID: 001067450003 Nyp-weill Cornell Ages: 0-99 NPI: 1972612695 M Health Fairview St. John's Hospital Affiliations: 128 Lilly Rd Ne # 202 Hospital Regions Hospital Olympia, WA 98506 Providence St Peter Hospital M Health Fairview St John's (360) 357-6314 EB, P, R Hospital Multicare Capital Medical Center Languages Spoken: M Health Fairview Bethesda M Health Fairview Univ Of Mn Staff: Spanish, Vietnamese Hospital Med Ctr Ages: 0-99 M Health Fairview St Josephs University Of Minnesota Medical Hospital Affiliations: Hospital Center F Providence St Peter Hospital Healtheast St Josephs Hospital

212

Specialists Washington - Thurston

Jung, Matthew, MD, (M), B Kim, Sung-Won, MD, (M), B Sautter, Nathan, MD, (M), B Group Name: Ear Nose And Group Name: Ear Nose And Group Name: Ear Nose And Throat Associates Southwest Throat Associates Southwest Throat Associates Southwest Provider ID: 006063907002 Provider ID: 003547329003 Provider ID: 002806063003 NPI: 1376839944 NPI: 1558577627 NPI: 1457472961 128 Lilly Rd Ne Ste 202 128 Lilly Rd Ne # 202 128 Lilly Rd Ne Ste 202 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(360) 357-6314 EB, P, R (360) 357-6314 EB, P, R (360) 357-6314 EB, P, R Ages: 0-99 Web address: www.entsw.com Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Hospital Affiliations: Providence St Peter Hospital Southern Ocean Medical Center Providence St Peter Hospital Oregon Health Science University Bayshore Community Hospital Multicare Capital Medical Center Bayshore Medical Center Pain Management Kim, Sung-Won, MD, (M), B Jersey Shore Univ Med Ctr Group Name: Ear Nose And Abbott, Zachary I, DO, (M), B Jung, Matthew, MD, (M), B Throat Associates Southwest Group Name: Olympia Group Name: Ear Nose And Provider ID: 003547329003 Orthopaedic Associates Throat Associates Southwest NPI: 1558577627 Provider ID: 003040452001 Provider ID: 006063907003 128 Lilly Rd Ne Ste 202 NPI: 1154445203 NPI: 1376839944 Olympia, WA 98506 3901 Capital Mall Dr Sw Ste A 128 Lilly Rd Ne Ste 205 (360) 357-6314 EB, P, R Olympia, WA 98502

Olympia, WA 98506 Ages: 0-99 (360) 786-8990 E, EB, IB, P, R, (360) 357-6314 Hospital Affiliations: RE, S, T Ages: 0-99 Providence St Peter Hospital Languages Spoken: Hospital Affiliations: Multicare Capital Medical Center Provider: Portuguese, Spanish Providence St Peter Hospital Web address: www.olyortho.com Sautter, Nathan, MD, (M), B Southern Ocean Medical Center Ages: 0-99 Group Name: Ear Nose And Bayshore Community Hospital Hospital Affiliations: Throat Associates Southwest Bayshore Medical Center Providence St Peter Hospital Provider ID: 002806063001 Jersey Shore Univ Med Ctr Multicare Capital Medical Center NPI: 1457472961 128 Lilly Rd Ne # 202 Olympia, WA 98506

(360) 357-6314 EB, P, R Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Oregon Health Science University

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

213

Washington - Thurston Specialists

Abbott, Zachary I, DO, (M), B Burkey, Adam R, MD, (M) Larson, Lawrence A, DO, (M), B Group Name: Olympia Group Name: Pain Care Group Name: Multicare Health Orthopaedic Associates Physicians System Provider ID: 003040452001 Provider ID: 002371077005 Provider ID: 000194815002 NPI: 1154445203 NPI: 1093759995 NPI: 1306932488 3901 Capital Mall Dr Sw Ste B 155 Lilly Rd Ne Ste B 3434 12th Ave Ne Olympia, WA 98502 Olympia, WA 98506 Olympia, WA 98506

(360) 786-8990 E, EB, IB, P, R, (206) 538-6300 E, EB, G, IB, P, (253) 383-5777 EB, P, R RE, S, T PL, R, RE, S, T Cultural Competency: Y Languages Spoken: Ages: 0-99 Web address: http://www.pedsnw.n Provider: Portuguese, Spanish Hospital Affiliations: et/ Web address: www.olyortho.com Valley Medical Center Ages: 0-99 Ages: 0-99 Northwest Hospital & Med Cntr Hospital Affiliations: Hospital Affiliations: Hospital Of University Of Pa Tacoma General Allenmore Providence St Peter Hospital Penn Presbyterian Medical Center Multicare Auburn Medical Center Multicare Capital Medical Center Presbyterian Medical Center St Francis Community Hospital Phoenixville Hospital Good Samaritan Hospital Burkey, Adam R, MD, (M) St Clare Hospital Group Name: Pain Care Pediatric Allergy Immunology Mary Bridge Child Hosp/hlth Cntr Physicians Multicare Covington Medical Provider ID: 002371077005 Jacobs, Jeffrey M, MD, (M), B Center NPI: 1093759995 Group Name: Multicare Health

155 Lilly Rd Ne Ste A System Pediatric Cardiology

Olympia, WA 98506 Provider ID: 000933339002 (206) 538-6300 E, EB, P, R, RE, NPI: 1912081746 Dsouza, Rakesh R, MD, (M), B S, T 3434 12th Ave Ne Group Name: Pediatrix Web address: www.anesispain.com Olympia, WA 98506 Cardiology Of Wash

Ages: 0-99 (253) 383-5777 EB, P, R Provider ID: 006541498026 Hospital Affiliations: Web address: http://www.pedsnw.n NPI: 1912210899 Valley Medical Center et/ 3900 Capital Mall Dr Sw Northwest Hospital & Med Cntr Ages: 0-99 Olympia, WA 98502

Hospital Of University Of Pa Hospital Affiliations: (360) 754-5858 EB, P, R Penn Presbyterian Medical Center Tacoma General Allenmore Ages: 0-99 Presbyterian Medical Center Multicare Auburn Medical Center Hospital Affiliations: Phoenixville Hospital Good Samaritan Hospital Valley Medical Center Mary Bridge Child Hosp/hlth Cntr Swedish Health Services St Francis Hospital St Joseph Medical Center Overlake Hospital Medical Center Providence St Peter Hospital Harrison Medical Center St Michael Medical Center

214

Specialists Washington - Thurston

Dsouza, Rakesh R, MD, (M), B Krabill, Kimberly A, MD, (F), B Krabill, Kimberly A, MD, (F), B Group Name: Pediatrix Group Name: Pediatrix Group Name: Pediatrix Cardiology Of Wash Cardiology Of Wash Cardiology Of Wash Provider ID: 006541498027 Provider ID: 000829761024 Provider ID: 000829761030 NPI: 1912210899 NPI: 1508937509 NPI: 1508937509 413 Lilly Rd Ne 3900 Capital Mall Dr Sw 615 Lilly Rd Ne Ste 175 Olympia, WA 98506 Olympia, WA 98502 Olympia, WA 98506

(360) 491-9480 EB, P, R (360) 754-5858 EB, P, R (253) 396-4868 EB, P, R Ages: 0-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Provider: Tagalog Provider: Tagalog Valley Medical Center Ages: 0-99 Web address: http://www.nwchc.co Swedish Health Services Hospital Affiliations: m/ St Francis Hospital Valley Medical Center Ages: 0-99 St Joseph Medical Center Swedish Health Services Hospital Affiliations: Overlake Hospital Medical Center St Francis Hospital Valley Medical Center Providence St Peter Hospital Overlake Hospital Medical Center Swedish Health Services Harrison Medical Center Providence St Peter Hospital St Francis Hospital St Michael Medical Center Harrison Medical Center Overlake Hospital Medical Center St Michael Medical Center Providence St Peter Hospital Dsouza, Rakesh R, MD, (M), B Tacoma General Allenmore Harrison Medical Center Group Name: Pediatrix St Michael Medical Center Cardiology Of Wash Krabill, Kimberly A, MD, (F), B Tacoma General Allenmore Provider ID: 006541498007 Group Name: Pediatrix NPI: 1912210899 Cardiology Of Wash Law, Yuk M, MD, (M), B 615 Lilly Rd Ne Ste 175 Provider ID: 000829761025 Group Name: Childrens Olympia, WA 98506 NPI: 1508937509 University Medical Group

(253) 396-4868 EB, P, R 413 Lilly Rd Ne Provider ID: 001453568003 Ages: 0-99 Olympia, WA 98506 NPI: 1104869395

Hospital Affiliations: (360) 491-9480 EB, P, R 615 Lilly Rd Ne Ste 140 Valley Medical Center Languages Spoken: Olympia, WA 98506

Swedish Health Services Provider: Tagalog (360) 459-5009 EB, P, R St Francis Hospital Ages: 0-99 Languages Spoken: St Joseph Medical Center Hospital Affiliations: Provider: Mandarin Overlake Hospital Medical Center Valley Medical Center Web address: www.seattlechildrens. Providence St Peter Hospital Swedish Health Services org Harrison Medical Center St Francis Hospital Ages: 0-99 St Michael Medical Center Overlake Hospital Medical Center Hospital Affiliations: Providence St Peter Hospital Seattle Children's Hospital Harrison Medical Center Childrens Hospital Of Pittsburgh St Michael Medical Center Areas of Expertise: THS Tacoma General Allenmore

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

215

Washington - Thurston Specialists

Mccloskey, John P, MD, (M), B Mccloskey, John P, MD, (M), B Park, Matthew V, MD, (M), B Group Name: Pediatrix Group Name: Pediatrix Group Name: Pediatrix Cardiology Of Wash Cardiology Of Wash Cardiology Of Wash Provider ID: 001444434022 Provider ID: 001444434029 Provider ID: 002546988001 NPI: 1245285501 NPI: 1245285501 NPI: 1699875716 3900 Capital Mall Dr Sw 615 Lilly Rd Ne 3900 Capital Mall Dr Sw Olympia, WA 98502 Olympia, WA 98506 Olympia, WA 98502

(360) 754-5858 EB, P, R (972) 437-5099 EB, P, R (360) 754-5858 EB, P, R Ages: 0-99 Ages: 0-99 Languages Spoken: Hospital Affiliations: Hospital Affiliations: Provider: Spanish Valley Medical Center Valley Medical Center Web address: http://www.nwchc.co Swedish Health Services Swedish Health Services m/ St Francis Hospital St Francis Hospital Ages: 0-99 Overlake Hospital Medical Center Overlake Hospital Medical Center Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Valley Medical Center Harrison Medical Center Harrison Medical Center Swedish Health Services St Michael Medical Center St Michael Medical Center St Francis Hospital Seattle Children's Hospital Seattle Children's Hospital St Joseph Medical Center Overlake Hospital Medical Center Mccloskey, John P, MD, (M), B Mccloskey, John P, MD, (M), B Providence St Peter Hospital Group Name: Pediatrix Group Name: Pediatrix Harrison Medical Center Cardiology Of Wash Cardiology Of Wash St Michael Medical Center Provider ID: 001444434023 Provider ID: 001444434028 NPI: 1245285501 NPI: 1245285501 413 Lilly Rd Ne 615 Lilly Rd Ne Ste 175 Olympia, WA 98506 Olympia, WA 98506

(360) 491-9480 EB, P, R (253) 396-4868 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Valley Medical Center Valley Medical Center Swedish Health Services Swedish Health Services St Francis Hospital St Francis Hospital Overlake Hospital Medical Center Overlake Hospital Medical Center Providence St Peter Hospital Providence St Peter Hospital Harrison Medical Center Harrison Medical Center St Michael Medical Center St Michael Medical Center Seattle Children's Hospital Seattle Children's Hospital

216

Specialists Washington - Thurston

Park, Matthew V, MD, (M), B Park, Matthew V, MD, (M), B Sandeep, Nefthi, MD, (M), B Group Name: Pediatrix Group Name: Pediatrix Group Name: Pediatrix Cardiology Of Wash Cardiology Of Wash Cardiology Of Wash Provider ID: 002546988001 Provider ID: 002546988001 Provider ID: 006113838001 NPI: 1699875716 NPI: 1699875716 NPI: 1922269661 413 Lilly Rd Ne 615 Lilly Rd Ne Ste 175 413 Lilly Rd Ne Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(360) 491-9480 EB, P, R (253) 396-4868 EB, P, R (360) 491-9480 EB, P, R Languages Spoken: Languages Spoken: Ages: 0-20 Provider: Spanish Provider: Spanish Hospital Affiliations: Web address: http://www.nwchc.co Web address: http://www.nwchc.co Valley Medical Center m/ m/ Swedish Health Services Ages: 0-99 Ages: 0-99 Overlake Hospital Medical Center Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Valley Medical Center Valley Medical Center Harrison Medical Center Swedish Health Services Swedish Health Services St Michael Medical Center St Francis Hospital St Francis Hospital Tacoma General Allenmore St Joseph Medical Center St Joseph Medical Center Peacehealth St Joseph Medical Overlake Hospital Medical Center Overlake Hospital Medical Center Center Providence St Peter Hospital Providence St Peter Hospital Sandeep, Nefthi, MD, (M), B Harrison Medical Center Harrison Medical Center Group Name: Pediatrix St Michael Medical Center St Michael Medical Center Cardiology Of Wash Sandeep, Nefthi, MD, (M), B Provider ID: 006113838001 Group Name: Pediatrix NPI: 1922269661 Cardiology Of Wash 615 Lilly Rd Ne Ste 175 Provider ID: 006113838001 Olympia, WA 98506

NPI: 1922269661 (253) 396-4868 EB, P, R 3900 Capital Mall Dr Sw Ages: 0-20 Olympia, WA 98502 Hospital Affiliations:

(360) 754-5858 EB, P, R Valley Medical Center Ages: 0-99 Swedish Health Services Hospital Affiliations: Overlake Hospital Medical Center Valley Medical Center Providence St Peter Hospital Swedish Health Services Harrison Medical Center Overlake Hospital Medical Center St Michael Medical Center Providence St Peter Hospital Tacoma General Allenmore Harrison Medical Center Peacehealth St Joseph Medical St Michael Medical Center Center Tacoma General Allenmore Peacehealth St Joseph Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

217

Washington - Thurston Specialists

Pediatric Endocrinology Sunil, Bhuvana, MD, (F), B Pediatric Gastroenterology

Group Name: Multicare Health Frazier, Britney G, MD, (F), B System Gramling, Joseph D, MD, (M), B Group Name: Multicare Health Provider ID: 006504642002 Group Name: Multicare Health System NPI: 1457756926 System Provider ID: 003784791001 3504 12th Ave Ne Provider ID: 006322556003 NPI: 1265402564 Olympia, WA 98506 NPI: 1174595862 3504 12th Ave Ne (253) 792-6630 EB, P, R 3504 12th Ave Ne Olympia, WA 98506 Languages Spoken: Olympia, WA 98506

(253) 792-6630 EB, P, R Provider: Hindi, Kannada (253) 792-6630 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Tacoma General Allenmore Tacoma General Allenmore Tacoma General Allenmore Multicare Auburn Medical Center Childrens Hosp Of Alabama Mary Bridge Child Hosp/hlth Cntr Good Samaritan Hospital The Children's Hospital Of Gupta, Rohit, MD, (M), B Mary Bridge Child Hosp/hlth Cntr Alabama Group Name: Multicare Health Mary Bridge Child Hosp/hlth Cntr Kletter, Gad B, MD, (M), B Systems Areas of Expertise: THS Group Name: Multicare Health Provider ID: 003210953001 System Thompson, Barbara R, MD, (F), NPI: 1821225863 Provider ID: 001327352002 B 3504 12th Ave Ne NPI: 1730278086 Group Name: Multicare Health Olympia, WA 98506

3504 12th Ave Ne System (253) 792-6630 EB, P, R Olympia, WA 98506 Provider ID: 002815484001 Cultural Competency: Y

(253) 792-6630 EB, P, R NPI: 1801090436 Ages: 0-99 Ages: 0-99 3504 12th Ave Ne Hospital Affiliations: Hospital Affiliations: Olympia, WA 98506 Good Samaritan Hospital Seattle Children's Hospital (253) 792-6630 EB, P, R Tacoma General Allenmore Tacoma General Allenmore Cultural Competency: Y Multicare Auburn Medical Center Swedish Medical Center Ballard Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Swedish Medical Center Hospital Affiliations: Tacoma General Allenmore Mary Bridge Child Hosp/hlth Cntr

218

Specialists Washington - Thurston

Len, Mary K, MD, (F), B Pediatric Genetics Chan, Kayee Clara, MD, (F)

Group Name: Childrens Group Name: Multicare Health University Medical Group Yuen, Amy L, MD, (F) System Provider ID: 001068179006 Group Name: Multicare Health Provider ID: 007151530001 NPI: 1538240882 Systems NPI: 1134531551 615 Lilly Rd Ne Ste 140 Provider ID: 002561863005 3504 12th Ave Ne Olympia, WA 98506 NPI: 1164412813 Olympia, WA 98506 (360) 459-5009 EB, P, R 3504 12th Ave Ne (253) 792-6630 EB, P, R Languages Spoken: Olympia, WA 98506 Languages Spoken:

Provider: Spanish (253) 403-3476 EB, P, R Provider: Cantonese, Chinese Web address: www.seattlechildrens. Languages Spoken: Ages: 0-99 org Provider: Tagalog Hospital Affiliations: Ages: 0-99 Ages: 0-99 Tacoma General Allenmore Hospital Affiliations: Hospital Affiliations: Multicare Auburn Medical Center Seattle Children's Hospital Tacoma General Allenmore Good Samaritan Hospital Childrens Hospital Orange Cty Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr Childrens Hospital At Mission Mary Bridge Child Hosp/hlth Cntr Dorsch, Andrea M, PHD, (F) Areas of Expertise: THS Pediatric Neurology Group Name: Multicare Health

Sampert, Catherine M, DO, (F), B System Group Name: Multicare Health Al-Mateen, Majeed, MD, (M), B Provider ID: 001725156001 System Group Name: Multicare Health NPI: 1548362379 Provider ID: 007123302001 System 3504 12th Ave Ne NPI: 1902071483 Provider ID: 000435166001 Olympia, WA 98506 3504 12th Ave Ne NPI: 1134144157 (253) 403-4437 EB, P, R Olympia, WA 98506 3504 12th Ave Ne Languages Spoken: (253) 792-6630 EB, P, R Olympia, WA 98506 Provider: German

Cultural Competency: Y (253) 792-6630 EB, P, R Ages: 0-99 Ages: 0-99 Web address: www.seattlechildrens. Hospital Affiliations: Hospital Affiliations: org Seattle Children's Hospital Primary Children's Hospital Ages: 0-99 University Of Washington Hospital Affiliations: Medical Ctr Seattle Children's Hospital Areas of Expertise: E020, E070, Tacoma General Allenmore E112, E165 Multicare Auburn Medical Center Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr St Joseph Medical Center Multicare Covington Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

219

Washington - Thurston Specialists

Hrivnak, Jacqueline A, MD, (F), Makari, George S, MD, (M), B Phillips, Steven A, MD, (M), B B Group Name: Multicare Health Group Name: Multicare Health Group Name: Multicare Health System System System Provider ID: 001705763001 Provider ID: 001421138001 Provider ID: 001811173001 NPI: 1154338986 NPI: 1104832351 NPI: 1801988480 3504 12th Ave Ne 3504 12th Ave Ne 3504 12th Ave Ne Olympia, WA 98506 Olympia, WA 98506

Olympia, WA 98506 (253) 792-6630 EB, P, R (253) 792-6630 EB, P, R

(253) 792-6630 EB, P, R Web address: www.multicare.org/d Ages: 0-99 Ages: 0-99 octors Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Uc Davis Medical Center Tacoma General Allenmore Hospital Affiliations: Tacoma General Allenmore Mary Bridge Child Hosp/hlth Cntr Tacoma General Allenmore Multicare Auburn Medical Center Mary Bridge Child Hosp/hlth Cntr Good Samaritan Hospital Ko, Pin-Yi, MD, (M), B Mary Bridge Child Hosp/hlth Cntr Group Name: Multicare Health Mott, Jared D, DO, (M), B System Group Name: Multicare Health Schwarz, Anisha C, MD, (F), B Provider ID: 007500809001 System Group Name: Multicare Health NPI: 1356768691 Provider ID: 003495540001 System 3504 12th Ave Ne NPI: 1891958864 Provider ID: 007230176001 Olympia, WA 98506 3504 12th Ave Ne NPI: 1528301231

(253) 792-6630 EB, P, R Olympia, WA 98506 3504 12th Ave Ne

Ages: 0-99 (253) 792-6630 EB, P, R Olympia, WA 98506

Hospital Affiliations: Languages Spoken: (253) 792-6630 EB, P, R Tacoma General Allenmore Provider: Spanish Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Good Samaritan Hospital Korol, Vera A, MD, (F), B Tacoma General Allenmore Tacoma General Allenmore Group Name: Multicare Health Ascension St Vincent Hospital Multicare Auburn Medical Center Systems St Joseph Regional Medical Mary Bridge Child Hosp/hlth Cntr Provider ID: 002730835001 Center NPI: 1265522791 3504 12th Ave Ne Olympia, WA 98506

(253) 792-6630 EB, P, R Languages Spoken: Provider: Russian Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore Mary Bridge Child Hosp/hlth Cntr

220

Specialists Washington - Thurston

Pediatric Neurosurgery Larson, Amanda C, MD, (F), B Whitesell, Rebecca C, MD, (F), B

Group Name: Multicare Health Group Name: Multicare Health Phillips, Steven A, MD, (M) System Systems Group Name: Multicare Health Provider ID: 006213771002 Provider ID: 005303882001 System NPI: 1336464544 NPI: 1265690119 Provider ID: 001421138001 3504 12th Ave Ne 3504 12th Ave Ne NPI: 1104832351 Olympia, WA 98506 Olympia, WA 98506 3504 12th Ave Ne (253) 403-1507 EB, P, R (253) 403-1507 EB, P, R Olympia, WA 98506 Ages: 0-99 Ages: 0-99

(253) 792-6630 EB, P, R Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Tacoma General Allenmore Hospital Affiliations: Gundersen Lutheran Medical Ctr Multicare Auburn Medical Center Uc Davis Medical Center Multicare Auburn Medical Center Good Samaritan Hospital Tacoma General Allenmore Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr Multicare Auburn Medical Center Mary Bridge Child Hosp/hlth Cntr Good Samaritan Hospital Pediatric Pulmonary Medicine Rajacich, Nicholas, MD, (M), B Mary Bridge Child Hosp/hlth Cntr Group Name: Multicare Health Ricker, David H, MD, (M), B

Pediatric Orthopaedic Surgery System Group Name: Multicare Health

Provider ID: 001128777001 System Frost, Nathan L, MD, (M), B NPI: 1316951650 Provider ID: 000894011002 Group Name: Multicare Health 3504 12th Ave Ne NPI: 1386730471 Systems Olympia, WA 98506 3504 12th Ave Ne Provider ID: 003458049001 (253) 403-1507 EB, P, R Olympia, WA 98506 NPI: 1306904552 Cultural Competency: Y (253) 792-6630 EB, P, R 3504 12th Ave Ne Ages: 0-99 Web address: http://www.pedsnw.n Olympia, WA 98506 Hospital Affiliations: et/

(253) 403-1507 EB, P, R Tacoma General Allenmore Ages: 0-99 Cultural Competency: Y St Francis Community Hospital Hospital Affiliations: Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Tacoma General Allenmore Hospital Affiliations: St Joseph Medical Center St Francis Community Hospital Seattle Children's Hospital St Clare Hospital Mary Bridge Child Hosp/hlth Cntr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

221

Washington - Thurston Specialists

Pediatric Surgery Berdan, Elizabeth A, MD, (F) Falk, Gavin A, MD, (M), B

Group Name: Multicare Health Group Name: Multicare Health Acierno, Stephanie P, MD, (F), B System System Group Name: Multicare Health Provider ID: 003331741002 Provider ID: 006092609002 Systems NPI: 1013147396 NPI: 1770716201 Provider ID: 002706741001 3504 12th Ave Ne 3504 12th Ave Ne NPI: 1841398534 Olympia, WA 98506 Olympia, WA 98506 3504 12th Ave Ne (253) 403-4613 EB, P, R (253) 403-4613 EB, P, R Olympia, WA 98506 Ages: 0-99 Ages: 0-99

(253) 403-4613 EB, P, R Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Tacoma General Allenmore Hospital Affiliations: Multicare Auburn Medical Center Kalispell Regional Med Ctr Seattle Children's Hospital Good Samaritan Hospital Logan Health Medical Center University Of Chicago Hsps/cln Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr

Barlow, Meade P, MD, (M), B Escobar, Mauricio A, MD, (M), B Holland, Randall M, MD, (M), B Group Name: Multicare Health Group Name: Multicare Health Group Name: Multicare Health System Systems System Provider ID: 006507233001 Provider ID: 003045632001 Provider ID: 000961702001 NPI: 1841504271 NPI: 1437389962 NPI: 1356433932 3504 12th Ave Ne 3504 12th Ave Ne 3504 12th Ave Ne Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(253) 403-4613 EB, P, R (253) 403-4613 EB, P, R (253) 403-4613 EB, P, R Languages Spoken: Languages Spoken: Cultural Competency: Y Provider: Spanish Provider: Spanish Ages: 0-99 Cultural Competency: Y Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Ages: 0-99 Tacoma General Allenmore Hospital Affiliations: Hospital Affiliations: Swedish Medical Center Tacoma General Allenmore Tacoma General Allenmore Mary Bridge Child Hosp/hlth Cntr Swedish Medical Center Mary Bridge Child Hosp/hlth Cntr

222

Specialists Washington - Thurston

Horton, John D, MD, (M), B Allen, Jennie M, MD, (F), B Flake, Eric, MD, (M), B Group Name: Multicare Health Group Name: Pediatrix Group Name: Multicare Health System Cardiology Of Wash System Provider ID: 003513196004 Provider ID: 003561214024 Provider ID: 005744555001 NPI: 1487690889 NPI: 1194980193 NPI: 1477521318 3504 12th Ave Ne 413 Lilly Rd Ne 3504 12th Ave Ne Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(253) 403-4613 EB, P, R (360) 491-9480 EB, P, R (360) 252-3801 EB, P, R Ages: 0-99 Ages: 0-99 Languages Spoken: Hospital Affiliations: Hospital Affiliations: Provider: Spanish Geisinger Medical Center Valley Medical Center Ages: 0-99 Carle Foundation Hospital Swedish Health Services Hospital Affiliations: Providence Holy Family Hospital Swedish Cherry Hill Good Samaritan Hospital Loyola University Medical Center St Francis Hospital Tacoma General Allenmore St Johns Hospital Overlake Hospital Medical Center Multicare Auburn Medical Center Tacoma General Allenmore Providence St Peter Hospital Mary Bridge Child Hosp/hlth Cntr Swedish Medical Center Seattle Children's Hospital Gilbert, Joyce A, MD, (F), B Oregon Health Science University Tacoma General Allenmore Group Name: Providence St Peter

Pediatrics Allen, Jennie M, MD, (F), B Hospital

Group Name: Pediatrix Provider ID: 001855563007 Allen, Jennie M, MD, (F), B Cardiology Of Wash NPI: 1174515993 Group Name: Pediatrix Provider ID: 003561214029 3020 Willamette Dr Ne Cardiology Of Wash NPI: 1194980193 Lacey, WA 98516 Provider ID: 003561214002 615 Lilly Rd Ne Ste 175 (360) 493-7469 EB, P, R NPI: 1194980193 Olympia, WA 98506 Accepting Existing Patients Only 3900 Capital Mall Dr Sw (253) 396-4868 EB, P, R Ages: 0-20 Olympia, WA 98502 Ages: 0-99 Hospital Affiliations:

(360) 754-5858 EB, P, R Hospital Affiliations: Bonner General Hospital Ages: 0-99 Valley Medical Center Providence St Peter Hospital Hospital Affiliations: Swedish Health Services Seattle Children's Hospital Valley Medical Center Swedish Cherry Hill Providence St Joseph Hospital Swedish Health Services St Francis Hospital Areas of Expertise: THS Swedish Cherry Hill Overlake Hospital Medical Center St Francis Hospital Providence St Peter Hospital Overlake Hospital Medical Center Seattle Children's Hospital Providence St Peter Hospital Tacoma General Allenmore Seattle Children's Hospital Tacoma General Allenmore

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

223

Washington - Thurston Specialists

Gilbert, Joyce A, MD, (F), B Krabill, Kimberly A, MD, (F), B Krabill, Kimberly A, MD, (F), B Group Name: Providence St Peter Group Name: Pediatrix Group Name: Pediatrix Hospital Cardiology Of Wash Cardiology Of Wash Provider ID: 001855563006 Provider ID: 000829761024 Provider ID: 000829761030 NPI: 1174515993 NPI: 1508937509 NPI: 1508937509 420 Golf Club Rd Se Ste 203 3900 Capital Mall Dr Sw 615 Lilly Rd Ne Ste 175 Lacey, WA 98503 Olympia, WA 98502 Olympia, WA 98506

(360) 493-7469 EB, P, R (360) 754-5858 EB, P, R (253) 396-4868 EB, P, R Accepting Existing Patients Only Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Tagalog Provider: Tagalog Hospital Affiliations: Ages: 0-99 Web address: http://www.nwchc.co Bonner General Hospital Hospital Affiliations: m/ Providence St Peter Hospital Valley Medical Center Ages: 0-99 Seattle Children's Hospital Swedish Health Services Hospital Affiliations: Providence St Joseph Hospital St Francis Hospital Valley Medical Center Areas of Expertise: THS Overlake Hospital Medical Center Swedish Health Services Providence St Peter Hospital St Francis Hospital Gravatt, Andrea R, MD, (F), B Harrison Medical Center Overlake Hospital Medical Center Group Name: Multicare Health St Michael Medical Center Providence St Peter Hospital System Tacoma General Allenmore Harrison Medical Center Provider ID: 001406422001 St Michael Medical Center NPI: 1750494696 Krabill, Kimberly A, MD, (F), B Tacoma General Allenmore 3504 12th Ave Ne Group Name: Pediatrix Olympia, WA 98506 Cardiology Of Wash Len, Mary K, MD, (F)

(360) 252-3801 EB, P, R Provider ID: 000829761025 Group Name: Childrens Ages: 0-99 NPI: 1508937509 University Medical Group Hospital Affiliations: 413 Lilly Rd Ne Provider ID: 001068179006 Seattle Children's Hospital Olympia, WA 98506 NPI: 1538240882

Mary Bridge Child Hosp/hlth Cntr (360) 491-9480 EB, P, R 615 Lilly Rd Ne Ste 140 Languages Spoken: Olympia, WA 98506 Johnson, Kimberly A, MD, (F), B Provider: Tagalog (360) 459-5009 EB, P, R Group Name: Multicare Health Ages: 0-99 Languages Spoken: System Hospital Affiliations: Provider: Spanish Provider ID: 003217252001 Valley Medical Center Web address: www.seattlechildrens. NPI: 1508873902 Swedish Health Services org 3504 12th Ave Ne St Francis Hospital Ages: 0-99 Olympia, WA 98506 Overlake Hospital Medical Center Hospital Affiliations: (253) 403-4437 EB, P, R Providence St Peter Hospital Seattle Children's Hospital Ages: 0-99 Harrison Medical Center Childrens Hospital Orange Cty Hospital Affiliations: St Michael Medical Center Childrens Hospital At Mission Tacoma General Allenmore Tacoma General Allenmore Areas of Expertise: THS Childrens Hospital Colorado

224

Specialists Washington - Thurston

Murphy, Jamie L, MD, (F) Thompson, Barbara R, MD, (F), Bachelet, Nicole E, PT, (F) Group Name: Childrens B Group Name: Apple Physical University Medical Group Group Name: Multicare Health Therapy Ps Provider ID: 003365120001 System Provider ID: 007328656002 NPI: 1538323282 Provider ID: 002815484001 NPI: 1639692890 413 Lilly Rd Ne NPI: 1801090436 201 Tahoma Blvd Unit 207 Olympia, WA 98506 3504 12th Ave Ne Yelm, WA 98597

(360) 493-4500 EB, P, R Olympia, WA 98506 (630) 296-2222 EB, P, R

Languages Spoken: (253) 792-6630 EB, P, R Ages: 0-99 Provider: Spanish Cultural Competency: Y Barnett, Michael D, PT, (M) Ages: 0-99 Ages: 0-99 Group Name: Pmg Sw Wa Hospital Affiliations: Hospital Affiliations: Provider ID: 003457589002 Providence St Peter Hospital Tacoma General Allenmore NPI: 1578847398 Seattle Children's Hospital Mary Bridge Child Hosp/hlth Cntr 2555 Marvin Rd Ne Virginia Mason Medical Center Lacey, WA 98516 Providence Centralia Hospital Physical Therapy

(360) 413-4200 EB, P, R O'mahony, Lila N, MD, (F), B Aijian, Angela R, PT, (F) Ages: 0-99 Group Name: Multicare Health Group Name: Ati Physical Areas of Expertise: THS System Therapy Barrett, David, PT, (M) Provider ID: 002921166002 Provider ID: 003154528002 Group Name: Apple Physical NPI: 1194737106 NPI: 1649433392 Therapy 3504 12th Ave Ne 201 Tahoma Blvd Unit 207 Provider ID: 006929888001 Olympia, WA 98506 Yelm, WA 98597 NPI: 1396249686 (360) 252-3801 EB, P, R (630) 296-2222 EB, P, R 100 W Dennis St Ste A Ages: 0-99 Ages: 0-99 Tumwater, WA 98501 Hospital Affiliations: Alyas, Laura A, PT, (F) (360) 704-3300 EB, P, R Providence Regional Medical Group Name: Olympia Ages: 0-99 Center Evere Orthopaedic Associates Providence Regional Medical Ctr Behymer, Laura B, PT, (F) Provider ID: 007585967001 Everett Group Name: Ati Physical NPI: 1023572856 Seattle Children's Hospital Therapy 3901 Capital Mall Dr Sw Ste D Tacoma General Allenmore Provider ID: 003596367001 Olympia, WA 98502 Multicare Auburn Medical Center NPI: 1720333081 (360) 709-6221 EB, IB, P, R Good Samaritan Hospital 201 Tahoma Blvd Ste 207 Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Yelm, WA 98597

(360) 458-6400 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

225

Washington - Thurston Specialists

Blanchard, David P, PT, (M) Bozich, Lindsey J, PT, (F) Canali, Laura M, PT, (F) Group Name: Northwest Health Group Name: Integrated Group Name: Providence Associates Rehabilitation Grp Centralia Physical Therapy Provider ID: 002308305002 Provider ID: 005705524002 Provider ID: 007390904001 NPI: 1770564486 NPI: 1346679222 NPI: 1114348489 4770 Yelm Hwy Se 1651 Cooper Point Rd Sw 4833 Tumwater Valley Dr Se #150 Lacey, WA 98503 Olympia, WA 98502 Tumwater, WA 98501

(360) 491-6074 EB, P, R (360) 956-1100 EB, P, R (360) 493-4160 EB, P, R Ages: 0-99 Ages: 0-99 Web address: www.providence.org Ages: 0-99 Boehmer, Christina B, PT, (F) Bozich, Lindsey J, PT, (F) Hospital Affiliations: Group Name: Ati Physical Group Name: Integrated Providence St Peter Hospital Therapy Rehabilitation Grp Providence Centralia Hospital Provider ID: 006838192001 Provider ID: 005705524002 Areas of Expertise: THS NPI: 1265949408 NPI: 1346679222 201 Tahoma Blvd Se Ste 207 300 Lilly Rd Ne Ste B Carrier, Erin, PT, (F) Yelm, WA 98597 Olympia, WA 98506 Group Name: Providence

(630) 296-2222 EB, P, R (360) 352-7352 EB, P, R Centralia Physical Therapy Ages: 0-99 Ages: 0-99 Provider ID: 007474871001 NPI: 1255594354 Bozich, Lindsey J, PT, (F) Bozich, Lindsey J, PT, (F) 4833 Tumwater Valley Dr Se #150 Group Name: Integrated Group Name: Integrated Tumwater, WA 98501 Rehabilitation Grp Rehabilitation Grp (360) 493-4160 EB, P, R Provider ID: 005705524002 Provider ID: 005705524002 Ages: 0-99 NPI: 1346679222 NPI: 1346679222 Hospital Affiliations: 111 Market St Ne Ste 108 360 Lilly Rd Ne Ste A Providence St Peter Hospital Olympia, WA 98501 Olympia, WA 98506 Providence Centralia Hospital (360) 754-7085 EB, P, R (360) 486-0640 EB, P, R Areas of Expertise: THS Ages: 0-99 Ages: 0-99 Chadwick, Chancelor, PT, (M) Bozich, Lindsey J, PT, (F) Bradshaw, Kristin A, PT, (F) Group Name: Providence Group Name: Ati Physical Group Name: Providence Centralia Physical Therapy Therapy Centralia Physical Therapy Provider ID: 006906975001 Provider ID: 005705524001 Provider ID: 007370753001 NPI: 1285138396 NPI: 1346679222 NPI: 1881016681 4833 Tumwater Valley Dr #150 130 Marvin Rd Se Ste 203 4833 Tumwater Valley Dr Se # 150 Olympia, WA 98501 Lacey, WA 98503 Olympia, WA 98501 (360) 493-4160 (360) 456-3300 EB, P, R, RE, T (360) 493-4160 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Providence Centralia Hospital

226

Specialists Washington - Thurston

Chase, Melissa A, PT, (F) Cronin, Lauren A, PT, (F) De Groot, Michaela J, PT, (F) Group Name: Providence Group Name: Integrated Group Name: Pmg Sw Wa Centralia Physical Therapy Rehabilitation Grp Provider ID: 007288121001 Provider ID: 000843024001 Provider ID: 006996760003 NPI: 1124674965 NPI: 1962551234 NPI: 1972088904 4800 College St Se 4833 Tumwater Valley Dr #150 1651 Cooper Point Rd Sw Lacey, WA 98503

Olympia, WA 98501 Olympia, WA 98502 (360) 486-2900 EB, P, R

(360) 493-4160 EB, P, R (360) 956-1100 EB, P, R Web address: www.providence.org Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Cronin, Lauren A, PT, (F) Dewitt, Kathryn D, PT, (F) Providence St Peter Hospital Group Name: Integrated Group Name: Ati Physical Providence Centralia Hospital Rehabilitation Grp Therapy Areas of Expertise: THS Provider ID: 006996760003 Provider ID: 006076369001 Chase, Melissa A, PT, (F) NPI: 1972088904 NPI: 1639536931 Group Name: Providence 300 Lilly Rd Ne Ste B 201 Tahoma Blvd Unit 207 Centralia Physical Therapy Olympia, WA 98506 Yelm, WA 98597

Provider ID: 000843024001 (360) 352-7352 EB, P, R (630) 296-2222 EB, P, R NPI: 1962551234 Ages: 0-99 Ages: 0-99 4833 Tumwater Valley Dr Se #150 Cronin, Lauren A, PT, (F) Dickerson, Christopher L, PT, Tumwater, WA 98501 Group Name: Integrated (M) (360) 493-4160 EB, P, R Rehabilitation Grp Group Name: Puget Sound Ages: 0-99 Provider ID: 006996760003 Physical Therapy Hospital Affiliations: NPI: 1972088904 Provider ID: 003514240003 Providence St Peter Hospital 360 Lilly Rd Ne Ste A NPI: 1003164831 Providence Centralia Hospital Olympia, WA 98506 3201 Williamette Dr Ne Ste C Cronin, Lauren A, PT, (F) (360) 486-0640 EB, P, R Lacey, WA 98516

Group Name: Integrated Ages: 0-99 (360) 455-0100 EB, P, R Rehabilitation Grp Ages: 0-99 Dawida, Mariana, PT, (F) Provider ID: 006996760003 Group Name: Ati Physical Dicks, Zachary J, PT, (M) NPI: 1972088904 Therapy Group Name: Apple Physical 111 Market St Ne Ste 108 Provider ID: 007207781002 Therapy Olympia, WA 98501 NPI: 1154971281 Provider ID: 006660992001 (360) 754-7085 EB, P, R 201 Tahoma Blvd Unit 207 NPI: 1669912309 Ages: 0-99 Yelm, WA 98597 100 Dennis St Sw Ste A

(630) 296-2222 EB, P, R Tumwater, WA 98501

Ages: 18-99 (360) 704-3300 E, EB, G, IB, P, R, RE, S, T Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

227

Washington - Thurston Specialists

Donohue, Brendan P, PT, (M) Fulkerson, Ashley M, PT, (F) Gill, Stacey L, PT, (F) Group Name: Ati Physical Group Name: Ati Physical Group Name: Providence Therapy Therapy Centralia Physical Therapy Provider ID: 005907184001 Provider ID: 003596348001 Provider ID: 003572598001 NPI: 1376917310 NPI: 1275821829 NPI: 1598813198 100 Dennis St Sw Ste A 130 Marvin Rd Se Ste 203 4833 Tumwater Valley Dr Se #150 Tumwater, WA 98501 Lacey, WA 98503 Tumwater, WA 98501

(360) 704-3300 E, EB, G, IB, P, (360) 456-3300 EB, P, R, RE, T (360) 493-4160 EB, P, R R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations:

Providence St Peter Hospital Edwards, Jennifer F, PT, (F) Gentzler, Denise L, PT, (F) Group Name: Providence Providence Centralia Hospital Group Name: Ati Physical Therapy Centralia Physical Therapy Gomez, Bradford, PT, (M) Provider ID: 003614443001 Provider ID: 003457591002 Group Name: Providence NPI: 1306803853 NPI: 1609925619 Centralia Physical Therapy 130 Marvin Rd Se Ste 203 4833 Tumwater Valley Dr #150 Provider ID: 007509511001 Lacey, WA 98503 Olympia, WA 98501 NPI: 1679090377 (360) 493-4160 EB, P, R (360) 456-3300 EB, P, R, RE, T 4833 Tumwater Valley Dr Se #150 Web address: www.providence.org Tumwater, WA 98501 Ages: 0-99 Ages: 0-99 (360) 493-4160 EB, P, R Hospital Affiliations: Fiedler, Tamara S, PT, (F) Ages: 0-99 Providence St Peter Hospital Group Name: Providence Hospital Affiliations: Providence Centralia Hospital Centralia Physical Therapy Providence St Peter Hospital Areas of Expertise: THS Providence Centralia Hospital Provider ID: 001448951001 NPI: 1306994991 Gentzler, Denise L, PT, (F) Areas of Expertise: THS

4833 Tumwater Valley Dr #150 Group Name: Providence Grippo, Michelle L, PT, (F) Olympia, WA 98501 Centralia Physical Therapy Group Name: Olympia (360) 493-4160 EB, P, R Provider ID: 003457591002 Orthopaedic Associates Ages: 0-99 NPI: 1609925619 Provider ID: 005898602001 Hospital Affiliations: 4833 Tumwater Valley Dr Se #150 NPI: 1326296286 Providence St Peter Hospital Tumwater, WA 98501 3901 Capital Mall Dr Sw Ste D Providence Centralia Hospital (360) 493-4160 EB, P, R Olympia, WA 98502 Areas of Expertise: THS Web address: www.providence.org (360) 709-6221 EB, IB, P, R Ages: 0-99 M-Th 7:00 AM-7:00 PM Hospital Affiliations: F 7:00 AM-5:00 PM Providence St Peter Hospital Ages: 0-99 Providence Centralia Hospital

228

Specialists Washington - Thurston

Harrell, Katelyn, PT, (F) Henderson, Christopher J, PT, Hill, Alaina M, PT, (F) Group Name: Olympia (M) Group Name: Olympia Orthopaedic Associates Group Name: Olympia Orthopaedic Associates Provider ID: 006631599002 Orthopaedic Associates Provider ID: 006761630001 NPI: 1104339654 Provider ID: 006343597001 NPI: 1891121331 3901 Capital Mall Dr Sw Ste D NPI: 1518156884 615 Lilly Rd Ne Ste 240 Olympia, WA 98502 615 Lilly Rd Ne Ste 240 Olympia, WA 98506

(360) 709-6221 EB, IB, P, R Olympia, WA 98506 (360) 413-3850 EB, P, R

Web address: www.promotionatx.co (360) 413-3850 EB, P, R Ages: 0-99 m Ages: 0-99 Hill, Ryan J, PT, (M) Ages: 0-99 Hendrickson, Rachael R, PT, (F) Group Name: Olympia Harrell, Katelyn, PT, (F) Group Name: Providence Orthopaedic Associates Group Name: Olympia Physical Therapy Provider ID: 005961844002 Orthopaedic Associates Provider ID: 003544101002 NPI: 1366808859 Provider ID: 006631599002 NPI: 1376898528 3901 Capital Mall Dr Sw Ste D NPI: 1104339654 4833 Tumwater Valley Dr Se #150 Olympia, WA 98502

615 Lilly Rd Ne Ste 240 Tumwater, WA 98501 (360) 709-6221 EB, IB, P, R

Olympia, WA 98506 (360) 493-4160 EB, P, R Ages: 0-99

(360) 413-3850 EB, P, R Web address: www.providence.org Hinson, William S, PT, (M) Web address: www.promotionatx.co Ages: 0-99 Group Name: Providence m Hospital Affiliations: Centralia Physical Therapy Ages: 0-99 Providence St Peter Hospital Provider ID: 000931259002 Providence Centralia Hospital Haskins, Camille M, PT, (F) NPI: 1962598110 Areas of Expertise: THS Group Name: Olympia 4833 Tumwater Valley Dr #150 Orthopaedic Associates Henricksen, Kelli A, PT, (F) Olympia, WA 98501

Provider ID: 005879029001 Group Name: Pmg Sw Wa (360) 493-4160 EB, P, R NPI: 1609233527 Provider ID: 003145918002 Web address: www.providence.org 3901 Capital Mall Dr Sw Ste D NPI: 1790931616 Ages: 0-99 Olympia, WA 98502 4800 College St Se Hospital Affiliations:

(360) 709-6221 EB, IB, P, R Lacey, WA 98503 Providence Centralia Hospital

M-F 7:00 AM-7:00 PM (360) 486-2900 EB, P, R Areas of Expertise: THS Ages: 0-99 Web address: www.providence.org Ages: 0-99 Heinitz, David, PT, (M) Hospital Affiliations: Group Name: Ati Physical Providence Regional Medical Therapy Center Evere Provider ID: 007221232001 Providence Regional Medical Ctr NPI: 1104320423 Everett 3015 Limited Ln Nw Ste B Providence St Peter Hospital Olympia, WA 98502 Providence Centralia Hospital (360) 709-0700 EB, P, R Areas of Expertise: THS Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

229

Washington - Thurston Specialists

Horn, Claire E, PT, (F) Jemison, Stefanie, PT, (F) Jove, Jonathan P, PT, (M) Group Name: Pmg Sw Wa Group Name: Epic Pt Health And Group Name: Epic Pt Health And Provider ID: 007259913002 Performance Performance NPI: 1962981738 Provider ID: 007329698003 Provider ID: 002408466002 2555 Marvin Rd Ne NPI: 1720628811 NPI: 1023153392 Lacey, WA 98516 3000 Limited Ln Nw Ste 100 3000 Limited Ln Nw Ste 100

(360) 413-4200 EB, P, R Olympia, WA 98502 Olympia, WA 98502

Web address: www.providence.org (360) 292-7245 E, EB, G, IB, P, (360) 292-7245 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T PL, R, RE, S, T Hospital Affiliations: Ages: 0-99 Languages Spoken: Providence St Peter Hospital Provider: Tagalog Johnson, Christine Q, PT, (F) Providence Centralia Hospital Ages: 0-99 Group Name: Pmg Sw Wa Areas of Expertise: THS Provider ID: 003478106006 Karlson, Tracee J, PT, (F) Horn, Claire E, PT, (F) NPI: 1184840936 Group Name: Pmg Sw Wa Group Name: Pmg Sw Wa 4800 College St Se Provider ID: 001907656001 Provider ID: 007259913002 Lacey, WA 98503 NPI: 1982690467

NPI: 1962981738 (360) 486-2900 EB, P, R 525 Lilly Rd Ne Ste 250 4800 College St Se Languages Spoken: Olympia, WA 98506

Lacey, WA 98503 Provider: Filipino (360) 486-6777 EB, P, R

(360) 486-2900 EB, P, R Accepting Existing Patients Only Ages: 0-99 Web address: www.providence.org Ages: 0-99 Areas of Expertise: THS Ages: 0-99 Hospital Affiliations: Kearney, Joseph A, PT, (M) Hospital Affiliations: Providence St Peter Hospital Group Name: Olympia Providence St Peter Hospital Providence Centralia Hospital Orthopaedic Associates Providence Centralia Hospital Jove, Jonathan P, PT, (M) Provider ID: 007586165001 Areas of Expertise: THS Group Name: Epic Pt Health And NPI: 1518562362 Horn, Claire E, PT, (F) Performance 3901 Capital Mall Dr Sw Ste D Group Name: Pmg Sw Wa Provider ID: 002408466002 Olympia, WA 98502

Provider ID: 007259913002 NPI: 1023153392 (360) 709-6221 EB, IB, P, R NPI: 1962981738 3000 Limited Ln Nw Ages: 0-99 525 Lilly Road Ne Olympia, WA 98502 Kelly, Timothy P, PT, (M) Olympia, WA 98506 (360) 352-2037 EB, P, R Group Name: Providence (360) 493-7230 EB, P, R Languages Spoken: Centralia Physical Therapy Web address: www.providence.org Provider: Tagalog Provider ID: 005368663001 Ages: 0-99 Staff: Tagalog NPI: 1346399623 Hospital Affiliations: Ages: 0-99 4833 Tumwater Valley Dr #150 Providence St Peter Hospital Olympia, WA 98501 Providence Centralia Hospital (360) 493-4160 EB, P, R Areas of Expertise: THS Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

230

Specialists Washington - Thurston Areas of Expertise: THS Khadduri, Lucie M, PT, (F) Langford, Kara, PT, (F) Kelly, Timothy P, PT, (M) Group Name: Ati Physical Group Name: Olympia Physical Group Name: Providence Therapy Therapy Centralia Physical Therapy Provider ID: 002250964001 Provider ID: 007421466002 Provider ID: 005368663001 NPI: 1144305350 NPI: 1114445608 NPI: 1346399623 3015 Limited Lane Nw Ste B 2755 Mottman Rd Sw 4833 Tumwater Valley Dr Se # 150 Olympia, WA 98502 Olympia, WA 98512

Olympia, WA 98501 (360) 709-0700 (360) 352-5077 E, EB, G, IB, P,

(360) 493-4160 EB, P, R Ages: 0-99 R, S Web address: www.providence.org Hospital Affiliations: Ages: 0-99 Ages: 0-99 Providence St Peter Hospital Langford, Kara, PT, (F) Hospital Affiliations: Providence Centralia Hospital Group Name: Olympia Providence St Peter Hospital Khadduri, Lucie M, PT, (F) Orthopaedic Associates Khadduri, Lucie M, PT, (F) Group Name: Pmg Sw Wa Provider ID: 007421466003 Group Name: Ati Physical Provider ID: 002250964002 NPI: 1114445608 Therapy NPI: 1144305350 3901 Capital Mall Dr Sw Ste D Provider ID: 002250964001 4800 College St Se Olympia, WA 98502

NPI: 1144305350 Lacey, WA 98503 (360) 709-6221 EB, IB, P, R

100 W Dennis St Ste A (360) 486-2900 EB, P, R Ages: 0-99 Tumwater, WA 98501 Ages: 0-99 Langford, Kara, PT, (F) (360) 704-3300 EB, P, R Hospital Affiliations: Group Name: Olympia Physical Ages: 0-99 Providence St Peter Hospital Therapy Hospital Affiliations: Providence Centralia Hospital Provider ID: 007421466001 Providence St Peter Hospital Areas of Expertise: THS NPI: 1114445608 Providence Centralia Hospital Kim, Jessica, PT, (F) 8750 Tallon Ln Ne Ste C Khadduri, Lucie M, PT, (F) Group Name: Apple Physical Lacey, WA 98516

Group Name: Ati Physical Therapy Ps (425) 615-6373 EB, P, R Therapy Provider ID: 007502350002 Ages: 0-99 Provider ID: 002250964001 NPI: 1467879767 Lyons, Darby N, PT, (F) NPI: 1144305350 201 Tahoma Blvd Unit 207 Group Name: Parent To Parent 130 Marvin Rd Se Ste 203 Yelm, WA 98597 St Lacey, WA 98503 (630) 296-2222 EB, P, R Provider ID: 007022460001 (360) 456-3300 EB, P, R, RE, T Ages: 0-99 NPI: 1154897528 Ages: 0-99 2108 Caton Way Sw Hospital Affiliations: Olympia, WA 98502 Providence St Peter Hospital (360) 352-1126 EB, P, R Providence Centralia Hospital M-Th 9:00 AM-4:00 PM Areas of Expertise: THS Web address: www.ssp2p.org Ages: 0-3

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

231

Washington - Thurston Specialists

Manges, Matthew S, PT, (M) Mason, Melinda T, PT, (F) Mason, Melinda T, PT, (F) Group Name: Alignment Physical Group Name: Olympia Group Name: Olympia Therapy Orthopaedic Associates Orthopaedic Associates Provider ID: 006658097003 Provider ID: 001945107002 Provider ID: 001945107002 NPI: 1992043806 NPI: 1306885991 NPI: 1306885991 208 Lilly Rd Ne Ste A 3901 Capital Mall Dr Sw Ste D 8140 Freedom Ln Ne Olympia, WA 98506 Olympia, WA 98502 Lacey, WA 98516

(360) 915-6571 EB, P, R (360) 709-6221 EB, IB, P, R (360) 754-7622 EB, P, R Ages: 0-99 Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Marin, Ryan T, PT, (M) M-F 7:00 AM-6:00 PM Web address: www.olyortho.com Group Name: Providence Web address: www.olyortho.com Ages: 0-99 Centralia Physical Therapy Ages: 0-99 Provider ID: 007474925001 Mcclymonds, Robin L, PT, (F) NPI: 1245716901 Mason, Melinda T, PT, (F) Group Name: Providence 4833 Tumwater Valley Dr Se #150 Group Name: Olympia Centralia Physical Therapy Tumwater, WA 98501 Orthopaedic Associates Provider ID: 002327640001

(360) 493-4160 EB, P, R Provider ID: 001945107002 NPI: 1487703765 Ages: 0-99 NPI: 1306885991 4833 Tumwater Valley Dr #150 Hospital Affiliations: 615 Lilly Rd Ne Ste 100 Olympia, WA 98501

Providence St Peter Hospital Olympia, WA 98506 (360) 493-4160 EB, P, R

Providence Centralia Hospital (360) 413-3850 EB, P, R, RE, T Ages: 0-99 Areas of Expertise: THS Hospital Affiliations: Languages Spoken: Providence St Peter Hospital Mason, Melinda T, PT, (F) Provider: Spanish Providence Centralia Hospital Group Name: Olympia Web address: www.olyortho.com Areas of Expertise: THS Orthopaedic Associates Ages: 0-99 Provider ID: 001945107002 Morss, Jessica A, PT, (F) NPI: 1306885991 Mason, Melinda T, PT, (F) Group Name: Pmg Sw Wa 3901 Capital Mall Dr Sw Ste B Group Name: Olympia Provider ID: 003576842002 Olympia, WA 98502 Orthopaedic Associates NPI: 1992059323 Provider ID: 001945107002 (360) 528-8571 E, EB, IB, P, R, 2555 Marvin Rd Ne RE, S, T NPI: 1306885991 Lacey, WA 98516 615 Lilly Rd Ne Ste 240 Languages Spoken: (360) 413-4200 EB, P, R Provider: Spanish Olympia, WA 98506 Web address: www.providence.org Web address: www.olyortho.com (360) 413-3850 EB, P, R Ages: 0-99 Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Spanish Providence St Peter Hospital M-Th 7:00 AM-7:00 PM Providence Centralia Hospital F 7:00 AM-5:00 PM Areas of Expertise: THS Web address: www.olyortho.com Ages: 0-99

232

Specialists Washington - Thurston

Murphy, Jill L, PT, (F) Novoa, Emily M, PT, (F) Pittman, Kristina J, PT, (F) Group Name: Providence Group Name: Providence Group Name: Inspire Physical Centralia Physical Therapy Centralia Physical Therapy Therapy Wa Provider ID: 007487551001 Provider ID: 003486688002 Provider ID: 003606208002 NPI: 1588929681 NPI: 1235493636 NPI: 1639429319 4833 Tumwater Valley Dr Se #150 4833 Tumwater Valley Dr Se # 150 4740 Avery Ln Se Tumwater, WA 98501 Olympia, WA 98501 Lacey, WA 98503

(360) 493-4160 EB, P, R (360) 493-4160 EB, P, R (360) 491-1815 E, EB, G, P, R, Web address: www.providence.org Web address: www.providence.org RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Renner, Nadia, PT, (F) Providence St Peter Hospital Providence St Peter Hospital Group Name: Epic Pt Health And Providence Centralia Hospital Providence Centralia Hospital Performance Areas of Expertise: THS Areas of Expertise: THS Provider ID: 006627237001 Nichols, Austin J, PT, (M) Novoa, Leslie B, PT, (M) NPI: 1174040240 Group Name: Inspire Physical Group Name: Pmg Sw Wa 3000 Limited Ln Nw Ste 100 Therapy Wa Provider ID: 003485892001 Olympia, WA 98502

Provider ID: 005191585004 NPI: 1245595685 (253) 476-3333 E, EB, G, IB, P, NPI: 1700205176 1620 Cooper Point Rd Sw PL, R, RE, S, T 100 Dennis St Sw Ste A Olympia, WA 98502 Languages Spoken:

Tumwater, WA 98501 (360) 486-6710 EB, P, R Staff: Tagalog

(360) 819-4335 E, EB, G, IB, P, Web address: www.providence.org Interpreter: Medical Interp R, RE, S, T Ages: 0-99 Vendor Ages: 0-99 Hospital Affiliations: M-F 8:00 AM-7:00 PM Providence St Peter Hospital Web address: www.epic-pt.com Nichols, Austin J, PT, (M) Providence Centralia Hospital Ages: 0-99 Group Name: Inspire Physical Areas of Expertise: THS Therapy Wa Reusch, Kevin J, PT, (M) Provider ID: 005191585002 Pittman, Kristina J, PT, (F) Group Name: Steamboat Physical NPI: 1700205176 Group Name: Inspire Physical Therapy 4740 Avery Ln Se Therapy Wa Provider ID: 006965461003 Lacey, WA 98503 Provider ID: 003606208002 NPI: 1891287231

(360) 338-0181 E, EB, G, P, R, NPI: 1639429319 2102 Carriage St Sw Ste B RE, S, T 100 Dennis St Sw Ste A Olympia, WA 98502

M-F 7:30 AM-5:30 PM Tumwater, WA 98501 (360) 866-0408 EB, P, R

Web address: inpire-pt.com (360) 819-4335 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 R, RE, S, T M-F 8:00 AM-6:00 PM Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

233

Washington - Thurston Specialists

Roach, Steven, PT, (M) Schnell, Kenneth E, PT, (M) Sipe, Sean S, PT, (M) Group Name: Puget Sound Group Name: Providence Group Name: Inspire Physical Physical Therapy Centralia Physical Therapy Therapy Wa Provider ID: 006569406001 Provider ID: 007475090001 Provider ID: 001993175006 NPI: 1477079002 NPI: 1134476575 NPI: 1194768325 3201 Willamette Dr Ne Ste C 4833 Tumwater Valley Dr Se #150 4740 Avery Ln Se Lacey, WA 98516 Tumwater, WA 98501 Lacey, WA 98503

(360) 455-0100 EB, P, R (360) 493-4160 EB, P, R (360) 491-1815 E, EB, G, P, R, Ages: 0-99 Ages: 0-99 RE, S, T Hospital Affiliations: Ages: 0-99 Rogers, Chad N, PT, (M) Providence St Peter Hospital Group Name: Providence Sobie, Timothy J, PT, (M) Providence Centralia Hospital Centralia Physical Therapy Group Name: Alliant Continuum Areas of Expertise: THS Provider ID: 007475046001 Care NPI: 1891315818 Shelton, Lalani R, PT, (F) Provider ID: 001450198001 4833 Tumwater Valley Dr Se #150 Group Name: Shelton Lalani R NPI: 1750400321 Tumwater, WA 98501 Provider ID: 006312350003 222 Kenyon St Nw Ste 15

(360) 493-4160 EB, P, R NPI: 1083950455 Olympia, WA 98502

Web address: www.providence.org 1012 Lake Terrace Dr Sw (360) 359-5390 E, EB, G, IB, P, Ages: 0-99 Tumwater, WA 98512 R, RE, S, T

Hospital Affiliations: (360) 789-2332 EB, P, R M-F 9:00 AM-6:00 PM Providence St Peter Hospital M-Th 8:00 AM-4:00 PM Web address: www.alliantcare.com Providence Centralia Hospital F 9:00 AM-5:00 PM Ages: 0-99 Areas of Expertise: THS Ages: 0-99 Solack, Erin M, PT, (F) Scheuffele, Lisa, PT, (F) Sipe, Sean S, PT, (M) Group Name: Northwest Therapy Group Name: Restoration Group Name: Inspire Physical Resource Rehabilitation Therapy Wa Provider ID: 006411606001 Provider ID: 003572944001 Provider ID: 001993175006 NPI: 1235440793 NPI: 1730367368 NPI: 1194768325 3231 Willamette Dr Ne Ste A 10119 Highway 12 Sw 100 Dennis St Sw Ste A Lacey, WA 98516

Rochester, WA 98579 Tumwater, WA 98501 (716) 200-2275 EB, P, R

(360) 273-4747 (360) 819-4335 E, EB, G, IB, P, Ages: 0-99 Languages Spoken: R, RE, S, T Solack, Erin M, PT, (F) Staff: Spanish Ages: 0-99 Group Name: Northwest Therapy M,W,F 9:00 AM-6:00 PM Resource Tu 9:00 AM-5:00 PM Provider ID: 006411606001 Th 9:00 AM-5:30 PM NPI: 1235440793 Ages: 0-99 4780 Capitol Blvd Se Unit 2 Tumwater, WA 98501

(716) 200-2275 Ages: 0-99

234

Specialists Washington - Thurston

Straus, Derek R, PT, (M) Tedder, Craig M, PT, (M) Usefara, Alyson N, PT, (F) Group Name: Olympia Physical Group Name: Providence Group Name: Providence Therapy Centralia Physical Therapy Centralia Physical Therapy Provider ID: 007689627001 Provider ID: 002546189002 Provider ID: 007488472001 NPI: 1407462518 NPI: 1588601850 NPI: 1770038275 8750 Tallon Ln Ne Ste C 4833 Tumwater Valley Dr Se #150 4833 Tumwater Valley Dr Se #150 Lacey, WA 98516 Tumwater, WA 98501 Tumwater, WA 98501

(360) 456-1072 EB, P, R (360) 493-4160 EB, P, R (360) 493-4160 EB, P, R Ages: 0-99 Web address: www.providence.org Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Swint, Brittany, PT, (F) Ages: 0-99 Providence St Peter Hospital Group Name: Apple Physical Hospital Affiliations: Providence Centralia Hospital Therapy Ps Providence St Peter Hospital Areas of Expertise: THS Provider ID: 003227177003 Providence Centralia Hospital NPI: 1376851329 Vranna, James A, PT, (M) 201 Tahoma Blvd Unit 207 Tedder, Craig M, PT, (M) Group Name: Providence Yelm, WA 98597 Group Name: Pmg Sw Wa Centralia Physical Therapy

(630) 296-2222 EB, P, R Provider ID: 002546189003 Provider ID: 001907655001 Ages: 0-99 NPI: 1588601850 NPI: 1932476660 525 Lilly Rd Ne 4833 Tumwater Valley Dr #150 Tedder, Craig M, PT, (M) Olympia, WA 98506 Olympia, WA 98501 Group Name: Pmg Sw Wa (360) 493-7230 EB, P, R (360) 493-4160 EB, P, R Provider ID: 002546189004 Web address: www.providence.org Ages: 0-99 NPI: 1588601850 Ages: 0-99 Hospital Affiliations: 2555 Marvin Rd Ne Hospital Affiliations: Providence St Peter Hospital Lacey, WA 98516 Providence St Peter Hospital Providence Centralia Hospital (360) 413-4200 EB, P, R Providence Centralia Hospital Areas of Expertise: THS Ages: 0-99 Hospital Affiliations: Thueson, Lindsay E, PT, (F) Wallace, Helen T, PT, (F) Providence St Peter Hospital Group Name: Ati Physical Group Name: Wallace Helen T Providence Centralia Hospital Therapy Provider ID: 005133631004 Provider ID: 007213489001 NPI: 1114067253 Tedder, Craig M, PT, (M) NPI: 1073163218 3231 Willamette Dr Ne Ste A Group Name: Pmg Sw Wa 3015 Limited Ln Nw Ste B Lacey, WA 98516 Provider ID: 002546189001 Olympia, WA 98502 (360) 789-2332 EB, P, R NPI: 1588601850 (630) 296-2222 EB, P, R Ages: 0-99 4800 College St Se Ages: 0-99 Lacey, WA 98503

(360) 486-2900 EB, P, R Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

235

Washington - Thurston Specialists

Walz, Michelle L, PT, (F) Williams, Stephen M, PT, (M) Physician Assistant

Group Name: Providence Group Name: Providence Centralia Physical Therapy Centralia Physical Therapy Allen, Jillanna M, PA, (F) Provider ID: 002143566001 Provider ID: 001385982001 Group Name: Olympia NPI: 1770633877 NPI: 1396894697 Orthopaedic Associates 4833 Tumwater Valley Dr Se # 150 4833 Tumwater Valley Dr #150 Provider ID: 003569643003 Olympia, WA 98501 Olympia, WA 98501 NPI: 1891761177 (360) 493-4160 EB, P, R (360) 493-4160 EB, P, R 3901 Capital Mall Dr Sw Ste A Web address: www.providence.org Ages: 0-99 Olympia, WA 98502

Ages: 0-99 Hospital Affiliations: (360) 570-3460 E, EB, IB, P, R, Hospital Affiliations: Providence St Peter Hospital RE, S, T Providence Hospital Providence Centralia Hospital Ages: 0-99 Providence St Peter Hospital Areas of Expertise: THS Allen, Jillanna M, PA, (F) Providence Centralia Hospital Winn, Peter, PT, (M) Group Name: Olympia Providence Of Arizona Group Name: Providence Orthopaedic Associates Areas of Expertise: THS Centralia Physical Therapy Provider ID: 003569643003 Walz, Michelle L, PT, (F) Provider ID: 007133753001 NPI: 1891761177 Group Name: Providence NPI: 1265615074 3901 Capital Mall Dr Sw Ste B Centralia Physical Therapy 4833 Tumwater Valley Dr Se #150 Olympia, WA 98502

Provider ID: 002143566001 Tumwater, WA 98501 (360) 528-8571 E, EB, IB, P, R, NPI: 1770633877 (360) 493-4160 EB, P, R RE, S, T 4833 Turnwater Valley Dr #150 Web address: www.providence.org Ages: 0-99 Olympia, WA 98501 Ages: 0-99 Alphonse, Frantz, PA, (M) (360) 493-4160 EB, P, R Hospital Affiliations: Group Name: Multicare Health Web address: www.providence.org Providence St Peter Hospital System Ages: 0-99 Providence Centralia Hospital Provider ID: 006905092014 Hospital Affiliations: Zahn, Erin J, PT, (F) NPI: 1811345762 Providence Hospital Group Name: Ati Physical 345 Cooper Point Rd Nw Ste 103 Providence St Peter Hospital Therapy Olympia, WA 98502 Providence Centralia Hospital Provider ID: 002305252001 (360) 763-7515 EB, P, R Providence Of Arizona NPI: 1427012426 Languages Spoken: Areas of Expertise: THS 3015 Limited Ln Nw Ste B Provider: Haitian; Haitian Creole, White, Noelle E, PT, (F) Olympia, WA 98502 Creole Group Name: Olympia (360) 709-0700 EB, P, R Cultural Competency: Y Orthopaedic Associates Ages: 0-99 Ages: 0-99 Provider ID: 007513944001 Hospital Affiliations: NPI: 1144875915 Tacoma General Allenmore 3901 Capital Mall Dr Sw Ste D Multicare Auburn Medical Center Olympia, WA 98502 Good Samaritan Hospital (360) 709-6221 EB, IB, P, R Mary Bridge Child Hosp/hlth Cntr Ages: 0-99

236

Specialists Washington - Thurston

Alphonse, Frantz, PA, (M) Andrus, Vern R, PA, (M), B Bailey, Joseph, PA, (M) Group Name: Multicare Health Group Name: Ideal Option Group Name: Multicare Health System Provider ID: 007309920036 System Provider ID: 006905092009 NPI: 1134609035 Provider ID: 003548567015 NPI: 1811345762 205b Lilly Rd Ne Ste C NPI: 1053612762 5128 Yelm Hwy Se Ste E Olympia, WA 98506 704 Trosper Rd Sw Ste 118

Lacey, WA 98503 (877) 522-1275 EB, P, R Tumwater, WA 98512

(360) 763-7040 EB, P, R Ages: 0-99 (360) 763-7050 EB, P, R Languages Spoken: Areas of Expertise: E112, E160, Ages: 0-99 Provider: Haitian; Haitian Creole, THS Hospital Affiliations: Creole Tacoma General Allenmore Bailey, Joseph, PA, (M) Cultural Competency: Y Group Name: Multicare Health Ball, Roger L, PA, (M) Ages: 0-99 System Group Name: Multicare Health Hospital Affiliations: Provider ID: 003548567018 System Tacoma General Allenmore NPI: 1053612762 Provider ID: 005904980003 Multicare Auburn Medical Center 345 Cooper Point Rd Nw Ste 103 NPI: 1245250414 Good Samaritan Hospital Olympia, WA 98502 5128 Yelm Hwy Se Ste E Mary Bridge Child Hosp/hlth Cntr (360) 763-7515 EB, P, R Lacey, WA 98503 Alphonse, Frantz, PA, (M) Ages: 0-99 (360) 763-7040 EB, P, R Group Name: Multicare Health Hospital Affiliations: Languages Spoken: System Tacoma General Allenmore Provider: Creole Provider ID: 006905092010 Ages: 0-99 Bailey, Joseph, PA, (M) NPI: 1811345762 Hospital Affiliations: Group Name: Multicare Health 704 Trosper Rd Sw Ste 118 Tacoma General Allenmore System Tumwater, WA 98512 Provider ID: 003548567014 Batangan, Eric Kei, PA, (M) (360) 763-7050 EB, P, R NPI: 1053612762 Group Name: Vogelgesang Languages Spoken: 5128 Yelm Hwy Se Ste E Provider ID: 007697312001 Provider: Haitian; Haitian Creole, Lacey, WA 98503 NPI: 1790210573 Creole (360) 763-7040 EB, P, R 3240 14th Ave Nw Cultural Competency: Y Ages: 0-99 Olympia, WA 98502 Ages: 0-99 Hospital Affiliations: (360) 866-7990 E, EB, IB, P, R, Hospital Affiliations: Tacoma General Allenmore RE, S, T Tacoma General Allenmore Ages: 0-99 Multicare Auburn Medical Center Hospital Affiliations: Good Samaritan Hospital Highline Medical Center Mary Bridge Child Hosp/hlth Cntr St Anne Hospital Cascade Behavioral Hospital Llc

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

237

Washington - Thurston Specialists

Berrett, Gerald R, PA, (M) Blythe, Bryan L, PA, (M) Bradshaw, Kristin A, PT, (F) Group Name: Multicare Health Group Name: Ideal Option Group Name: Providence System Provider ID: 003485994036 Centralia Physical Therapy Provider ID: 003320348011 NPI: 1366422602 Provider ID: 007370753001 NPI: 1245367630 205b Lilly Rd Ne Ste B NPI: 1881016681 345 Cooper Point Rd Nw Ste 103 Olympia, WA 98506 4833 Tumwater Valley Dr Se # 150

Olympia, WA 98502 (877) 522-1275 EB, P, R Olympia, WA 98501

(360) 763-7515 EB, P, R Languages Spoken: (360) 493-4160 Cultural Competency: Y Provider: French, German, Ages: 0-99 Ages: 0-99 Russian, Spanish Hospital Affiliations: Hospital Affiliations: Web address: https://idealoption.net/ Providence St Peter Hospital Tacoma General Allenmore Ages: 0-99 Caple, Christy, PA, (F) Hospital Affiliations: Berrett, Gerald R, PA, (M) Group Name: Washington Swedish Edmonds Group Name: Multicare Health Orthopaedic Cr Swedish Medical Center Edmonds System Provider ID: 003428698003 Areas of Expertise: E112, MAT1, Provider ID: 003320348009 NPI: 1336424092 THS NPI: 1245367630 704 Lilly Rd Se 5128 Yelm Hwy Se Ste E Blythe, Bryan L, PA, (M) Olympia, WA 98501

Lacey, WA 98503 Group Name: Ideal Option (360) 736-2889 EB, P, R

(360) 763-7040 EB, P, R Provider ID: 003485994042 Ages: 0-99 Cultural Competency: Y NPI: 1366422602 Hospital Affiliations: Ages: 0-99 205b Lilly Rd Ne Ste C Providence Centralia Hospital Hospital Affiliations: Olympia, WA 98506 Cigliola, Andrea, PA, (M) Tacoma General Allenmore (877) 522-1275 EB, P, R Group Name: Dermatology & Languages Spoken: Berrett, Gerald R, PA, (M) Allergy Spc/Olympia Provider: French, German, Group Name: Multicare Health Provider ID: 006980649001 Russian, Spanish System NPI: 1851819460 Web address: https://idealoption.net/ Provider ID: 003320348010 304 W Bay Dr Nw Ste 301 Ages: 0-99 NPI: 1245367630 Olympia, WA 98502 Hospital Affiliations: 704 Trosper Rd Sw Ste 118 (360) 413-8760 EB, P, R, RE, T Swedish Edmonds Tumwater, WA 98512 Swedish Medical Center Edmonds Tu,W 8:30 AM-5:00 PM (360) 763-7050 EB, P, R Areas of Expertise: E112, MAT1, Cultural Competency: Y Th 9:00 AM-5:00 PM THS Ages: 0-99 F 8:30 AM-4:00 PM Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore

238

Specialists Washington - Thurston

Clark, Sarah J, PA, (F) Collins, Jason W, PA, (M) Collins, Jason W, PA, (M) Group Name: Olympia Group Name: Multicare Health Group Name: Multicare Health Orthopaedic Associates System System Provider ID: 007693014001 Provider ID: 002962063012 Provider ID: 002962063009 NPI: 1851945539 NPI: 1871530022 NPI: 1871530022 3901 Capital Mall Dr Sw Ste A 345 Cooper Point Rd Nw Ste 103 704 Trosper Rd Sw Ste 118 Olympia, WA 98502 Olympia, WA 98502 Tumwater, WA 98512

(360) 570-3460 E, EB, IB, P, R, (360) 763-7515 EB, P, R (360) 763-7050 EB, P, R RE, S, T Web address: www.multicare.org/ro Web address: www.multicare.org/ro Ages: 0-99 ckwood-clinic ckwood-clinic Ages: 0-99 Ages: 0-99 Clark, Sarah J, PA, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Olympia Tacoma General Allenmore Tacoma General Allenmore Orthopaedic Associates Multicare Auburn Medical Center Multicare Auburn Medical Center Provider ID: 007693014001 Good Samaritan Hospital Good Samaritan Hospital NPI: 1851945539 Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr 3901 Capital Mall Dr Sw Ste B Olympia, WA 98502 Collins, Jason W, PA, (M) Comstock, Calista D, PA, (F)

(360) 528-8571 E, EB, IB, P, R, Group Name: Multicare Health Group Name: Ideal Option RE, S, T System Provider ID: 003011784078 Ages: 0-99 Provider ID: 002962063008 NPI: 1720240401 NPI: 1871530022 205b Lilly Rd Ne Ste B Clark, Sarah J, PA, (F) 5128 Yelm Hwy Se Ste E Olympia, WA 98506 Group Name: Olympia Lacey, WA 98503 (877) 522-1275 EB, P, R Orthopaedic Associates (360) 763-7040 EB, P, R Web address: www.idealoption.net Provider ID: 007693014001 Web address: www.multicare.org/ro Ages: 0-99 NPI: 1851945539 ckwood-clinic Hospital Affiliations: 615 Lilly Rd Ne Ste 100 Ages: 0-99 Kootenai Health Olympia, WA 98506 Hospital Affiliations: Areas of Expertise: MAT1, THS (360) 491-4211 EB, P, R, RE, T Tacoma General Allenmore Comstock, Calista D, PA, (F) Multicare Auburn Medical Center Ages: 0-99 Group Name: Ideal Option Good Samaritan Hospital Provider ID: 003011784082 Mary Bridge Child Hosp/hlth Cntr NPI: 1720240401 205b Lilly Rd Ne Ste C Olympia, WA 98506

(877) 522-1275 EB, P, R Web address: www.idealoption.net Ages: 0-99 Hospital Affiliations: Kootenai Health Areas of Expertise: MAT1, THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

239

Washington - Thurston Specialists MAT1, P010, P080 Dotson, Tamara A, PA, (F) Elam, Donna L, PA, (F) Group Name: Providence St Peter Group Name: Sea-Mar Glaser, Evening R, PA, (F) Hospital Community Health Group Name: Ideal Option Provider ID: 005038871004 Provider ID: 003033040002 Provider ID: 003047700080 NPI: 1699102871 NPI: 1386796753 NPI: 1932398260 413 Lilly Rd Ne 6334 Littlerock Rd Sw 205b Lilly Rd Ne Ste C Olympia, WA 98506 Tumwater, WA 98512 Olympia, WA 98506

(360) 491-9480 EB, P, R (360) 704-7590 EB, P, R (877) 522-1275 EB, P, R Web address: www.providence.org Ages: 0-99 Web address: idealoption.net Ages: 0-99 Areas of Expertise: E112, E160 Ages: 0-99 Hospital Affiliations: Areas of Expertise: MAT1, THS Erlien, Janna B, PA, (F) West Virginia University Hosp Group Name: Pmg Sw Wa Goldmann, Mary E, PA, (F) Providence Centralia Hospital Provider ID: 007118920002 Group Name: Olympia Areas of Expertise: THS NPI: 1558797522 Orthopaedic Associates Duarte, Ryan P, PA, (M) 525 Lilly Rd Ne Ste 200 Provider ID: 003550798004 Group Name: Ideal Option Olympia, WA 98506 NPI: 1891984613

Provider ID: 005714873047 (360) 493-4510 EB, P, R 3901 Capital Mall Dr Sw Ste A NPI: 1720127020 Web address: www.providence.org Olympia, WA 98502

205b Lilly Rd Ne Ste C Ages: 0-99 (360) 709-6230 E, EB, IB, P, R, Olympia, WA 98506 RE, S, T Garcia, Patricia S, PA, (F) (877) 522-1275 EB, P, R Ages: 0-99 Group Name: Capital Clubhouse Ages: 0-99 Hospital Affiliations: Provider ID: 003299831018 Areas of Expertise: MAT1, THS Providence St Peter Hospital NPI: 1659686137 Providence Centralia Hospital Elam, Donna L, PA, (F) 1000 Cherry St Se Group Name: Sea-Mar Olympia, WA 98501 Goldmann, Mary E, PA, (F)

Community Health (360) 357-2582 EB, IB, P, R Group Name: Olympia Provider ID: 003033040002 M-F 8:00 AM-8:00 PM Orthopaedic Associates NPI: 1386796753 Web address: www.providence.org Provider ID: 003550798008 3030 Limited Ln Nw Ages: 0-99 NPI: 1891984613 Olympia, WA 98502 Hospital Affiliations: 3901 Capital Mall Dr Sw Ste B

(360) 491-1399 EB, P, R Valley Medical Center Olympia, WA 98502

Ages: 0-99 Providence Regional Medical (360) 709-6230 E, EB, IB, P, R, Areas of Expertise: E112, E160 Center Evere RE, S, T Providence Regional Medical Ctr Ages: 0-99 Everett Hospital Affiliations: Swedish Cherry Hill Providence St Peter Hospital Virginia Mason Medical Center Providence Centralia Hospital Swedish Medical Center University Of Washington Medical Ctr Seattle Cancer Care Alliance Areas of Expertise: E105, E160,

240

Specialists Washington - Thurston

Goldmann, Mary E, PA, (F) Grosshans, Terri L, PA, (F) Guercio, Lindsey A, PA, (F) Group Name: Olympia Group Name: Olympia Group Name: Multicare Health Orthopaedic Associates Orthopaedic Associates System Provider ID: 003550798004 Provider ID: 003179411002 Provider ID: 005885687016 NPI: 1891984613 NPI: 1790904613 NPI: 1346626934 3901 Capital Mall Dr Sw Ste D 3901 Capital Mall Dr Sw Ste A 5128 Yelm Hwy Se Ste E Olympia, WA 98502 Olympia, WA 98502 Lacey, WA 98503

(360) 709-6221 EB, IB, P, R (360) 786-8990 E, EB, IB, P, R, (360) 763-7040 EB, P, R Ages: 0-99 RE, S, T Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hamza, Allison E, PA, (F) Providence St Peter Hospital Hospital Affiliations: Group Name: Olympia Providence Centralia Hospital St Joseph Medical Center Orthopaedic Associates Gonzalez, Omar J, PA, (M) Grosshans, Terri L, PA, (F) Provider ID: 005441898002 Group Name: Pain Care Group Name: Olympia NPI: 1417354960 Physicians Orthopaedic Associates 3901 Capital Mall Dr Sw Ste A Provider ID: 003190901006 Provider ID: 003179411006 Olympia, WA 98502

NPI: 1831412485 NPI: 1790904613 (360) 786-8990 E, EB, IB, P, R, 155 Lilly Rd Ne Ste A 3901 Capital Mall Dr Sw Ste B RE, S, T Olympia, WA 98506 Olympia, WA 98502 Languages Spoken:

(206) 538-6300 E, EB, P, R, RE, (360) 528-8571 E, EB, IB, P, R, Provider: Spanish S, T RE, S, T Ages: 0-99 Languages Spoken: Ages: 0-99 Hospital Affiliations: Provider: Spanish Hospital Affiliations: Multicare Capital Medical Center Ages: 0-99 St Joseph Medical Center Hamza, Allison E, PA, (F) Hospital Affiliations: Grosshans, Terri L, PA, (F) Group Name: Olympia Valley Medical Center Group Name: Olympia Orthopaedic Associates Adventist Medical Center Orthopaedic Associates Provider ID: 005441898003 Adventist Health Portland Provider ID: 003179411008 NPI: 1417354960 Providence St Peter Hospital NPI: 1790904613 3901 Capital Mall Dr Sw Ste B Providence Willamette Falls 615 Lilly Rd Ne Ste 100&120 Olympia, WA 98502 Medical Ctr Olympia, WA 98506 (360) 528-8571 E, EB, IB, P, R, Legacy Meridian Park Hospital (360) 491-4211 EB, P, R RE, S, T Goulette, Daniel L, PA, (M) Ages: 0-99 Languages Spoken: Group Name: Ideal Option Hospital Affiliations: Provider: Spanish Provider ID: 005239805039 St Joseph Medical Center Ages: 0-99 NPI: 1285031872 Hospital Affiliations: 205b Lilly Rd Ne Ste C Multicare Capital Medical Center Olympia, WA 98506

(877) 522-1275 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

241

Washington - Thurston Specialists

Hannigan, Jessica, PA, (F) Harold, Angela, PA, (F) Hoopes, Derek G, PA, (M) Group Name: Washington Group Name: Olympia Group Name: Olympia Orthopaedic Cr Orthopaedic Associates Orthopaedic Associates Provider ID: 006378063003 Provider ID: 007311681003 Provider ID: 003328164002 NPI: 1417496183 NPI: 1922581008 NPI: 1679769913 704 Lilly Rd Se 3901 Capital Mall Dr Sw Ste B 615 Lilly Rd Ne Ste 120 Olympia, WA 98501 Olympia, WA 98502 Olympia, WA 98506

(360) 736-2889 EB, P, R (360) 709-6230 E, EB, IB, P, R, (360) 491-4211 EB, P, R Ages: 0-99 RE, S, T Web address: www.olyortho.com Hospital Affiliations: Ages: 0-99 Ages: 0-99 Providence Centralia Hospital Hospital Affiliations: Hartford, Lawrence Buck D, PA, Providence St Peter Hospital Hansen, Kendra, PA, (F) (M) Group Name: South Sound Group Name: Electrodiagnosis & Jarman, Kirk W, PA, (M) Women's Ctr Musculoskeletal Assoc Group Name: Olympia Provider ID: 002928206002 Provider ID: 003551648011 Orthopaedic Associates NPI: 1790774545 NPI: 1427014745 Provider ID: 002777468001 3920 Capital Mall Dr Sw Ste 400 704 Lilly Rd Se NPI: 1588658124 Olympia, WA 98502 Olympia, WA 98501 3901 Capital Mall Dr Sw Ste A

(360) 705-1259 E, EB, G, IB, P, (253) 272-9994 EB, P, R Olympia, WA 98502

R, RE, S, T Does Not Accept New Patients (360) 786-8990 E, EB, IB, P, R, M-F 8:15 AM-5:00 PM Ages: 0-99 RE, S, T Ages: 0-99 Web address: www.olyortho.com Hoopes, Derek G, PA, (M) Hospital Affiliations: Ages: 0-99 Group Name: Olympia Multicare Capital Medical Center Hospital Affiliations: Orthopaedic Associates St Agnes Medical Center-fresno Harold, Angela, PA, (F) Provider ID: 003328164001 Providence St Peter Hospital Group Name: Olympia NPI: 1679769913 Multicare Capital Medical Center Orthopaedic Associates 615 Lilly Rd Ne Ste 100 Provider ID: 007311681001 Olympia, WA 98506 Jarman, Kirk W, PA, (M)

NPI: 1922581008 (360) 709-6230 EB, P, R, RE, T Group Name: Olympia 3901 Capital Mall Dr Sw Ste A Orthopaedic Associates Olympia, WA 98502 Web address: www.olyortho.com Provider ID: 002777468004 Ages: 0-99 (360) 491-8439 E, EB, IB, P, R, NPI: 1588658124 RE, S, T Hospital Affiliations: 3901 Capital Mall Dr Sw Ste B Ages: 0-99 Providence St Peter Hospital Olympia, WA 98502

(360) 786-8990 E, EB, IB, P, R, RE, S, T Web address: www.olyortho.com Ages: 0-99 Hospital Affiliations: St Agnes Medical Center-fresno Providence St Peter Hospital Multicare Capital Medical Center

242

Specialists Washington - Thurston

Jarman, Kirk W, PA, (M) Johns, Steven W, PA, (M) Jouflas, Susan, PA, (F) Group Name: Olympia Group Name: Olympia Group Name: Northwest Medical Orthopaedic Associates Orthopaedic Associates Specialties Provider ID: 002777468002 Provider ID: 003443575005 Provider ID: 001327348017 NPI: 1588658124 NPI: 1750685665 NPI: 1730268392 615 Lilly Rd Ne Ste 100 615 Lilly Rd Ne Ste 100 3920 Capital Mall Dr Sw Ste 100 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98502

(360) 491-4211 EB, P, R, RE, T (360) 491-4211 EB, P, R, RE, T (360) 754-5168 EB, P, R Languages Spoken: Web address: www.olyortho.com Web address: www.fhshealth.org Provider: Spanish Ages: 0-99 Ages: 0-99 Web address: www.fhshealth.org Hospital Affiliations: Hospital Affiliations: Ages: 0-99 St Agnes Medical Center-fresno St Francis Community Hospital Providence St Peter Hospital Kubiniec, Robert H, PA, (M) Johns, Steven W, PA, (M) Multicare Capital Medical Center Group Name: Evergreen Group Name: Olympia Treatment Services Jarman, Kirk W, PA, (M) Orthopaedic Associates Provider ID: 003604124001 Group Name: Olympia Provider ID: 003443575007 NPI: 1780956599 Orthopaedic Associates NPI: 1750685665 6700 Martin Way E Ste 117 Provider ID: 002777468003 615 Lilly Rd Ne Ste 120 Olympia, WA 98516 NPI: 1588658124 Olympia, WA 98506 (360) 413-6310 EB, P, R 615 Lilly Rd Ne Ste 120 (360) 491-4211 EB, P, R Web address: www.washingtonpain. Olympia, WA 98506 Ages: 0-99 com (360) 491-4211 EB, P, R Hospital Affiliations: Ages: 0-99 Web address: www.olyortho.com St Francis Community Hospital Areas of Expertise: MAT1

Ages: 0-99 Johnson, Brittany K, PA, (F) Hospital Affiliations: Legan, Jason E, PA, (M) Group Name: Pain Care St Agnes Medical Center-fresno Group Name: Multicare Health Physicians Providence St Peter Hospital System Provider ID: 005247740006 Multicare Capital Medical Center Provider ID: 004194722014 NPI: 1790181543 NPI: 1083042816 Johns, Steven W, PA, (M) 155 Lilly Rd Ne Ste A 345 Cooper Point Rd Nw Ste 103 Group Name: Olympia Olympia, WA 98506 Olympia, WA 98502 Orthopaedic Associates (206) 538-6300 E, EB, P, R, RE, (360) 763-7515 EB, P, R Provider ID: 003443575006 S, T Cultural Competency: Y NPI: 1750685665 Ages: 0-99 Ages: 0-99 3901 Capital Mall Dr Sw Ste D Hospital Affiliations: Olympia, WA 98502 Tacoma General Allenmore (360) 709-6221 EB, IB, P, R M-F 7:00 AM-5:00 PM Web address: www.fhshealth.org Ages: 0-99 Hospital Affiliations: St Francis Community Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

243

Washington - Thurston Specialists

Legan, Jason E, PA, (M) Martin, Theresa K, PA, (F) Mehta, Vanessa J, PA, (F) Group Name: Multicare Health Group Name: Multicare Health Group Name: Multicare Health System System System Provider ID: 004194722012 Provider ID: 003037070021 Provider ID: 006791781012 NPI: 1083042816 NPI: 1134176340 NPI: 1366993362 5128 Yelm Hwy Se Ste E 345 Cooper Point Rd Nw Ste 104 345 Cooper Point Rd Nw Ste 103 Lacey, WA 98503 Olympia, WA 98502 Olympia, WA 98502

(360) 763-7040 EB, P, R (360) 763-7530 EB, P, R (360) 763-7515 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Tacoma General Allenmore Multicare Auburn Medical Center Tacoma General Allenmore Mayes, Joshua B, PA, (M) Mehta, Vanessa J, PA, (F) Legan, Jason E, PA, (M) Group Name: Washington Group Name: Multicare Health Group Name: Multicare Health Orthopaedic Cr System System Provider ID: 002560212004 Provider ID: 006791781001 Provider ID: 004194722013 NPI: 1578632238 NPI: 1366993362 NPI: 1083042816 704 Lilly Rd Se 5128 Yelm Hwy Se Ste E 704 Trosper Rd Sw Ste 118 Olympia, WA 98501 Lacey, WA 98503

Tumwater, WA 98512 (360) 736-2889 EB, P, R (360) 763-7040 EB, P, R

(360) 763-7050 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Providence St Peter Hospital Multicare Auburn Medical Center Hospital Affiliations: Multicare Capital Medical Center Mehta, Vanessa J, PA, (F) Tacoma General Allenmore Mcpeak, Erin C, PA, (F), B Group Name: Multicare Health Marshall, Matthew, PA, (M) Group Name: Innovative Sleep System Group Name: Olympia Centers Provider ID: 006791781009 Orthopaedic Associates Provider ID: 005275511002 NPI: 1366993362 Provider ID: 006313922001 NPI: 1326320052 704 Trosper Rd Sw Ste 118 NPI: 1588924781 260 Lee St Sw Tumwater, WA 98512

615 Lilly Rd Ne Ste 120 Tumwater, WA 98501 (360) 763-7050 EB, P, R

Olympia, WA 98506 (360) 754-3825 EB, P, R Ages: 0-99

(360) 491-4211 EB, P, R Ages: 0-99 Hospital Affiliations: Web address: [email protected] Hospital Affiliations: Multicare Auburn Medical Center rg Peacehealth Ketchikan Medical Ages: 0-99 Center Hospital Affiliations: Providence St Peter Hospital Multicare Capital Medical Center

244

Specialists Washington - Thurston

Meyer, Joshua S, PA, (M) Meyer, Joshua S, PA, (M) Montes, Anthony C, PA, (M) Group Name: Tra Medical Group Name: Tra Medical Group Name: Multicare Health Imaging Ps Imaging Ps System Provider ID: 002765129039 Provider ID: 002765129036 Provider ID: 006349262012 NPI: 1043304058 NPI: 1043304058 NPI: 1043554223 345 Cooper Point Rd Nw Ste 103 704 Trosper Rd Sw Ste 118 345 Cooper Point Rd Nw Ste 103 Olympia, WA 98502 Tumwater, WA 98512 Olympia, WA 98502

(253) 761-4200 EB, P, R (253) 761-4200 EB, P, R (360) 763-7515 EB, P, R Web address: www.tramedicalimagi Web address: www.tramedicalimagi Ages: 0-99 ng.com ng.com Hospital Affiliations: Ages: 0-99 Ages: 0-99 Tacoma General Allenmore Multicare Auburn Medical Center Meyer, Joshua S, PA, (M) Millar, Samantha, PA, (F) Good Samaritan Hospital Group Name: Tra Medical Group Name: Olympia Mary Bridge Child Hosp/hlth Cntr Imaging Ps Orthopaedic Associates Provider ID: 002765129044 Provider ID: 007612453001 Montes, Anthony C, PA, (M) NPI: 1043304058 NPI: 1114564929 Group Name: Multicare Health 5128 Yelm Hwy Se Ste D 3901 Capital Mall Dr Sw Ste A System Lacey, WA 98503 Olympia, WA 98502 Provider ID: 006349262009

(253) 761-4200 EB, P, R (360) 570-3460 E, EB, IB, P, R, NPI: 1043554223 Web address: www.tramedicalimagi RE, S, T 5128 Yelm Hwy Se Ste E ng.com Ages: 0-99 Lacey, WA 98503

Ages: 0-99 (360) 763-7040 EB, P, R Millar, Samantha, PA, (F) Ages: 0-99 Meyer, Joshua S, PA, (M) Group Name: Olympia Hospital Affiliations: Group Name: Tra Medical Orthopaedic Associates Tacoma General Allenmore Imaging Ps Provider ID: 007612453001 Multicare Auburn Medical Center Provider ID: 002765129043 NPI: 1114564929 Good Samaritan Hospital NPI: 1043304058 3901 Capital Mall Dr Sw Ste B Mary Bridge Child Hosp/hlth Cntr 5128 Yelm Hwy Se Ste F Olympia, WA 98502 Lacey, WA 98503 (360) 528-8571 E, EB, IB, P, R, Montes, Anthony C, PA, (M)

(253) 761-4200 EB, P, R RE, S, T Group Name: Multicare Health Web address: www.tramedicalimagi Ages: 0-99 System ng.com Provider ID: 006349262001 Millar, Samantha, PA, (F) Ages: 0-99 NPI: 1043554223 Group Name: Olympia 704 Trosper Rd Sw Ste 118 Orthopaedic Associates Tumwater, WA 98512 Provider ID: 007612453001 (360) 763-7050 EB, P, R NPI: 1114564929 Ages: 0-99 615 Lilly Rd Ne Ste 100 Hospital Affiliations: Olympia, WA 98506 Tacoma General Allenmore (360) 491-4211 EB, P, R, RE, T Multicare Auburn Medical Center Ages: 0-99 Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

245

Washington - Thurston Specialists

Moore, Douglas B, PA, (M) Nguyen, Tuyet T, PA, (F) Noel, Brianne S, PA, (F) Group Name: Tra Medical Group Name: Multicare Health Group Name: Multicare Health Imaging Ps System System Provider ID: 003451926035 Provider ID: 005125915012 Provider ID: 006962406008 NPI: 1790853422 NPI: 1699197038 NPI: 1245771872 345 Cooper Point Rd Nw Ste 103 345 Cooper Point Rd Nw Ste 103 3504 12th Ave Ne Olympia, WA 98502 Olympia, WA 98502 Olympia, WA 98506

(253) 761-4200 EB, P, R (360) 763-7515 EB, P, R (253) 403-1507 EB, P, R Ages: 0-99 Web address: www.nextcare.com Ages: 0-99 Ages: 0-99 Hospital Affiliations: Moore, Douglas B, PA, (M) Hospital Affiliations: Tacoma General Allenmore Group Name: Tra Medical Tacoma General Allenmore Multicare Auburn Medical Center Imaging Ps Areas of Expertise: MAT1 Good Samaritan Hospital Provider ID: 003451926040 Mary Bridge Child Hosp/hlth Cntr NPI: 1790853422 Nguyen, Tuyet T, PA, (F) 5128 Yelm Hwy Se Ste D Group Name: Multicare Health Nye, Larry W, PA, (M) Lacey, WA 98503 System Group Name: Ideal Option

(253) 761-4200 EB, P, R Provider ID: 005125915008 Provider ID: 003264293052 Ages: 0-99 NPI: 1699197038 NPI: 1457686826 5128 Yelm Hwy Se Ste E 205b Lilly Rd Ne Ste B Moore, Douglas B, PA, (M) Lacey, WA 98503 Olympia, WA 98506 Group Name: Tra Medical (360) 763-7040 EB, P, R (877) 522-1275 EB, P, R Imaging Ps Web address: www.nextcare.com Web address: www.idealoption.net Provider ID: 003451926039 Ages: 0-99 Ages: 0-99 NPI: 1790853422 Hospital Affiliations: Hospital Affiliations: 5128 Yelm Hwy Se Ste F Tacoma General Allenmore Kadlec Regional Medical Center Lacey, WA 98503 Areas of Expertise: MAT1 Areas of Expertise: MAT1 (253) 761-4200 EB, P, R Ages: 0-99 Nguyen, Tuyet T, PA, (F) Nye, Larry W, PA, (M) Group Name: Multicare Health Group Name: Ideal Option Moore, Douglas B, PA, (M) System Provider ID: 003264293037 Group Name: Tra Medical Provider ID: 005125915009 NPI: 1457686826 Imaging Ps NPI: 1699197038 205b Lilly Rd Ne Ste C Provider ID: 003451926032 704 Trosper Rd Sw Ste 118 Olympia, WA 98506 NPI: 1790853422 Tumwater, WA 98512 (877) 522-1275 EB, P, R 704 Trosper Rd Sw Ste 118 (360) 763-7050 EB, P, R Web address: www.idealoption.net Tumwater, WA 98512 Web address: www.nextcare.com Ages: 0-99 (253) 761-4200 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Kadlec Regional Medical Center Tacoma General Allenmore Areas of Expertise: MAT1 Areas of Expertise: MAT1

246

Specialists Washington - Thurston

Pedersen, Sarah E, PA, (F) Perry, Chadwick J, PA, (M) Renner, Matthew S, PA, (M) Group Name: Ideal Option Group Name: Ideal Option Group Name: Pmg Sw Wa Provider ID: 005969680037 Provider ID: 003140384202 Provider ID: 005679810001 NPI: 1023494226 NPI: 1093902413 NPI: 1740611557 205b Lilly Rd Ne Ste B 205b Lilly Rd Ne Ste C 615 Lilly Rd Ne Ste 220 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(877) 522-1275 EB, P, R (877) 522-1275 EB, P, R (360) 486-6150 EB, P, R Ages: 0-99 Web address: www.lourdeshealth.ne Web address: www.providence.org Hospital Affiliations: t Ages: 0-99 Tacoma General Allenmore Ages: 0-99 Hospital Affiliations: Multicare Auburn Medical Center Hospital Affiliations: Providence St Peter Hospital Good Samaritan Hospital Our Lady Of Lourdes Hospital At Providence Centralia Hospital Mary Bridge Child Hosp/hlth Cntr Pasco Areas of Expertise: THS Areas of Expertise: MAT1, THS Lourdes Medical Center Richards, Latoya N, PA, (F) Rcch Trios Health Pedersen, Sarah E, PA, (F) Group Name: Multicare Health Areas of Expertise: THS Group Name: Ideal Option System Provider ID: 005969680044 Pine, Nicole A, PA, (F) Provider ID: 006083639011 NPI: 1023494226 Group Name: South Sound NPI: 1518366863 205b Lilly Rd Ne Ste C Women's Ctr 5128 Yelm Hwy Se Ste E Olympia, WA 98506 Provider ID: 007160735006 Lacey, WA 98503

(877) 522-1275 EB, P, R NPI: 1457818239 (360) 763-7040 EB, P, R Ages: 0-99 3920 Capital Mall Dr Sw Ste 400 Cultural Competency: Y Hospital Affiliations: Olympia, WA 98502 Ages: 0-99

Tacoma General Allenmore (360) 705-1259 E, EB, G, IB, P, Richards, Latoya N, PA, (F) Multicare Auburn Medical Center R, RE, S, T Group Name: Multicare Health Good Samaritan Hospital M,W,Th,F 8:30 AM-5:00 PM System Mary Bridge Child Hosp/hlth Cntr Tu 8:00 AM-5:00 PM Provider ID: 006083639012 Areas of Expertise: MAT1, THS Ages: 0-99 NPI: 1518366863 Pendle, Gregory J, PA, (M) Prado, Kelley K, PA, (F) 704 Trosper Rd Sw Ste 118 Group Name: Providence St Peter Group Name: Ideal Option Tumwater, WA 98512

Hospital Provider ID: 006581269047 (360) 763-7050 EB, P, R Provider ID: 002940835003 NPI: 1962872937 Cultural Competency: Y NPI: 1174780282 205b Lilly Rd Ne Ste C Ages: 0-99 413 Lilly Rd Ne Olympia, WA 98506

Olympia, WA 98506 (877) 522-1275 EB, P, R

(360) 491-9480 EB, P, R Ages: 0-99 Web address: www.providence.org Areas of Expertise: THS Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

247

Washington - Thurston Specialists

Richardson, Timothy S, PA, (M) Rodgers, Jason A, PA, (M) Sacken, Jodi, PA, (F) Group Name: Multicare Health Group Name: Washington Group Name: Multicare Health System Gastroenterology System Provider ID: 006606840012 Provider ID: 003111694005 Provider ID: 004997736004 NPI: 1407378136 NPI: 1568600492 NPI: 1821391210 345 Cooper Point Rd Nw Ste 103 500 Lilly Rd Ne Ste 204 3504 12th Ave Ne Olympia, WA 98502 Olympia, WA 98506 Olympia, WA 98506

(360) 763-7515 EB, P, R (360) 413-8250 EB, P, R (360) 252-3801 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Good Samaritan Hospital Hospital Affiliations: Multicare Auburn Medical Center Multicare Auburn Medical Center Tacoma General Allenmore Good Samaritan Hospital Rodriguez, Julian, PA, (M) Sanders, Kasin M, PA, (M) Mary Bridge Child Hosp/hlth Cntr Group Name: Westcare Clinic Group Name: Ideal Option Richardson, Timothy S, PA, (M) Provider ID: 002775555003 Provider ID: 006492049010 Group Name: Multicare Health NPI: 1235204801 NPI: 1841710530 System 3000 Limited Ln Nw 205b Lilly Rd Ne Ste B Provider ID: 006606840009 Olympia, WA 98502 Olympia, WA 98506

NPI: 1407378136 (360) 357-9392 EB, P, R (877) 522-1275 5128 Yelm Hwy Se Ste E M-F 8:00 AM-8:00 PM Ages: 0-99 Lacey, WA 98503 Sa,Su 9:00 AM-5:00 PM Hospital Affiliations:

(360) 763-7040 EB, P, R Web address: www.westcareclinic.c Tennova - Turkey Creek Med Ctr Ages: 0-99 om Sanders, Kasin M, PA, (M) Hospital Affiliations: Ages: 0-99 Group Name: Ideal Option Tacoma General Allenmore Hospital Affiliations: Provider ID: 006492049010 Multicare Auburn Medical Center Multicare Capital Medical Center NPI: 1841710530 Good Samaritan Hospital Areas of Expertise: MAT1 205b Lilly Rd Ne Ste C Mary Bridge Child Hosp/hlth Cntr Rood, Joseph A, PA, (M) Olympia, WA 98506 Richardson, Timothy S, PA, (M) Group Name: Innovative Sleep (877) 522-1275 EB, P, R Group Name: Multicare Health Centers Ages: 0-99 System Provider ID: 006221169011 Hospital Affiliations: Provider ID: 006606840002 NPI: 1184003246 Tennova - Turkey Creek Med Ctr NPI: 1407378136 260 Lee St Sw 704 Trosper Rd Sw Ste 118 Tumwater, WA 98501

Tumwater, WA 98512 (360) 754-3825 EB, P, R

(360) 763-7050 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Providence St Peter Hospital Tacoma General Allenmore Harrison Medical Center Multicare Auburn Medical Center St Michael Medical Center Good Samaritan Hospital Providence Centralia Hospital Mary Bridge Child Hosp/hlth Cntr

248

Specialists Washington - Thurston

Sawyer, Jessica K, PA, (F) Spikes, Christopher, PA, (M) Sveen, Jane L, PA, (F) Group Name: Multicare Health Group Name: Olympia Group Name: Ideal Option System Orthopaedic Associates Provider ID: 002630608011 Provider ID: 003107171037 Provider ID: 003139878004 NPI: 1487754487 NPI: 1073525424 NPI: 1104157908 205b Lilly Rd Ne Ste C 345 Cooper Point Rd Nw Ste 104 615 Lilly Rd Ne Ste 100 Olympia, WA 98506

Olympia, WA 98502 Olympia, WA 98506 (877) 522-1275 EB, P, R

(360) 763-7530 EB, P, R (360) 491-4211 EB, P, R, RE, T Ages: 0-99 Cultural Competency: Y Areas of Expertise: MAT1, THS Ages: 0-99 Web address: www.fhshealth.org Ages: 0-99 Terrenzi, Kristy, PA, (F) Schier, Anamaria, PA, (F) Hospital Affiliations: Group Name: Olympia Group Name: Pmg Sw Wa Providence St Peter Hospital Orthopaedic Associates Provider ID: 007228859001 Tacoma General Allenmore Provider ID: 006993136001 NPI: 1588218929 Mchs Franciscan Med Cntr NPI: 1962936898 615 Lilly Rd Ne Ste 220 615 Lilly Rd Ne Ste 120 Olympia, WA 98506 Spikes, Christopher, PA, (M) Olympia, WA 98506 Group Name: Olympia (360) 486-6150 EB, P, R (360) 491-4211 EB, P, R Ages: 0-99 Orthopaedic Associates Ages: 0-99 Hospital Affiliations: Provider ID: 003139878005 Hospital Affiliations: Providence St Peter Hospital NPI: 1104157908 Providence St Peter Hospital Providence Centralia Hospital 615 Lilly Rd Ne Ste 120 Tran, Deion, PA, (M) Areas of Expertise: THS Olympia, WA 98506 (360) 491-4211 EB, P, R Group Name: Multicare Health Schwartz, Paul C, PA, (M) Web address: www.fhshealth.org System Group Name: Pain Care Ages: 0-99 Provider ID: 005790374047 Physicians Hospital Affiliations: NPI: 1417359894 Provider ID: 007168257006 Providence St Peter Hospital 345 Cooper Point Rd Nw Ste 103 NPI: 1316208895 Tacoma General Allenmore Olympia, WA 98502 155 Lilly Rd Ne Ste A Mchs Franciscan Med Cntr (360) 763-7515 EB, P, R Olympia, WA 98506 Languages Spoken: Storby, Lindsay I, PA, (F) (206) 538-6300 E, EB, P, R, RE, Provider: Vietnamese S, T Group Name: Multicare Health Cultural Competency: Y Ages: 0-99 System Ages: 0-99 Provider ID: 003317048007 Areas of Expertise: MAT1 NPI: 1891092938 3504 12th Ave Ne Olympia, WA 98506

(253) 403-1507 EB, P, R Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

249

Washington - Thurston Specialists

Tran, Deion, PA, (M) Trenhaile, Marie E, PA, (F) Van Dam, Ryan P, PA, (M) Group Name: Multicare Health Group Name: Multicare Health Group Name: Multicare Health System System System Provider ID: 005790374043 Provider ID: 006698795015 Provider ID: 006793270012 NPI: 1417359894 NPI: 1457522187 NPI: 1639616949 5128 Yelm Hwy Se Ste E 5128 Yelm Hwy Se Ste E 5128 Yelm Hwy Se Ste E Lacey, WA 98503 Lacey, WA 98503 Lacey, WA 98503

(360) 763-7040 EB, P, R (360) 763-7040 EB, P, R (360) 763-7040 EB, P, R Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Vietnamese Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Tacoma General Allenmore Tacoma General Allenmore Ages: 0-99 Trenhaile, Marie E, PA, (F) Van Dam, Ryan P, PA, (M) Areas of Expertise: MAT1 Group Name: Multicare Health Group Name: Multicare Health Tran, Deion, PA, (M) System System Group Name: Multicare Health Provider ID: 006698795016 Provider ID: 006793270013 System NPI: 1457522187 NPI: 1639616949 Provider ID: 005790374044 704 Trosper Rd Sw Ste 118 704 Trosper Rd Sw Ste 118 NPI: 1417359894 Tumwater, WA 98512 Tumwater, WA 98512

704 Trosper Rd Sw Ste 118 (360) 763-7050 EB, P, R (360) 763-7050 EB, P, R Tumwater, WA 98512 Ages: 0-99 Ages: 0-99

(360) 763-7050 EB, P, R Hospital Affiliations: Hospital Affiliations: Languages Spoken: Tacoma General Allenmore Tacoma General Allenmore Provider: Vietnamese Van Dam, Ryan P, PA, (M) Van Houten, Shannan L, PA, (F) Cultural Competency: Y Group Name: Multicare Health Group Name: Multicare Health Ages: 0-99 System System Areas of Expertise: MAT1 Provider ID: 006793270016 Provider ID: 003552597007 Trenhaile, Marie E, PA, (F) NPI: 1639616949 NPI: 1740409168 Group Name: Multicare Health 345 Cooper Point Rd Nw Ste 103 3504 12th Ave Ne System Olympia, WA 98502 Olympia, WA 98506

Provider ID: 006698795018 (360) 763-7515 EB, P, R (360) 252-3801 EB, P, R NPI: 1457522187 Ages: 0-99 Languages Spoken: 345 Cooper Point Rd Nw Ste 103 Hospital Affiliations: Provider: Spanish Olympia, WA 98502 Tacoma General Allenmore Cultural Competency: Y

(360) 763-7515 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Good Samaritan Hospital Tacoma General Allenmore Tacoma General Allenmore Multicare Auburn Medical Center Mary Bridge Child Hosp/hlth Cntr

250

Specialists Washington - Thurston

Vashchenko, Sarra, PA, (F) Walen, Kari A, PA, (F) Weaver, Brandon S, PA, (M) Group Name: Dermatology & Group Name: Silver Falls Group Name: Multicare Health Allergy Spc/Olympia Dermatology System Provider ID: 002846613001 Provider ID: 007246860002 Provider ID: 006953940009 NPI: 1831199157 NPI: 1053969451 NPI: 1053632083 304 W Bay Dr Nw Ste 301 4250 Martin Way E Ste 105 5128 Yelm Hwy Se Ste E Olympia, WA 98502 Olympia, WA 98516 Lacey, WA 98503

(360) 413-8760 EB, P, R, RE, T (503) 362-8385 E, EB, P, R, RE, (360) 763-7040 EB, P, R S, T Cultural Competency: Y M-Th 8:30 AM-5:00 PM Ages: 0-99 Ages: 0-99 F 8:00 AM-5:00 PM Hospital Affiliations: Warnken, Luke M, PA, (M) Ages: 0-99 Tacoma General Allenmore Group Name: Multicare Health Multicare Auburn Medical Center Wages, Sheri L, PA, (F) System Good Samaritan Hospital Group Name: Northwest Medical Provider ID: 007592367001 Specialties Mary Bridge Child Hosp/hlth Cntr NPI: 1730573478 Provider ID: 002772902006 3504 12th Ave Ne Weaver, Brandon S, PA, (M) NPI: 1760457345 Olympia, WA 98506 Group Name: Multicare Health 3920 Capital Mall Dr Sw Ste 100 (253) 403-1507 EB, P, R System Olympia, WA 98502 Ages: 0-99 Provider ID: 006953940010 (360) 754-5168 EB, P, R Hospital Affiliations: NPI: 1053632083 Web address: www.nwmedicalspeci Tacoma General Allenmore 704 Trosper Rd Sw Ste 118 alties.com Mary Bridge Child Hosp/hlth Cntr Tumwater, WA 98512 Ages: 0-99 (360) 763-7050 EB, P, R Weaver, Brandon S, PA, (M) Hospital Affiliations: Cultural Competency: Y Group Name: Multicare Health St Francis Community Hospital Ages: 0-99 System Good Samaritan Hospital Hospital Affiliations: Provider ID: 006953940013 St Clare Hospital Tacoma General Allenmore NPI: 1053632083 St Joseph Medical Center Multicare Auburn Medical Center 345 Cooper Point Rd Nw Ste 103 Good Samaritan Hospital Wahba, Marianne H, PA, (F) Olympia, WA 98502 Group Name: Ideal Option Mary Bridge Child Hosp/hlth Cntr (360) 763-7515 EB, P, R Provider ID: 003233590091 Cultural Competency: Y Weiler, Tracy D, PA, (M) NPI: 1073680146 Ages: 0-99 Group Name: Multicare Health 205b Lilly Rd Ne Ste C Hospital Affiliations: System Olympia, WA 98506 Tacoma General Allenmore Provider ID: 006015055014 (877) 522-1275 EB, P, R Multicare Auburn Medical Center NPI: 1316094402 Languages Spoken: Good Samaritan Hospital 345 Cooper Point Rd Nw Ste 103 Provider: Arabic Mary Bridge Child Hosp/hlth Cntr Olympia, WA 98502 Web address: https://idealoption.net/ (360) 763-7515 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1, THS Hospital Affiliations: Olympic Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

251

Washington - Thurston Specialists

Weiler, Tracy D, PA, (M) Whiteaker, Diana L, PA, (F) Whorton, Jeffrey C, PA, (M) Group Name: Multicare Health Group Name: Multicare Health Group Name: Multicare Health System System System Provider ID: 006015055012 Provider ID: 003596124003 Provider ID: 005660672011 NPI: 1316094402 NPI: 1861796542 NPI: 1215359716 5128 Yelm Hwy Se Ste E 408 Lilly Rd Ne Ste B 5128 Yelm Hwy Se Ste E Lacey, WA 98503 Olympia, WA 98506 Lacey, WA 98503

(360) 763-7040 EB, P, R (253) 301-5280 EB, P, R (360) 763-7040 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Olympic Medical Center Salem Health Tacoma General Allenmore Tacoma General Allenmore Multicare Auburn Medical Center Weiler, Tracy D, PA, (M) Virginia Mason Medical Center Good Samaritan Hospital Group Name: Multicare Health Multicare Covington Medical Mary Bridge Child Hosp/hlth Cntr System Center Provider ID: 006015055013 Whorton, Jeffrey C, PA, (M) NPI: 1316094402 Whorton, Jeffrey C, PA, (M) Group Name: Multicare Health 704 Trosper Rd Sw Ste 118 Group Name: Multicare Health System Tumwater, WA 98512 System Provider ID: 005660672012

(360) 763-7050 EB, P, R Provider ID: 005660672013 NPI: 1215359716 Ages: 0-99 NPI: 1215359716 704 Trosper Rd Sw Ste 118 Hospital Affiliations: 345 Cooper Point Rd Nw Ste 103 Tumwater, WA 98512

Olympic Medical Center Olympia, WA 98502 (360) 763-7050 EB, P, R

(360) 763-7515 EB, P, R Ages: 0-99 Weissenberger, Thomas J, PA, Ages: 0-99 Hospital Affiliations: (M) Hospital Affiliations: Tacoma General Allenmore Group Name: Westcare Clinic Tacoma General Allenmore Multicare Auburn Medical Center Provider ID: 003287477002 Multicare Auburn Medical Center Good Samaritan Hospital NPI: 1407830383 Good Samaritan Hospital Mary Bridge Child Hosp/hlth Cntr 3000 Limited Ln Nw Mary Bridge Child Hosp/hlth Cntr Olympia, WA 98502 Williams, Patrick C, PA, (M)

(360) 357-9392 EB, P, R Group Name: Washington M-F 8:00 AM-8:00 PM Gastroenterology Sa,Su 9:00 AM-5:00 PM Provider ID: 005253092007 Web address: www.westcareclinic.c NPI: 1245391390 om 500 Lilly Rd Ne Ste 204 Ages: 0-99 Olympia, WA 98506

Areas of Expertise: MAT1 (360) 413-8250 EB, P, R Languages Spoken: Provider: Mandarin, Taiwanese Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

252

Specialists Washington - Thurston

Winter, Jennifer E, PA, (F) Zerby, Brandy, PA, (F) Bowles, Casey R, DPM, (M) Group Name: Dermatology & Group Name: Multicare Health Group Name: Fasa Family Allergy Spc/Olympia System Wellness Provider ID: 003059528001 Provider ID: 005945174014 Provider ID: 006114106001 NPI: 1740280056 NPI: 1538538327 NPI: 1689916728 304 W Bay Dr Nw Ste 301 345 Cooper Point Rd Nw Ste 103 1610 Bishop Rd Sw Ste 101 Olympia, WA 98502 Olympia, WA 98502 Tumwater, WA 98512

(360) 413-8760 EB, P, R, RE, T (360) 763-7515 EB, P, R (360) 754-3338 EB, P, R, RE, T Ages: 0-99 M,Tu,Th 8:30 AM-5:00 PM Hospital Affiliations: Languages Spoken: W 8:00 AM-5:00 PM Peacehealth Ketchikan Medical Provider: Spanish F 8:30 AM-4:00 PM Center Staff: Spanish Ages: 0-99 Tacoma General Allenmore Ages: 0-99 Hospital Affiliations: Peacehealth St Joseph Medical Hospital Affiliations: Providence St Peter Hospital Center Providence St Peter Hospital

Multicare Capital Medical Center Yujuico, Christopher S, PA, (M) Podiatry

Group Name: Multicare Health Bowles, Casey R, DPM, (M)

System Bagniewski, Abe, DPM, (M), B Group Name: Fasa Family Provider ID: 006336495012 Group Name: Abe C Bagniewski Wellness NPI: 1366803967 Dpm Provider ID: 006114106001 345 Cooper Point Rd Nw Ste 104 Provider ID: 002599923001 NPI: 1689916728 Olympia, WA 98502 NPI: 1790790376 2964 Limited Ln Nw Ste B (360) 763-7530 EB, P, R 165 Lilly Rd Ne Ste A Olympia, WA 98502 Ages: 0-99 Olympia, WA 98506 (360) 943-1400 EB, P, R Hospital Affiliations: Languages Spoken: (360) 438-9092 EB, P, R, RE Olympic Medical Center M,W,Th 8:00 AM-4:00 PM Provider: Spanish Tacoma General Allenmore Tu 8:00 AM-5:00 PM Web address: www.fasafw.com Multicare Auburn Medical Center F 9:00 AM-12:00 PM Ages: 0-99 Good Samaritan Hospital Web address: www.cascadefac.com Hospital Affiliations: Mary Bridge Child Hosp/hlth Cntr Ages: 0-99 Providence St Peter Hospital Hospital Affiliations: Multicare Capital Medical Center

Mason General Hospital Burghardt, Thomas M, DPM, St Francis Community Hospital (M), B St Clare Hospital Group Name: Fasa Family St Joseph Medical Center Wellness Provider ID: 001373294002 NPI: 1902829716 1610 Bishop Rd Sw Ste 101 Tumwater, WA 98512

(360) 754-3338 EB, P, R, RE, T M-F 7:00 AM-6:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

253

Washington - Thurston Specialists Web address: www.fasafw.com Burghardt, Thomas M, DPM, Dang, Huy D, DPM, (M) Ages: 0-99 (M), B Group Name: Foot & Ankle Hospital Affiliations: Group Name: Fasa Family Surgical Assocs Providence Sacred Heart Med Ctr Wellness Provider ID: 002788743003 & Child Provider ID: 001373294002 NPI: 1801950373 Providence St Peter Hospital NPI: 1902829716 201 Tahoma Blvd Unit 208 Multicare Deaconess Hospital 2964 Limited Ln Nw Ste B Yelm, WA 98597 Providence Holy Family Hospital Olympia, WA 98502 (360) 400-3338 Multicare Capital Medical Center (360) 943-1400 EB, P, R Languages Spoken: Burghardt, Thomas M, DPM, Ages: 0-99 Provider: Vietnamese (M), B Hospital Affiliations: M-F 7:00 AM-5:30 PM Group Name: Fasa Family Providence Sacred Heart Med Ctr Ages: 0-99 Wellness & Child Hospital Affiliations: Provider ID: 001373294002 Providence St Peter Hospital Tacoma General Allenmore NPI: 1902829716 Multicare Deaconess Hospital St Clare Hospital 201 Tahoma Blvd Se Ste 208 Providence Holy Family Hospital Dang, Huy D, DPM, (M) Yelm, WA 98597 Multicare Capital Medical Center Group Name: Foot & Ankle (360) 400-3338 EB, P, R Dang, Huy D, DPM, (M) Surgical Assocs Ages: 0-99 Group Name: Foot & Ankle Provider ID: 002788743003 Hospital Affiliations: Surgical Assocs NPI: 1801950373 Providence Sacred Heart Med Ctr Provider ID: 002788743003 2964 Limited Ln Nw Ste B & Child NPI: 1801950373 Olympia, WA 98502 Providence St Peter Hospital 1610 Bishop Rd Sw Ste 101 (360) 943-1400 Multicare Deaconess Hospital Tumwater, WA 98512 Languages Spoken: Providence Holy Family Hospital (360) 754-3338 Provider: Vietnamese Multicare Capital Medical Center Languages Spoken: M-F 7:00 AM-5:30 PM Provider: Vietnamese Ages: 0-99 M-F 7:00 AM-5:30 PM Hospital Affiliations: Ages: 0-99 Tacoma General Allenmore Hospital Affiliations: St Clare Hospital Tacoma General Allenmore Foot & Ankle Surgical Assocs St Clare Hospital Provider ID: 002194245003 NPI: 1790181899 1610 Bishop Rd Sw Tumwater, WA 98512

(360) 754-3338 EB, P, R Ages: 0-99

254

Specialists Washington - Thurston Web address: www.fasafw.com Foot & Ankle Surgical Assocs Foot & Ankle Surgical Assocs Ages: 0-99 Provider ID: 002194245002 Provider ID: 002194245002 Hospital Affiliations: NPI: 1790181899 NPI: 1790181899 Mason General Hospital 1610 Bishop Rd Sw Bldg 7 5210 Corporate Center Ct Se #a Providence St Peter Hospital Tumwater, WA 98512 Lacey, WA 98503 Providence Centralia Hospital (360) 754-3338 (360) 754-3338 Multicare Capital Medical Center Ages: 0-99 Ages: 0-99 Hess, Terrence E, DPM, (M), B Foot & Ankle Surgical Assocs Gillroy-Gill, Kelley A, DPM, (F), Group Name: Fasa Family Provider ID: 002194245002 B Wellness NPI: 1790181899 Group Name: Gillroy-Gill Kelley Provider ID: 001302278002 1610 Bishop Rd Sw Ste 101 A NPI: 1194748913 Tumwater, WA 98512 Provider ID: 002941235002 201 Tahoma Blvd Se Ste 208 (360) 754-3338 NPI: 1104044098 Yelm, WA 98597 Ages: 0-99 165 Lilly Rd Ne Ste A (360) 400-3338 EB, P, R Olympia, WA 98506 Foot & Ankle Surgical Assocs Languages Spoken: (360) 438-9092 EB, P, R, RE Provider ID: 002194245002 Provider: Spanish M-F 8:00 AM-4:30 PM NPI: 1790181899 Web address: www.anklefoot.net Web address: cascadefootandanklec 201 Tahoma Blvd Unit 208 Ages: 0-99 linic.com Yelm, WA 98597 Hospital Affiliations: Ages: 0-99 (360) 400-3338 Mason General Hospital Hospital Affiliations: Ages: 0-99 Providence St Peter Hospital Providence St Peter Hospital Providence Centralia Hospital Foot & Ankle Surgical Assocs Abrazo Arrowhead Campus Multicare Capital Medical Center Provider ID: 002194245002 Banner Del E Webb Medical NPI: 1790181899 Center Hess, Terrence E, DPM, (M), B 2964 Limited Ln Nw Ste B Banner Boswell Medical Center Group Name: Fasa Family Olympia, WA 98502 Kindred Hospital Az-northwest Wellness

(360) 943-1400 Phoenix Provider ID: 001302278002 Ages: 0-99 NPI: 1194748913 Hess, Terrence E, DPM, (M), B 2964 Limited Ln Nw Ste B Foot & Ankle Surgical Assocs Group Name: Fasa Family Olympia, WA 98502 Provider ID: 002194245002 Wellness (360) 943-1400 EB, P, R NPI: 1790181899 Provider ID: 001302278002 Languages Spoken: 5210 Corporate Center Ct Se NPI: 1194748913 Provider: Spanish Lacey, WA 98503 1610 Bishop Rd Sw Ste 101 Web address: www.anklefoot.net (360) 754-3338 Tumwater, WA 98512 Ages: 0-99 Ages: 0-99 (360) 754-3338 EB, P, R, RE, T Hospital Affiliations: Languages Spoken: Mason General Hospital Provider: Spanish Providence St Peter Hospital M-F 8:00 AM-6:00 PM Providence Centralia Hospital Multicare Capital Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

255

Washington - Thurston Specialists

Huebner, David B, DPM, (M), B Huebner, David B, DPM, (M), B Kovacevich, Lynn C, DPM, (F), B Group Name: Fasa Family Group Name: Fasa Family Group Name: Fasa Family Wellness Wellness Wellness Provider ID: 002043606002 Provider ID: 002043606002 Provider ID: 003577568002 NPI: 1376544254 NPI: 1376544254 NPI: 1164671715 1610 Bishop Rd Sw Ste 101 2964 Limited Ln Nw Ste B 201 Tahoma Blvd Unit 208 Tumwater, WA 98512 Olympia, WA 98502 Yelm, WA 98597

(360) 754-3338 EB, P, R, RE, T (360) 943-1400 EB, P, R (360) 754-3338 EB, P, R Ages: 0-99 Ages: 0-99 Web address: www.fasafw.com Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Providence St Peter Hospital Seattle Children's Hospital Hospital Affiliations: Central Montana Medical Ctr Virginia Mason Medical Center Providence St Peter Hospital Providence Centralia Hospital Lind, Kevin D, DPM, (M), B Central Montana Medical Ctr Benefis Hospitals Group Name: Fasa Family Providence Centralia Hospital Multicare Capital Medical Center Benefis Hospitals Wellness Multicare Capital Medical Center Kochhar, Molina, DPM, (F), B Provider ID: 001882152003 Group Name: Kochhar Molina NPI: 1942243993 Huebner, David B, DPM, (M), B Provider ID: 002234806004 1610 Bishop Rd Sw Ste 101 Group Name: Fasa Family NPI: 1699732693 Tumwater, WA 98512 Wellness 520 Lilly Rd Ne Bldg 1 (360) 754-3238 EB, P, R, RE, T Provider ID: 002043606002 Olympia, WA 98506 NPI: 1376544254 Ages: 0-99 (360) 742-3492 EB, P, R 201 Tahoma Blvd Se Ste 208 Languages Spoken: Hospital Affiliations: Yelm, WA 98597 Provider: German, Punjabi Olmsted Medical Center Hospital (360) 400-3338 EB, P, R M-F 8:30 AM-5:00 PM Mercy Hospital Web address: www.fasafw.com Ages: 0-99 Mercy Hospital Unity Campus Ages: 0-99 Hospital Affiliations: Bluffton Regional Medical Center Hospital Affiliations: Providence St Peter Hospital Lind, Kevin D, DPM, (M), B Providence St Peter Hospital Multicare Capital Medical Center Group Name: Fasa Family Central Montana Medical Ctr Wellness Providence Centralia Hospital Kochhar, Molina, DPM, (F), B Provider ID: 001882152003 Benefis Hospitals Group Name: Kochhar Molina NPI: 1942243993 Multicare Capital Medical Center Provider ID: 002234806003 NPI: 1699732693 201 Tahoma Blvd Se Ste 208 520 Lilly Rd Ne Ste A Yelm, WA 98597 Olympia, WA 98506 (360) 400-3338 EB, P, R Ages: 0-99 (360) 742-3492 EB, P, R Languages Spoken: Hospital Affiliations: Provider: German, Punjabi Olmsted Medical Center Hospital Ages: 0-99 Mercy Hospital Hospital Affiliations: Mercy Hospital Unity Campus Providence St Peter Hospital Bluffton Regional Medical Center Multicare Capital Medical Center

256

Specialists Washington - Thurston

Lind, Kevin D, DPM, (M), B Stanley & Utterback Stanley, Jerod, DPM, (M) Group Name: Fasa Family Provider ID: 006581263002 Group Name: Stanley & Wellness NPI: 1558897942 Utterback Provider ID: 001882152003 3525 Ensign Rd Ne Ste N Provider ID: 006452382003 NPI: 1942243993 Olympia, WA 98506 NPI: 1356758668

2964 Limited Ln Nw Ste B (360) 943-9600 E, EB, G, IB, P, 3525 Ensign Rd Ne Ste N Olympia, WA 98502 PL, R, RE, S, T Olympia, WA 98506

(360) 943-1400 EB, P, R Ages: 0-99 (360) 943-9600 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Stanley & Utterback Hospital Affiliations: Languages Spoken: Provider ID: 006581263002 Olmsted Medical Center Hospital Provider: Spanish NPI: 1558897942 Mercy Hospital M-W 8:30 AM-4:30 PM 601 Mcphee Rd Sw Bldg 2 Mercy Hospital Unity Campus Th 8:30 AM-12:30 PM Olympia, WA 98502 Bluffton Regional Medical Center Ages: 0-99 (360) 570-3032 EB, P, R Hospital Affiliations: Lundborg, Michael A, DPM, (M) Ages: 0-99 Providence St Peter Hospital Group Name: Foot & Ankle Stanley & Utterback Surgical Assocs Western Washington Foot/Ankle Provider ID: 006581263002 Provider ID: 006943966002 Provider ID: 002145210001 NPI: 1558897942 NPI: 1487037867 NPI: 1104921915 601 Mcphee Road Sw Bldg 2 1610 Bishop Rd Sw Bldg 7 2960 Limited Ln Nw Ste A Olympia, WA 98502 Tumwater, WA 98512 Olympia, WA 98502 (360) 570-3032 EB, P, R (360) 754-3338 (360) 736-2527 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Stanley, Jerod, DPM, (M) Lundborg, Michael A, DPM, (M) Western Washington Foot/Ankle Group Name: Stanley & Group Name: Foot & Ankle Provider ID: 002145210001 Utterback Surgical Assocs NPI: 1104921915 Provider ID: 006452382003 Provider ID: 006943966002 410 Providence Ln Ne NPI: 1356758668 NPI: 1487037867 Olympia, WA 98506 2828 Martin Way E 1610 Bishop Rd Sw Ste 101 (360) 836-2527 EB, P, R Olympia, WA 98506 Tumwater, WA 98512 Ages: 0-99 (360) 943-9600 E, EB, P, R (360) 754-3338 Languages Spoken: Ages: 0-99 Provider: Spanish Stanley & Utterback Ages: 0-99 Provider ID: 006581263002 Hospital Affiliations: NPI: 1558897942 Providence St Peter Hospital 2828 Martin Way E Olympia, WA 98506

(360) 943-9600 E, EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

257

Washington - Thurston Specialists

Pulmonary Medicine Davidson, Bruce L, MD, (M), B Engelken, Dustin T, MD, (M), B

Group Name: Pmg Sw Wa Group Name: Providence St Peter Christenson, Jeffrey C, MD, (M), Provider ID: 000693108005 Hospital B NPI: 1619932092 Provider ID: 002914492004 Group Name: Pmg Sw Wa 500 Lilly Rd Ne Ste 201 NPI: 1174683007 Provider ID: 001301356002 Olympia, WA 98506 4800 College St Se NPI: 1932162872 (360) 413-8272 EB, P, R Lacey, WA 98503 500 Lilly Rd Ne Ste 201 Ages: 0-99 (360) 486-6402 EB, P, R Olympia, WA 98506 Hospital Affiliations: Ages: 0-99

(360) 413-8272 EB, P, R Providence St Peter Hospital Hospital Affiliations: Web address: www.providence.org Providence St Mary Medical Providence St Peter Hospital Ages: 0-99 Center Erickson, Juliette K, MD, (F), B Hospital Affiliations: Harborview Medical Center Group Name: Providence St Peter Providence St Peter Hospital Central Washington Hospital Hospital Areas of Expertise: THS Kadlec Regional Medical Center Provider ID: 002044164007 University Of Washington Cruz, Raul Manuel B, MD, (M), B NPI: 1851489660 Medical Ctr Group Name: Pmg Sw Wa 3525 Ensign Rd Ne Ste F Skagit Valley Hospital Provider ID: 003050003003 Olympia, WA 98506 Seattle Cancer Care Alliance NPI: 1689843492 (360) 486-2999 Areas of Expertise: THS 500 Lilly Rd Ne Ste 201 Ages: 0-99 Olympia, WA 98506 Engelken, Dustin T, MD, (M), B Hospital Affiliations:

(360) 413-8272 EB, P, R Group Name: Providence St Peter Providence St Peter Hospital Languages Spoken: Hospital Gray's Harbor Community Hsp Provider: Filipino Provider ID: 002914492004 Hogg, Katherine M, MD, (F), B Staff: Filipino NPI: 1174683007 Group Name: Pmg Sw Wa Web address: www.providence.org 3525 Ensign Rd Ne Ste F Provider ID: 000504984002 Ages: 0-99 Olympia, WA 98506 NPI: 1881657716 Hospital Affiliations: (360) 486-2999 500 Lilly Rd Ne Ste 201 Providence St Peter Hospital Ages: 0-99 Olympia, WA 98506 Spartanburg Medical Ctr-mary Hospital Affiliations: (360) 413-8272 EB, P, R Black Cmps Providence St Peter Hospital Web address: www.providence.org Spartanburg Medical Center Engelken, Dustin T, MD, (M), B Ages: 0-99 Providence Centralia Hospital Group Name: Providence St Peter Hospital Affiliations: Spartanburg Hospital For Resto Hospital Providence St Peter Hospital Pelham Medical Center Provider ID: 002914492004 Providence Centralia Hospital Areas of Expertise: THS NPI: 1174683007 Areas of Expertise: THS 413 Lilly Rd Ne Olympia, WA 98506

(360) 486-6402 EB, P, R Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

258

Specialists Washington - Thurston

Iregui, Manuel G, MD, (M) Radiation Oncology Mc Donough, Michael J, MD,

Group Name: Capital Med Ctr (M), B Specialty Phys Allen, Gregory W, MD, (M), B Group Name: Tacoma Radiation Provider ID: 002215447002 Group Name: Radiantcare Oncology Center NPI: 1598758484 Radiation Oncology Provider ID: 001300977001 3900 Capital Mall Dr Sw Provider ID: 002857724001 NPI: 1477524841 Olympia, WA 98502 NPI: 1508817404 3920 Capital Mall Dr Sw Ste 100a (360) 740-4743 EB, P, R 4525 3rd Ave Se Ste 100 Olympia, WA 98502 Ages: 0-99 Lacey, WA 98503 (360) 596-4872 EB, P, R

Hospital Affiliations: (360) 412-8960 E, EB, G, IB, P, Ages: 0-99 Tacoma General Allenmore PL, R, RE, S, T Hospital Affiliations: Peacehealth St Joseph Medical Ages: 0-99 Tacoma General Allenmore Center Hospital Affiliations: Providence Centralia Hospital St Francis Community Hospital Providence St Peter Hospital St Joseph Medical Center St Clare Hospital Providence Centralia Hospital Multicare Capital Medical Center

Redman, Richard C, MD, (M), B Bittner, Nathan H, MD, (M), B Mc Donough, Michael J, MD, Group Name: Pmg Sw Wa Group Name: Tacoma Radiation (M), B Provider ID: 003036600002 Oncology Center Group Name: Tacoma Radiation NPI: 1114192937 Provider ID: 002928841001 Oncology Center 500 Lilly Rd Ne Ste 201 NPI: 1609989714 Provider ID: 001300977001 Olympia, WA 98506 3920 Capital Mall Dr Sw Ste 100a NPI: 1477524841 (360) 413-8272 EB, P, R Olympia, WA 98502 3920 Capital Mall Dr Sw Ste 100b

Web address: www.providence.org (360) 596-4872 EB, P, R Olympia, WA 98502 Ages: 0-99 Ages: 0-99 (360) 596-4872 EB, P, R Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Providence St Peter Hospital St Francis Hospital Hospital Affiliations: Areas of Expertise: THS Tacoma General Allenmore Tacoma General Allenmore Providence Centralia Hospital Providence Centralia Hospital Roth, Bernard J, MD, (M), B Multicare Auburn Medical Center St Joseph Medical Center Group Name: Capital Med Ctr Good Samaritan Hospital Multicare Capital Medical Center Specialty Phys St Clare Hospital Provider ID: 003374332003 St Joseph Medical Center NPI: 1619957065 3900 Capitol Mall Dr Sw Olympia, WA 98502

(360) 704-4743 E, EB, G, IB, P, PL, R, RE, S, T Languages Spoken: Provider: Spanish Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Virginia Mason Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

259

Washington - Thurston Specialists

Pittier, Ann C, MD, (F), B Wang, Herbert L, MD, (M), B Sleep Medicine

Group Name: Tacoma Radiation Group Name: Tacoma Radiation Oncology Center Oncology Center Lampert, Austin C, MD, (M), B Provider ID: 003092267001 Provider ID: 002122579001 Group Name: Capital Med Ctr NPI: 1306950894 NPI: 1699746081 Specialty Phys 3920 Capital Mall Dr Sw Ste 100a 3920 Capital Mall Dr Sw Ste 100a Provider ID: 001051623002 Olympia, WA 98502 Olympia, WA 98502 NPI: 1922007848 (360) 596-4872 EB, P, R (360) 596-4872 EB, P, R 3900 Capitol Mall Dr Sw Ages: 0-99 Ages: 0-99 Olympia, WA 98502

Hospital Affiliations: Hospital Affiliations: (360) 704-4743 E, EB, G, IB, P, Tacoma General Allenmore Providence St Peter Hospital PL, R, RE, S, T Good Samaritan Hospital Tacoma General Allenmore Ages: 0-99 St Joseph Medical Center Providence Centralia Hospital Hospital Affiliations: Good Samaritan Hospital Mason General Hospital Raymond, James F, MD, (M), B Mary Bridge Child Hosp/hlth Cntr Providence St Peter Hospital Group Name: Radiantcare St Joseph Medical Center Multicare Capital Medical Center Radiation Oncology Multicare Capital Medical Center Provider ID: 001736059001 Speech Pathology

NPI: 1528045853 Werner, Haleigh A, MD, (F), B 4525 3rd Ave Se Ste 100 Group Name: Radiantcare Beck, Kara L, SLP, (F) Lacey, WA 98503 Radiation Oncology Group Name: Kara Beck Slp (360) 412-8960 E, EB, G, IB, P, Provider ID: 001849340001 Provider ID: 002768278002 PL, R, RE, S, T NPI: 1508815440 NPI: 1003021023 Web address: www.radiantcare.com 4525 3rd Ave Se Ste 100 4706 Park Center Ave Ne Ages: 0-99 Lacey, WA 98503 Lacey, WA 98516

Hospital Affiliations: (360) 412-8960 E, EB, G, IB, P, (360) 888-8580 EB, P, R Providence St Peter Hospital PL, R, RE, S, T Ages: 0-99 Tacoma General Allenmore Web address: www.radiantcare.com Bents, Kaitlin A, SLP, (F) Ages: 0-99 Suszko, Justin W, MD, (M), B Hospital Affiliations: Group Name: Christopher Group Name: Radiantcare Providence St Peter Hospital Heistand Ccc Slp Inc Ps Radiation Oncology Providence Centralia Hospital Provider ID: 006392551002 Provider ID: 006676436001 Multicare Capital Medical Center NPI: 1912350109 NPI: 1184866527 108 22nd Ave Sw Ste 14 4525 3rd Ave Se Olympia, WA 98501

Lacey, WA 98503 (360) 943-1180 EB, P, R (360) 412-8960 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital

260

Specialists Washington - Thurston

Chapel, Susan P, SLP, (F) Mc Kenzie, Rebekah J, SLP, (F) Sports Medicine

Group Name: Listenfirst Speech Group Name: Rebekah Mc Therapy Kenzie Femiano, Dominic, MD, (M), B Provider ID: 005951629002 Provider ID: 006477173001 Group Name: Olympia NPI: 1831405877 NPI: 1558679076 Orthopaedic Associates 655 Golf Club Pl Se Ste A 3231 Willamette Dr Ne Ste A Provider ID: 005620753008 Lacey, WA 98503 Lacey, WA 98516 NPI: 1801195482 (425) 686-9520 EB, P, R (360) 339-0624 EB, P, R 3901 Capital Mall Dr Sw Ages: 0-99 Ages: 0-99 Olympia, WA 98502

Hospital Affiliations: (360) 786-8990 E, EB, P, R, RE, Chapman, Ann Marie, SLP, (F) Billings Clinic Hospital S, T Group Name: Parent To Parent M-F 7:00 AM-5:00 PM St Rendleman, Katherine S, SLP, (F) Web address: www.olyortho.com Provider ID: 007022457001 Group Name: Parent To Parent Ages: 0-99 NPI: 1760961601 St Hospital Affiliations: 2108 Caton Way Sw Provider ID: 007022469001 Providence St Peter Hospital Olympia, WA 98502 NPI: 1255839189 Multicare Capital Medical Center (360) 352-1126 EB, P, R 2108 Caton Way Sw M-Th 8:00 AM-4:00 PM Olympia, WA 98502 Femiano, Dominic, MD, (M), B Web address: www.ssp2p.org (360) 352-1126 EB, P, R Group Name: Olympia Ages: 0-3 M-Th 9:00 AM-4:00 PM Orthopaedic Associates Web address: www.ssp2p.org Provider ID: 005620753001 Coburn, Mary K, SLP, (F) Ages: 0-3 NPI: 1801195482 Group Name: Whole Child 3901 Capital Mall Dr Sw Ste A Therapy Services Streeter, Alexandra H, SLP, (F) Olympia, WA 98502 Provider ID: 005205743003 Group Name: Streeter Alexandra (360) 786-8990 E, EB, IB, P, R, NPI: 1417263526 H RE, S, T 2620 R W Johnson Blvd Sw Ste 112 Provider ID: 005584841001 Web address: www.olyortho.com Tumwater, WA 98512 NPI: 1073717930 Ages: 0-99 (360) 350-2220 EB, IB, P, R, T 2401 Bristol Ct Sw Ste D103 Hospital Affiliations: Olympia, WA 98502 Web address: www.wholechildthera Providence St Peter Hospital (360) 357-3339 EB, P, R pyservices.com Multicare Capital Medical Center Ages: 0-99 Ages: 0-99 Femiano, Dominic, MD, (M), B Strong, Allison, SLP, (F) Group Name: Olympia Finley, Melissa, SLP, (F) Group Name: Sara S Kemp Slp Orthopaedic Associates Group Name: Parent To Parent Provider ID: 002873452001 Provider ID: 005620753006 St NPI: 1891970943 NPI: 1801195482 Provider ID: 006942488001 2401 Bristol Ct Sw Ste D103 3901 Capital Mall Dr Sw Ste B NPI: 1508370636 Olympia, WA 98502 2108 Caton Way Sw Olympia, WA 98502 (360) 357-3339 EB, P, R (360) 528-8571 E, EB, IB, P, R, Olympia, WA 98502 Web address: pediatrictherapyolym RE, S, T (360) 352-1126 EB, P, R pia.com M-F 7:00 AM-5:00 PM Web address: www.ssp2p.org Ages: 0-99 Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

261

Washington - Thurston Specialists Web address: www.olyortho.com Femiano, Dominic, MD, (M), B Franzen, Cody J, MD, (M), B Ages: 0-99 Group Name: Olympia Group Name: Pmg Sw Wa Hospital Affiliations: Orthopaedic Associates Provider ID: 006016655004 Providence St Peter Hospital Provider ID: 005620753007 NPI: 1790120707 Multicare Capital Medical Center NPI: 1801195482 4800 College St Se Femiano, Dominic, MD, (M), B 8140 Freedom Ln Ne Lacey, WA 98503

Group Name: Olympia Lacey, WA 98516 (360) 486-6710 EB, P, R

Orthopaedic Associates (360) 754-7622 EB, P, R M-F 8:00 AM-5:00 PM Provider ID: 005620753002 Web address: www.olyortho.com Sa,Su 9:00 AM-4:30 PM NPI: 1801195482 Ages: 0-99 Ages: 0-99 615 Lilly Rd Ne Ste 100 Hospital Affiliations: Hospital Affiliations: Olympia, WA 98506 Providence St Peter Hospital Providence St Peter Hospital

(360) 491-4211 EB, P, R, RE, T Multicare Capital Medical Center Providence Centralia Hospital

Web address: www.olyortho.com Franzen, Cody J, MD, (M), B Hawkins, Christopher, MD, (M), Ages: 0-99 Group Name: Pmg Sw Wa B Hospital Affiliations: Provider ID: 006016655001 Group Name: Washington Providence St Peter Hospital NPI: 1790120707 Orthopaedic Cr Multicare Capital Medical Center 1620 Cooper Point Rd Sw Provider ID: 002113755004 Olympia, WA 98502 NPI: 1245222967 Femiano, Dominic, MD, (M), B (360) 486-6710 EB, P, R 704 Lilly Rd Se Group Name: Olympia M-F 8:00 AM-7:30 PM Olympia, WA 98501 Orthopaedic Associates Sa,Su 9:00 AM-4:30 PM (360) 736-2889 EB, P, R Provider ID: 005620753003 Ages: 0-99 Ages: 0-99 NPI: 1801195482 Hospital Affiliations: Hospital Affiliations: 615 Lilly Rd Ne Ste 120 Providence St Peter Hospital St Lukes Health Network Olympia, WA 98506 Providence Centralia Hospital St Lukes Hospital Of Bethlehem (360) 786-8990 EB, P, R Pennsylva Franzen, Cody J, MD, (M), B Web address: www.olyortho.com Providence Centralia Hospital Group Name: Pmg Sw Wa Ages: 0-99 Lehigh Valley Hospital Provider ID: 006016655003 Hospital Affiliations: Lehigh Valley Hospital NPI: 1790120707 Providence St Peter Hospital Muhlenberg Multicare Capital Medical Center 2555 Marvin Rd Ne Lacey, WA 98516

(360) 493-4450 EB, P, R M-F 8:00 AM-7:30 PM Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital

262

Specialists Washington - Thurston

Kats, Alexander I, MD, (M), B Thoracic Cardiovascular Surg Thoracic Surgery

Group Name: Pmg Sw Wa Provider ID: 002753312002 Hernandez, Roland A, MD, (M), Hand, Dwight E, MD, (M), B NPI: 1356533228 B Group Name: Pmg Sw Wa 413 Lilly Rd Ne Group Name: Pmg Sw Wa Provider ID: 001872088007 Olympia, WA 98506 Provider ID: 003843369004 NPI: 1780766238 (360) 493-4083 EB, P, R NPI: 1720213580 525 Lilly Rd Ne Ste 200 Accepting Existing Patients Only 525 Lilly Rd Ne Ste 200 Olympia, WA 98506

Ages: 0-99 Olympia, WA 98506 (360) 493-4510 EB, P, R

Hospital Affiliations: (360) 493-4510 EB, P, R Ages: 0-99 Providence St Peter Hospital Ages: 0-99 Hospital Affiliations: Providence Centralia Hospital Hospital Affiliations: Providence Regional Medical Providence Regional Medical Center Evere Nooney, Robert R, DO, (M) Center Evere Providence Regional Medical Ctr Group Name: Ideal Family Care Providence Regional Medical Ctr Everett Provider ID: 001072191004 Everett Santa Monica Ucla Med Ctr & NPI: 1558389544 Providence Sacred Heart Med Ctr Ortho Hosp 404 Yauger Way Sw Ste 150 & Child St Francis Medical Center Olympia, WA 98502 Metrowest Medical Center Saint Francis Medical Center (360) 754-2300 EB, P, R Swedish Medical Center Providence St Peter Hospital M,W,Th 8:30 AM-5:30 PM Deaconess Hospital Tu,F 8:30 AM-3:30 PM Lehr, Eric J, MD, (M), B Rush Foundation Hospital Web address: drrobertrnooney.com Group Name: Pmg Sw Wa Areas of Expertise: THS Ages: 0-99 Provider ID: 003092243004 Hospital Affiliations: NPI: 1265693154 Santamarina, Luis F, MD, (M), B Providence St Peter Hospital 525 Lilly Rd Ne Ste 200 Group Name: Pmg Sw Wa Multicare Capital Medical Center Olympia, WA 98506 Provider ID: 001918339002

(360) 493-4510 EB, P, R NPI: 1962452664 Ages: 0-99 525 Lilly Rd Ne Ste 200 Hospital Affiliations: Olympia, WA 98506

Providence Regional Medical (360) 493-4510 EB, P, R Center Evere Web address: www.providence.org Providence Regional Medical Ctr Ages: 0-99 Everett Hospital Affiliations: Univ Of Md Medical System Providence Regional Medical University Of Md Medical System Center Evere Swedish Medical Center Providence Regional Medical Ctr Swedish Medical Center Issaquah Everett Providence St Peter Hospital Multicare Capital Medical Center Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

263

Washington - Thurston Specialists

Urology Muenchrath, John K, MD, (M), B Palmer, Cristina J, DO, (F), B

Group Name: Capital Med Ctr Group Name: Providence Health Brown, Daniel M, MD, (M), B Specialty Phys And Services Washingto Group Name: Southwestern Provider ID: 001788594002 Provider ID: 006095829004 Washington Urlgy Cln NPI: 1104801356 NPI: 1457645772 Provider ID: 002233039001 404 Yauger Way Sw Ste 100 4800 College St Se NPI: 1043203771 Olympia, WA 98502 Lacey, WA 98503 402a Black Hills Ln Sw (360) 596-4614 EB, P, R (360) 456-7575 EB, P, R Olympia, WA 98502 Ages: 0-99 Ages: 0-99

(360) 943-9400 EB, P, R Hospital Affiliations: Hospital Affiliations: M 1:00 PM 4:30 PM Bay Area Hospital Providence Regional Medical Tu,W,Th 9:00 AM-4:30 PM Center Evere Muenchrath, John K, MD, (M), B F 8:00 AM-4:30 PM Providence Regional Medical Ctr Group Name: Capital Med Ctr Ages: 0-99 Everett Specialty Phys Hospital Affiliations: Long Beach Memorial Med Ctr Provider ID: 001788594002 Multicare Capital Medical Center NPI: 1104801356 Reagan, Krista M, MD, (F) Cheng, Marina, MD, (F), B 412 Black Hills Ln Sw Ste B Group Name: Multicare Health Group Name: Pmg Sw Wa Olympia, WA 98502 System Provider ID: 003461777002 (360) 956-2565 EB, P, R Provider ID: 003488794001 NPI: 1174720569 Ages: 0-99 NPI: 1720251523 149 Lilly Rd Ne Hospital Affiliations: 408 Lilly Rd Ne # A-1 Olympia, WA 98506 Bay Area Hospital Olympia, WA 98506

(360) 486-6772 EB, P, R (253) 301-5120 EB, P, R Palmer, Cristina J, DO, (F), B Languages Spoken: Ages: 0-99 Group Name: Providence Health Provider: Russian Hospital Affiliations: And Services Washingto Web address: www.providence.org Good Samaritan Hospital Provider ID: 006095829004 Ages: 0-99 Hartford Hospital NPI: 1457645772 Hospital Affiliations: Tacoma General Allenmore 413 Lilly Road Ne Providence St Peter Hospital Multicare Auburn Medical Center Olympia, WA 98506 Harrison Medical Center (360) 493-7060 EB, P, R St Michael Medical Center Ages: 0-99 Areas of Expertise: THS Hospital Affiliations: Providence Regional Medical Center Evere Providence Regional Medical Ctr Everett Long Beach Memorial Med Ctr

264

Specialists Washington - Thurston

Reed, David C, MD, (M), B Ward, David M, MD, (M), B Vascular Neurology

Group Name: Pmg Sw Wa Group Name: Urology Associates Provider ID: 000862069005 Provider ID: 001390890001 Farooq, Muhammad U, MD, (M), NPI: 1912945791 NPI: 1679502017 B 149 Lilly Rd Ne 3525 Ensign Rd Ne Ste A Group Name: Pmg Sw Wa Olympia, WA 98506 Olympia, WA 98506 Provider ID: 007291866004 (360) 486-6772 EB, P, R (360) 456-4666 EB, P, R NPI: 1598945156 Ages: 0-99 M-F 9:00 AM-5:00 PM 1018 Capitol Way S Ste 300 Hospital Affiliations: Web address: www.ualtd.com Olympia, WA 98501

Valley Medical Center Ages: 0-99 (425) 525-3183 Providence Regional Medical Hospital Affiliations: Ages: 0-99 Center Evere Providence St Peter Hospital Hospital Affiliations: Providence Regional Medical Ctr Providence Centralia Hospital Providence Regional Medical Everett Center Evere Wingate, Jonathan T, MD, (M), B Mercy Medical Center Providence Regional Medical Ctr Group Name: Pmg Sw Wa St Vincent Health Care Everett Provider ID: 006845415003 Highline Medical Center Providence Sacred Heart Med Ctr NPI: 1235405192 St Anne Hospital & Child 149 Lilly Rd Ne Providence St Peter Hospital Tsai, Kevin J, MD, (M) Olympia, WA 98506 Providence St Mary Medical Group Name: Multicare Health (360) 486-6772 EB, P, R Center System Web address: www.providence.org St Patrick Hospital Provider ID: 006883644001 Ages: 0-99 NPI: 1487911236 Hospital Affiliations: Freeburg, Joseph D, MD, (M), B 408 Lilly Rd Ne # A-1 Providence Regional Medical Group Name: Pmg Sw Wa Olympia, WA 98506 Center Evere Provider ID: 006574200005 (253) 403-0040 EB, P, R Providence Regional Medical Ctr NPI: 1174898381 Ages: 0-99 Everett 1018 Capitol Way S Ste 300 Providence St Peter Hospital Olympia, WA 98501 Ward, David M, MD, (M), B Harborview Medical Center (425) 525-3183 EB, P, R Group Name: Pmg Sw Wa Providence Centralia Hospital M 8:00 AM-8:00 PM Provider ID: 001390890002 University Of Washington Tu,W,Th,F 8:00 AM-5:00 PM NPI: 1679502017 Medical Ctr 149 Lilly Rd Ne Seattle Cancer Care Alliance Olympia, WA 98506 Areas of Expertise: THS (360) 486-6772 EB, P, R Web address: www.providence.org Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence Centralia Hospital Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

265

Washington - Thurston Specialists Ages: 0-99 Kim, Yi Soo R, MD, (M), B Wasilenko, Sara J, DO, (F), B Hospital Affiliations: Group Name: Northwest Vein & Group Name: Pmg Sw Wa Legacy Good Samaritan And Aesth Ctr Provider ID: 006436666001 Medical Ctr Provider ID: 002954402004 NPI: 1528387941 Providence Regional Medical NPI: 1891978128 128 Lilly Rd Ne Ste 205 Center Evere 1610 Bishop Rd Sw Ste 101 Olympia, WA 98506 Providence Regional Medical Ctr Tumwater, WA 98512 (360) 493-7444 EB, P, R Everett (360) 339-8535 EB, P, R, RE, T Web address: www.providence.org Providence Sacred Heart Med Ctr Ages: 0-99 & Child Ages: 0-99 Hospital Affiliations: Providence St Peter Hospital Providence St Peter Hospital Providence St Mary Medical Kim, Yi Soo R, MD, (M), B Providence Centralia Hospital Center Group Name: Northwest Vein & Areas of Expertise: THS Aesth Ctr Vascular Surgery Provider ID: 002954402004

NPI: 1891978128 Curry, Thomas K, MD, (M), B 500 Lilly Rd Ne Ste 160 Group Name: Pmg Sw Wa Olympia, WA 98506

Provider ID: 003377450002 (360) 339-8535 EB, P, R NPI: 1811974652 Ages: 0-99 128 Lilly Rd Ne Ste 205 Olympia, WA 98506 Skerrett, Gregory R, MD, (M), B Group Name: Pmg Sw Wa (360) 493-7444 EB, P, R Web address: www.providence.org Provider ID: 007269543001 Ages: 0-99 NPI: 1407055569 Hospital Affiliations: 128 Lilly Rd Ne Ste 205 St Marys Hospital And Medical Olympia, WA 98506 Ctr (360) 493-7444 EB, P, R Providence St Peter Hospital Web address: www.providence.org Providence Centralia Hospital Ages: 0-99 Areas of Expertise: THS Hospital Affiliations: Providence St Peter Hospital Inui, Tazo S, MD, (M), B Providence Centralia Hospital Group Name: South Sound Areas of Expertise: THS Surgical Associate Provider ID: 007480527001 NPI: 1659503316 3920 Capitol Mall Dr Sw Ste 203 Olympia, WA 98502

(360) 754-3507 EB, P, R Ages: 0-99 Hospital Affiliations: Kaiser Sunnyside Medical Center

266

Behavioral Health Providers Washington - Mason

Behavioral Health Providers

Washington Advanced Practice Registered Ishihara, Sharon P, MA, (F)

Psychiatric Nurse Practitioner Group Name: Peninsula

Mason Community Health

Clingenpeel, Jennifer A, MA, (F) Provider ID: 003317215006 Addiction Psychiatry Group Name: Northwest NPI: 1144544867

Resources Ii Inc 31 Ne State Route 300 Ste 200 Bruce, Ann B, MD, (F) Provider ID: 003017835003 Belfair, WA 98528 Group Name: Peninsula NPI: 1992886956 (360) 377-3776 EB, P, R Community Health 235 S 3rd St Cultural Competency: Y Provider ID: 006474050014 Shelton, WA 98584 Ages: 0-99 NPI: 1225143670 (360) 426-0890 EB, P, R Hospital Affiliations: 31 Ne State Route 300 Ste 200 Ages: 0-99 Banner Thunderbird Medical Belfair, WA 98528 Areas of Expertise: A060, E020, Center (360) 377-3776 EB, P, R E025, E070, E085, E112, E160, Banner Behavioral Health M-F 7:30 AM-6:00 PM E165, E170, E185, E198, E200, Hospital Web address: www.pchsweb.org E210, E230, P010 Areas of Expertise: A060, E020, Does Not Accept New Patients E055, E070, E112, E160, E165, Culbertson, Jolene, MS, (F) Ages: 0-99 E170, E185, E198, E200, E210, Group Name: Peninsula Hospital Affiliations: P010 Swedish Medical Center Community Health Provider ID: 002646886004 Ishihara, Sharon P, MA, (F) Bruce, Ann B, MD, (F) NPI: 1073610325 Group Name: Peninsula Group Name: Peninsula 31 Ne State Route 300 Ste 200 Community Health Community Health Belfair, WA 98528 Provider ID: 003317215006 Provider ID: 006474050005 (360) 377-3776 EB, P, R NPI: 1144544867 NPI: 1225143670 M-F 7:30 AM-6:00 PM 627 W Franklin St 627 W Franklin St Web address: www.pchsweb.org Shelton, WA 98584 Shelton, WA 98584 Ages: 0-99 (360) 377-3776 EB, P, R (360) 377-3776 EB, P, R Cultural Competency: Y Culbertson, Jolene, MS, (F) Web address: www.pchsweb.org Ages: 0-99 Group Name: Peninsula Does Not Accept New Patients Hospital Affiliations: Community Health Ages: 0-99 Banner Thunderbird Medical Provider ID: 002646886004 Hospital Affiliations: Center NPI: 1073610325 Swedish Medical Center Banner Behavioral Health 627 W Franklin St Areas of Expertise: MAT1 Hospital Shelton, WA 98584 Areas of Expertise: A060, E020, (360) 377-3776 EB, P, R E055, E070, E112, E160, E165, Web address: www.pchsweb.org E170, E185, E198, E200, E210, Ages: 0-99 P010

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

267

Washington - Mason Behavioral Health Providers

Jennings-Vigil, Casilda M, MS, Miskimon, Mae M, MS, (F) Patterson, Anne M, MS, (F) (F) Group Name: Consejo Counseling Group Name: Behavioral Health Group Name: Consejo Counseling And Referral Service Resources And Referral Service Provider ID: 003527172004 Provider ID: 007194003001 Provider ID: 003526587004 NPI: 1992974059 NPI: 1194255927 NPI: 1902981962 23291 Ne State Route 3 Bldg A1 110 W K St 23291 Ne State Route 3 Bldg A1 Belfair, WA 98528 Shelton, WA 98584

Belfair, WA 98528 (360) 763-5600 EB, P, R (360) 426-1696 EB, P, R

(360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A010, A025, Poole, Donna L, CCC, (F) Areas of Expertise: A010, A025, A060, E020, E025, E062, E070, Group Name: Peninsula A060, A070, E020, E070, E112, E085, E112, E160, E165, E170, Community Health E160, E165 E210, E230, P010, P020 Provider ID: 001541999003 Jennings-Vigil, Casilda M, MS, Miskimon, Mae M, MS, (F) NPI: 1578670303 (F) Group Name: Consejo Counseling 627 W Franklin St Group Name: Consejo Counseling And Referral Service Shelton, WA 98584

And Referral Service Provider ID: 003527172004 (360) 377-3776 EB, P, R Provider ID: 003526587004 NPI: 1992974059 Ages: 0-99 NPI: 1902981962 627 W Franklin St Areas of Expertise: E020 627 W Franklin St Shelton, WA 98584 Whiteside, Elizabeth A, DNP, (F) Shelton, WA 98584 (360) 763-5610 EB, P, R Group Name: Peninsula (360) 763-5610 EB, P, R Ages: 0-99 Community Health Ages: 0-99 Areas of Expertise: A010, A025, Provider ID: 006698449003 Areas of Expertise: A010, A025, A060, E020, E025, E062, E070, NPI: 1285003913 A060, A070, E020, E070, E112, E085, E112, E160, E165, E170, 300 E Campus Dr E160, E165 E210, E230, P010, P020 Belfair, WA 98528 Kraiger, Anneliese, LPC, (F) Moore, Patricia, LPC, (F) (360) 377-3776 EB, P, R Group Name: Behavioral Health Group Name: Northwest Ages: 0-99 Resources Resources Ii Inc Areas of Expertise: MAT1 Provider ID: 007015188001 Provider ID: 003903255001 NPI: 1285075457 NPI: 1467771436 Alcohol & Drug Counselor

110 W K St 235 S 3rd St Bresolin, Brad, LPC, (M) Shelton, WA 98584 Shelton, WA 98584 Group Name: Social Treatment (360) 426-1696 EB, P, R (360) 426-0890 EB, P, R Opportunity Programs Ages: 0-99 Ages: 0-99 Provider ID: 003054912001 Areas of Expertise: E112 NPI: 1578949012 611 W Cota St Shelton, WA 98584

(360) 426-5654 EB, P, R Ages: 0-99

268

Behavioral Health Providers Washington - Mason

Buechel, Kelly M, MA, (M) Duarte, Derek A, MS, (M) Escoz, Angela S, MA, (F) Group Name: Consejo Counseling Group Name: Consejo Counseling Group Name: Consejo Counseling And Referral Service And Referral Service And Referral Service Provider ID: 007386919001 Provider ID: 007394318001 Provider ID: 007532355001 NPI: 1891161899 NPI: 1932750809 NPI: 1194200089 23291 Ne State Route 3 Bldg A1 23291 Ne State Route 3 Bldg A1 23291 Ne State Route 3 Bldg A1 Belfair, WA 98528 Belfair, WA 98528 Belfair, WA 98528

(360) 763-5600 EB, P, R (360) 763-5600 EB, P, R (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Buechel, Kelly M, MA, (M) Duarte, Derek A, MS, (M) Escoz, Angela S, MA, (F) Group Name: Consejo Counseling Group Name: Consejo Counseling Group Name: Consejo Counseling And Referral Service And Referral Service And Referral Service Provider ID: 007386919001 Provider ID: 007394318001 Provider ID: 007532355001 NPI: 1891161899 NPI: 1932750809 NPI: 1194200089 627 W Franklin St 627 W Franklin St 627 W Franklin St Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 763-5610 EB, P, R (360) 763-5610 EB, P, R (360) 763-5610 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cortez, Neil J, MA, (M) Elmendorf, Yvonne C, MA, (F) Flores, Cynthia M, MA, (F) Group Name: Consejo Counseling Group Name: Consejo Counseling Group Name: Consejo Counseling And Referral Service And Referral Service And Referral Service Provider ID: 006984052001 Provider ID: 006984070001 Provider ID: 006984021001 NPI: 1043793128 NPI: 1255798237 NPI: 1083197156 23291 Ne State Route 3 Bldg A1 23291 Ne State Route 3 Bldg A1 23291 Ne State Route 3 Bldg A1 Belfair, WA 98528 Belfair, WA 98528 Belfair, WA 98528

(360) 763-5600 EB, P, R (360) 763-5600 EB, P, R (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Elmendorf, Yvonne C, MA, (F) Flores, Cynthia M, MA, (F) Cortez, Neil J, MA, (M) Group Name: Consejo Counseling Group Name: Consejo Counseling Group Name: Consejo Counseling And Referral Service And Referral Service And Referral Service Provider ID: 006984070001 Provider ID: 006984021001 Provider ID: 006984052001 NPI: 1255798237 NPI: 1083197156 NPI: 1043793128 627 W Franklin St 627 W Franklin St 627 W Franklin St Shelton, WA 98584 Shelton, WA 98584

Shelton, WA 98584 (360) 763-5610 EB, P, R (360) 763-5610 EB, P, R

(360) 763-5610 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

269

Washington - Mason Behavioral Health Providers

Freer, Rachel E, MA, (F) Gonzalez Vielma, Maira, MA, (F) Jones, Jackielyn T, MA, (F) Group Name: Northwest Group Name: Consejo Counseling Group Name: Peninsula Resources Ii Inc And Referral Service Community Health Provider ID: 007551414001 Provider ID: 007376517001 Provider ID: 007249012001 NPI: 1689291163 NPI: 1730650128 NPI: 1760953855 235 S 3rd St 627 W Franklin St 300 E Campus Dr Shelton, WA 98584 Shelton, WA 98584 Belfair, WA 98528

(360) 426-0890 EB, P, R (360) 763-5610 EB, P, R (360) 377-3776 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Gallardo-Zamora, Juliette, MA, Hedum, Heather R, MA, (F) Jones, Jackielyn T, MA, (F) (F) Group Name: Social Treatment Group Name: Peninsula Group Name: Consejo Counseling Opportunity Programs Community Health And Referral Service Provider ID: 007425887001 Provider ID: 007249012001 Provider ID: 007295347001 NPI: 1700400702 NPI: 1760953855 NPI: 1689218927 611 W Cota St 31 Ne State Route 300 Ste 200 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584 Belfair, WA 98528

Belfair, WA 98528 (360) 426-5654 EB, P, R (360) 377-3776 EB, P, R

(360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Himilie, Christine, MA, (F) Kinread Sinclair, Nicole A, MA, Gallardo-Zamora, Juliette, MA, Group Name: Consejo Counseling (F) (F) And Referral Service Group Name: Behavioral Health Group Name: Consejo Counseling Provider ID: 005181141001 Resources And Referral Service NPI: 1033525647 Provider ID: 007334769001 Provider ID: 007295347001 23291 Ne State Route 3 Bldg A1 NPI: 1801350988 NPI: 1689218927 Belfair, WA 98528 110 W K St

627 W Franklin St (360) 763-5600 EB, P, R Shelton, WA 98584

Shelton, WA 98584 Ages: 0-99 (360) 426-1696 EB, P, R

(360) 763-5610 EB, P, R Areas of Expertise: E112 M-F 7:30 AM-5:30 PM Ages: 0-99 Ages: 0-99 Himilie, Christine, MA, (F) Gonzalez Vielma, Maira, MA, (F) Group Name: Consejo Counseling Knutz, Bernadine, MA, (F) Group Name: Consejo Counseling And Referral Service Group Name: Northwest And Referral Service Provider ID: 005181141001 Resources Ii Inc Provider ID: 007376517001 NPI: 1033525647 Provider ID: 007374900001 NPI: 1730650128 627 W Franklin St NPI: 1982176574 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584 235 S 3rd St

Belfair, WA 98528 (360) 763-5610 EB, P, R Shelton, WA 98584

(360) 763-5600 EB, P, R Ages: 0-99 (360) 426-0890 EB, P, R Ages: 0-99 Areas of Expertise: E112 M-F 9:00 AM-5:30 PM Ages: 0-99

270

Behavioral Health Providers Washington - Mason

Landry, Cheri K, MA, (F) Mercer, Kevin, MA, (M) Muller, Stacy, MA, (F) Group Name: Educational Service Group Name: Northwest Group Name: Educational Service District 113 Resources Ii Inc District 113 Provider ID: 006910151001 Provider ID: 006993317002 Provider ID: 007318960001 NPI: 1518456722 NPI: 1891221131 NPI: 1023507498 807 W Pine St 235 S 3rd St 807 W Pine St Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 427-2050 EB, P, R (360) 426-0890 EB, P, R (360) 427-2050 EB, P, R Ages: 0-99 Cultural Competency: Y Ages: 0-99 Areas of Expertise: E112 Ages: 0-99 Myers, Gregory S, MA, (M) Martin, Kenyon T, MA, (F) Mills, Kelly A, MA, (F) Group Name: Educational Service Group Name: Community Youth Group Name: Educational Service District 113 Services District 113 Provider ID: 007318963001 Provider ID: 007192653001 Provider ID: 007318949001 NPI: 1558858993 NPI: 1376048603 NPI: 1790272508 807 W Pine St 601 W Franklin St Ste G-201 807 W Pine St Shelton, WA 98584

Shelton, WA 98584 Shelton, WA 98584 (360) 427-2050 EB, P, R

(360) 918-7860 EB, P, R (360) 427-2050 EB, P, R Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Spanish Ages: 0-99 Matthews, Elisa, MA, (F) Miranda, Richard, MA, (M) Areas of Expertise: E112 Group Name: Consejo Counseling Group Name: Educational Service And Referral Service District 113 Neff, Chelsea N, MA, (F) Provider ID: 006986503001 Provider ID: 007318954001 Group Name: Northwest NPI: 1124593017 NPI: 1255803409 Resources Ii Inc 23291 Ne State Route 3 Bldg A1 807 W Pine St Provider ID: 007374908001 Belfair, WA 98528 Shelton, WA 98584 NPI: 1790344778

(360) 763-5600 EB, P, R (360) 427-2050 EB, P, R 235 S 3rd St Ages: 0-99 Ages: 0-99 Shelton, WA 98584

(360) 426-0890 EB, P, R Matthews, Elisa, MA, (F) Moore, Patricia, LPC, (F) Cultural Competency: Y Group Name: Consejo Counseling Group Name: Northwest Ages: 0-99 And Referral Service Resources Ii Inc Provider ID: 006986503001 Provider ID: 003903255001 Nunez Michel, Maria G, MA, (F) NPI: 1124593017 NPI: 1467771436 Group Name: Consejo Counseling 627 W Franklin St 235 S 3rd St And Referral Service Shelton, WA 98584 Shelton, WA 98584 Provider ID: 007528673001

(360) 763-5610 EB, P, R (360) 426-0890 EB, P, R NPI: 1386254274 Ages: 0-99 Ages: 0-99 23291 Ne State Route 3 Bldg A1 Areas of Expertise: E112 Belfair, WA 98528

(360) 763-5600 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

271

Washington - Mason Behavioral Health Providers

Nunez Michel, Maria G, MA, (F) Peterman, James, MA, (F) Rodriguez, Jocelyn, MA, (F) Group Name: Consejo Counseling Group Name: Northwest Group Name: Consejo Counseling And Referral Service Resources Ii Inc And Referral Service Provider ID: 007528673001 Provider ID: 007374919001 Provider ID: 006987592001 NPI: 1386254274 NPI: 1548631112 NPI: 1780154286 627 W Franklin St 235 S 3rd St 627 W Franklin St Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 763-5610 EB, P, R (360) 426-0890 EB, P, R (360) 763-5610 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Page, Nichole, MA, (F) Peters, Lisa M, LPC, (F) Rosas Rodriguez, Nancy, LPC, (F) Group Name: Educational Service Group Name: Northwest Group Name: Consejo Counseling District 113 Resources Ii Inc And Referral Service Provider ID: 007318968001 Provider ID: 003038927001 Provider ID: 007006887001 NPI: 1508355850 NPI: 1194194233 NPI: 1306310925 807 W Pine St 235 S 3rd St 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584 Shelton, WA 98584 Belfair, WA 98528

(360) 427-2050 EB, P, R (360) 426-0890 EB, P, R (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E112 Rosas Rodriguez, Nancy, LPC, (F) Peace, Eli, MA, (M) Puri, Kaitlyn B, MA, (F) Group Name: Consejo Counseling Group Name: Community Youth Group Name: Educational Service And Referral Service Services District 113 Provider ID: 007006887001 Provider ID: 006212604002 Provider ID: 007034907001 NPI: 1306310925 NPI: 1568828838 NPI: 1477043461 627 W Franklin St 601 W Franklin St Ste G-201 807 W Pine St Shelton, WA 98584

Shelton, WA 98584 Shelton, WA 98584 (360) 763-5610 EB, P, R

(360) 918-7860 EB, P, R (360) 427-2050 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Sabon, Sylvia, MA, (F) Areas of Expertise: E112 Peet, Lauren A, MA, (F) Group Name: Consejo Counseling Group Name: Community Youth Rodriguez, Jocelyn, MA, (F) And Referral Service Services Group Name: Consejo Counseling Provider ID: 007444677001 Provider ID: 007192662001 And Referral Service NPI: 1114574514 NPI: 1265901078 Provider ID: 006987592001 23291 Ne State Route 3 Bldg A1 601 W Franklin St Ste G-201 NPI: 1780154286 Belfair, WA 98528

Shelton, WA 98584 23291 Ne State Route 3 Bldg A1 (360) 763-5600 EB, P, R

(360) 918-7860 EB, P, R Belfair, WA 98528 Ages: 0-99

Cultural Competency: Y (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99

272

Behavioral Health Providers Washington - Mason

Sabon, Sylvia, MA, (F) Shelton, Hailey A, MA, (F) Terrones, Roberto, MA, (M) Group Name: Consejo Counseling Group Name: Educational Service Group Name: Consejo Counseling And Referral Service District 113 And Referral Service Provider ID: 007444677001 Provider ID: 007184215001 Provider ID: 007445892001 NPI: 1114574514 NPI: 1174095939 NPI: 1144788266 627 W Franklin St 807 W Pine St 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584 Shelton, WA 98584 Belfair, WA 98528

(360) 763-5610 EB, P, R (360) 427-2050 EB, P, R (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Sauri, Marco A, MA, (F) Terrones, Roberto, MA, (M) Group Name: Consejo Counseling Shelton, Samuel E, MA, (M) Group Name: Consejo Counseling And Referral Service Group Name: Community Youth And Referral Service Provider ID: 007224319001 Services Provider ID: 007445892001 NPI: 1265899181 Provider ID: 007192691001 NPI: 1144788266 23291 Ne State Route 3 Bldg A1 NPI: 1477064236 627 W Franklin St Belfair, WA 98528 601 W Franklin St Ste G-201 Shelton, WA 98584

(360) 763-5600 EB, P, R Shelton, WA 98584 (360) 763-5610 EB, P, R

Ages: 0-99 (360) 918-7860 EB, P, R Ages: 0-99 Ages: 0-99 Sauri, Marco A, MA, (F) Verboomen, Jessica D, MA, (F) Group Name: Consejo Counseling Shogreen, Misty A, MA, (F) Group Name: Educational Service And Referral Service Group Name: Educational Service District 113 Provider ID: 007224319001 District 113 Provider ID: 007327343001 NPI: 1265899181 Provider ID: 007322599001 NPI: 1942500806 627 W Franklin St NPI: 1396273637 807 W Pine St Shelton, WA 98584 807 W Pine St Shelton, WA 98584

(360) 763-5610 EB, P, R Shelton, WA 98584 (360) 427-2050 EB, P, R

Ages: 0-99 (360) 427-2050 EB, P, R Ages: 0-99 Ages: 0-99 Scariato, Gina L, MA, (F) Weed, Jesse C, MA, (M) Group Name: Educational Service Spencer, Brittany L, LPC, (F) Group Name: Catholic District 113 Group Name: Educational Service Community Services Of Western Provider ID: 007318983001 District 113 W NPI: 1528555133 Provider ID: 006989231001 Provider ID: 007460033001 807 W Pine St NPI: 1497244032 NPI: 1477074029 Shelton, WA 98584 807 W Pine St 601 W Franklin St

(360) 427-2050 EB, P, R Shelton, WA 98584 Shelton, WA 98584

Ages: 0-99 (360) 427-2050 EB, P, R (253) 761-3810 EB, P, R Areas of Expertise: E112 Ages: 0-99 Cultural Competency: Y Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

273

Washington - Mason Behavioral Health Providers

Wright, Dawn E, MA, (F) Marriage & Family Therapy Sandle, Laarni, MA, (F)

Group Name: Educational Service Group Name: Consejo Counseling District 113 Bailey, Sara J, MA, (F) And Referral Service Provider ID: 007327356001 Group Name: Community Youth Provider ID: 007445859001 NPI: 1790256022 Services NPI: 1306121249 807 W Pine St Provider ID: 007190033001 627 W Franklin St Shelton, WA 98584 NPI: 1922587203 Shelton, WA 98584 (360) 427-2050 EB, P, R 601 W Franklin St Ste G-201 (360) 763-5610 EB, P, R Ages: 0-99 Shelton, WA 98584 Ages: 0-99

(360) 918-7860 EB, P, R Yankey, Mykayla E, MA, (F) Vispo Cuba, Teresa, MA, (F) Ages: 0-99 Group Name: Educational Service Group Name: Consejo Counseling District 113 Graff, Allison, MA, (F) And Referral Service Provider ID: 007327358001 Group Name: Community Youth Provider ID: 007224367001 NPI: 1821586124 Services NPI: 1972086742 807 W Pine St Provider ID: 007192590001 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584 NPI: 1336543354 Belfair, WA 98528 (360) 427-2050 EB, P, R 601 W Franklin St Ste G-201 (360) 763-5600 EB, P, R Ages: 0-99 Shelton, WA 98584 Ages: 0-99

Areas of Expertise: E112 (360) 918-7860 EB, P, R Vispo Cuba, Teresa, MA, (F) Ages: 0-99 Yee, Jacqueline M, MA, (F) Group Name: Consejo Counseling Group Name: Educational Service Grijalva, Athena F, MA, (F) And Referral Service District 113 Group Name: Community Youth Provider ID: 007224367001 Provider ID: 007327362001 Services NPI: 1972086742 NPI: 1235626730 Provider ID: 003082388001 627 W Franklin St 807 W Pine St NPI: 1760624654 Shelton, WA 98584 Shelton, WA 98584 601 W Franklin St Ste G-201 (360) 763-5610 EB, P, R (360) 427-2050 EB, P, R Shelton, WA 98584 Ages: 0-99

Ages: 0-99 (360) 918-7860 EB, P, R Waxwing, Lauren R, MA, (F) Ages: 0-99 Group Name: Community Youth Autism Behavioral Analyst Areas of Expertise: E112

Services Aaro, Kimberly M, MA, (F) Sandle, Laarni, MA, (F) Provider ID: 007192663001 Group Name: Basics Nw LLC Group Name: Consejo Counseling NPI: 1356858443 Provider ID: 004283729002 And Referral Service 601 W Franklin St Ste G-201 NPI: 1982838553 Provider ID: 007445859001 Shelton, WA 98584 31 E Saphire Ct NPI: 1306121249 (360) 918-7860 EB, P, R Belfair, WA 98528 23291 Ne State Route 3 Bldg A1 Ages: 0-99 (360) 550-2355 Belfair, WA 98528

Ages: 0-99 (360) 763-5600 EB, P, R Areas of Expertise: A017, A070, Ages: 0-99 E390, P010, P013, P080

274

Behavioral Health Providers Washington - Mason

Professional Counselor Ahmed, Safia A, MA, (F) Archer, Joshua R, MA, (M)

Group Name: Consejo Counseling Group Name: Consejo Counseling Abreu, Daisy, PSY, (F) And Referral Service And Referral Service Group Name: Consejo Counseling Provider ID: 007441729001 Provider ID: 007441621001 And Referral Service NPI: 1457999138 NPI: 1245757582 Provider ID: 003524809001 627 W Franklin St 627 W Franklin St NPI: 1437258381 Shelton, WA 98584 Shelton, WA 98584 23291 Ne State Route 3 Bldg A1 (360) 763-5610 EB, P, R (360) 763-5610 EB, P, R Belfair, WA 98528 Ages: 0-99 Ages: 0-99

(360) 763-5600 EB, P, R Alcala Calderon, Ana T, MA, (F) Blair Brown, Jasmine L, MA, (F) Ages: 0-99 Group Name: Consejo Counseling Group Name: Peninsula Areas of Expertise: E020, E070, And Referral Service Community Health E112, E165 Provider ID: 007441603001 Provider ID: 006994480002 Abreu, Daisy, PSY, (F) NPI: 1619517364 NPI: 1518206770 Group Name: Consejo Counseling 23291 Ne State Route 3 Bldg A1 300 E Campus Dr And Referral Service Belfair, WA 98528 Belfair, WA 98528 Provider ID: 003524809001 (360) 763-5600 EB, P, R (360) 377-3776 EB, P, R NPI: 1437258381 Ages: 0-99 Ages: 0-99 627 W Franklin St Alcala Calderon, Ana T, MA, (F) Blair Brown, Jasmine L, MA, (F) Shelton, WA 98584 Group Name: Consejo Counseling Group Name: Peninsula (360) 763-5610 EB, P, R And Referral Service Community Health Ages: 0-99 Provider ID: 007441603001 Provider ID: 006994480002 Areas of Expertise: E020, E070, NPI: 1619517364 NPI: 1518206770 E112, E165 627 W Franklin St 31 Ne State Route 300 Ste 200 Ahmed, Safia A, MA, (F) Shelton, WA 98584 Belfair, WA 98528 Group Name: Consejo Counseling (360) 763-5610 EB, P, R (360) 377-3776 EB, P, R And Referral Service Ages: 0-99 Ages: 0-99 Provider ID: 007441729001 Archer, Joshua R, MA, (M) Boschma, Shana M, MA, (F) NPI: 1457999138 Group Name: Consejo Counseling Group Name: Consejo Counseling 23291 Ne State Route 3 Bldg A1 And Referral Service And Referral Service Belfair, WA 98528 Provider ID: 007441621001 Provider ID: 007224354001 (360) 763-5600 EB, P, R NPI: 1245757582 NPI: 1790142248 Ages: 0-99 23291 Ne State Route 3 Bldg A1 23291 Ne State Route 3 Bldg A1 Belfair, WA 98528 Belfair, WA 98528

(360) 763-5600 EB, P, R (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

275

Washington - Mason Behavioral Health Providers

Boschma, Shana M, MA, (F) Caldwell, Daniel F, MA, (F) Ferris, Alicia L, MA, (F) Group Name: Consejo Counseling Group Name: Community Youth Group Name: Community Youth And Referral Service Services Services Provider ID: 007224354001 Provider ID: 007190030001 Provider ID: 007192589001 NPI: 1790142248 NPI: 1477953214 NPI: 1215244637 627 W Franklin St 601 W Franklin St Ste G-201 601 W Franklin St Ste G-201 Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 763-5610 EB, P, R (360) 918-7860 EB, P, R (360) 918-7860 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Bresolin, Brad, LPC, (M) Ellsworth, Sara M, MA, (F) Garibay Vazquez, Esperanza I, Group Name: Social Treatment Group Name: Educational Service MA, (F) Opportunity Programs District 113 Group Name: Consejo Counseling Provider ID: 003054912001 Provider ID: 007261064001 And Referral Service NPI: 1578949012 NPI: 1205150687 Provider ID: 007441674001 611 W Cota St 807 W Pine St NPI: 1326601923 Shelton, WA 98584 Shelton, WA 98584 23291 Ne State Route 3 Bldg A1

(360) 426-5654 EB, P, R (360) 427-2050 EB, P, R Belfair, WA 98528

Ages: 0-99 Ages: 0-99 (360) 763-5600 EB, P, R Ages: 0-99 Burnham, Paige, MA, (F) Escobar, Mary, MA, (F) Group Name: Peninsula Group Name: Consejo Counseling Garibay Vazquez, Esperanza I, Community Health And Referral Service MA, (F) Provider ID: 006899447001 Provider ID: 007441704001 Group Name: Consejo Counseling NPI: 1073992186 NPI: 1851589303 And Referral Service 300 E Campus Dr 23291 Ne State Route 3 Bldg A1 Provider ID: 007441674001 Belfair, WA 98528 Belfair, WA 98528 NPI: 1326601923

(360) 377-3776 EB, P, R (360) 763-5600 EB, P, R 627 W Franklin St Ages: 0-99 Ages: 0-99 Shelton, WA 98584

(360) 763-5610 EB, P, R Burnham, Paige, MA, (F) Escobar, Mary, MA, (F) Ages: 0-99 Group Name: Peninsula Group Name: Consejo Counseling Community Health And Referral Service Green, Kristabel K, MA, (F) Provider ID: 006899447001 Provider ID: 007441704001 Group Name: Catholic NPI: 1073992186 NPI: 1851589303 Community Services Of Western 31 Ne State Route 300 Ste 200 627 W Franklin St W Belfair, WA 98528 Shelton, WA 98584 Provider ID: 007332384002

(360) 377-3776 EB, P, R (360) 763-5610 EB, P, R NPI: 1992234108 Ages: 0-99 Ages: 0-99 601 W Franklin St Shelton, WA 98584

(253) 761-3810 EB, P, R Cultural Competency: Y Ages: 0-99 Areas of Expertise: E112

276

Behavioral Health Providers Washington - Mason

Guy, Sara J, MA, (F) Hill, Darlene M, MA, (F) King-Hill, Eve, MA, (F) Group Name: Behavioral Health Group Name: Consejo Counseling Group Name: Peninsula Resources And Referral Service Community Health Provider ID: 007191373001 Provider ID: 007005300004 Provider ID: 006996082001 NPI: 1558841122 NPI: 1629435425 NPI: 1649329814 110 W K St 627 W Franklin St 300 E Campus Dr Shelton, WA 98584 Shelton, WA 98584 Belfair, WA 98528

(360) 426-1696 EB, P, R (360) 763-5610 EB, P, R (360) 377-3776 EB, P, R M-F 7:30 AM-5:30 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Horcasitas Ruiz, Denisse A, MA, Landry, Cheri K, MA, (F) Harvey, Ingrid R, BA, (F) (F) Group Name: Educational Service Group Name: Consejo Counseling Group Name: Consejo Counseling District 113 And Referral Service And Referral Service Provider ID: 006910151001 Provider ID: 007091905001 Provider ID: 007442657001 NPI: 1518456722 NPI: 1689157836 NPI: 1487125472 807 W Pine St 23291 Ne State Route 3 Bldg A1 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584

Belfair, WA 98528 Belfair, WA 98528 (360) 427-2050 EB, P, R

(360) 763-5600 EB, P, R (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

Harvey, Ingrid R, BA, (F) Horcasitas Ruiz, Denisse A, MA, Ledford, Machel, MA, (F) Group Name: Consejo Counseling (F) Group Name: New Directions And Referral Service Group Name: Consejo Counseling Counseling Provider ID: 007091905001 And Referral Service Provider ID: 007297885002 NPI: 1689157836 Provider ID: 007442657001 NPI: 1477014561 627 W Franklin St NPI: 1487125472 506 W Franklin St Shelton, WA 98584 627 W Franklin St Shelton, WA 98584

(360) 763-5610 EB, P, R Shelton, WA 98584 (360) 427-5232 EB, P, R

Ages: 0-99 (360) 763-5610 EB, P, R M-Th 9:00 AM-8:30 PM Ages: 0-99 Ages: 0-99 Hill, Darlene M, MA, (F) Group Name: Consejo Counseling Jarvis, Chloe, MA, (F) Magnuson Whyte, Adrian R, MA, And Referral Service Group Name: Community Youth (M) Provider ID: 007005300004 Services Group Name: Mental Health NPI: 1629435425 Provider ID: 007190029001 Professionals 23291 Ne State Route 3 Bldg A1 NPI: 1235611476 Provider ID: 002986415001 Belfair, WA 98528 601 W Franklin St Ste G-201 NPI: 1881894798

(360) 763-5600 EB, P, R Shelton, WA 98584 2136 Olympic Hwy N

Ages: 0-99 (360) 918-7860 EB, P, R Shelton, WA 98584

Cultural Competency: Y (360) 462-3320 EB, P, R Ages: 0-99 M-W 9:00 AM-5:00 PM Th,F 8:00 AM-5:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

277

Washington - Mason Behavioral Health Providers Cultural Competency: Y Mezen, Margaret R, MA, (F) Patterson, Rosemary A, MA, (F) Web address: http://www.mhp-llc.c Group Name: Peninsula Group Name: Community Youth om Community Health Services Ages: 0-99 Provider ID: 004946633002 Provider ID: 007192687001 Areas of Expertise: E010, E017, NPI: 1467873190 NPI: 1033513825 E020, E042, E055, E065, E070, 300 E Campus Dr 601 W Franklin St Ste G-201 E090, E112, E115, E130, E165, Belfair, WA 98528 Shelton, WA 98584 E200, E210, E374, E377, P010, (360) 377-3776 EB, P, R (360) 918-7860 EB, P, R P035 Ages: 0-99 Cultural Competency: Y Mayeux, Carrie H, MA, (F) Areas of Expertise: A010, A050, Ages: 0-99 Group Name: Community Youth E010, E015, E017, E020, E025, Peace, Eli, MA, (M) Services E030, E043, E062, E070, E075, Group Name: Community Youth Provider ID: 007192609001 E090, E105, E112, E115, E120, Services NPI: 1346642980 E145, E150, E155, E170, E180, Provider ID: 006212604002 601 W Franklin St Ste G-201 E185, E187, E198, E200, E215, NPI: 1568828838 Shelton, WA 98584 E225, E240, E285, E287, P010 601 W Franklin St Ste G-201 (360) 918-7860 EB, P, R Mezen, Margaret R, MA, (F) Shelton, WA 98584 Ages: 0-99 Group Name: Peninsula (360) 918-7860 EB, P, R Mccullough, Giovanna, MA, (F) Community Health Ages: 0-99 Group Name: Catholic Provider ID: 004946633002 Petralia, Maria I, MA, (F) Community Services Of Western NPI: 1467873190 Group Name: Consejo Counseling W 31 Ne State Route 300 Ste 200 And Referral Service Provider ID: 007477695001 Belfair, WA 98528 Provider ID: 007224321001 NPI: 1104452606 (360) 377-3776 EB, P, R NPI: 1851700827 601 W Franklin St Ages: 0-99 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584 Areas of Expertise: A010, A050, Belfair, WA 98528 (253) 761-3810 EB, P, R E010, E015, E017, E020, E025, (360) 763-5600 EB, P, R Ages: 0-99 E030, E043, E062, E070, E075, Ages: 0-99 E090, E105, E112, E115, E120, Mercer, Kevin, MA, (M) E145, E150, E155, E170, E180, Petralia, Maria I, MA, (F) Group Name: Northwest E185, E187, E198, E200, E215, Group Name: Consejo Counseling Resources Ii Inc E225, E240, E285, E287, P010 And Referral Service Provider ID: 006993317002 Provider ID: 007224321001 NPI: 1891221131 Neff, Chelsea N, MA, (F) NPI: 1851700827 235 S 3rd St Group Name: Northwest 627 W Franklin St Shelton, WA 98584 Resources Ii Inc Shelton, WA 98584 (360) 426-0890 EB, P, R Provider ID: 007374908001 (360) 763-5610 EB, P, R Cultural Competency: Y NPI: 1790344778 Ages: 0-99 Ages: 0-99 235 S 3rd St Shelton, WA 98584

(360) 426-0890 EB, P, R Cultural Competency: Y Ages: 0-99

278

Behavioral Health Providers Washington - Mason

Puri, Kaitlyn B, MA, (F) Rutzer, Christopher, MA, (M) Smetak, Jody R, MA, (F) Group Name: Educational Service Group Name: Behavioral Health Group Name: Community Youth District 113 Resources Services Provider ID: 007034907001 Provider ID: 007329081001 Provider ID: 002976799001 NPI: 1477043461 NPI: 1376025593 NPI: 1093046708 807 W Pine St 110 W K St 601 W Franklin St Ste G-201 Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 427-2050 EB, P, R (360) 426-1696 EB, P, R (360) 918-7860 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Schmidt, Carol, MA, (F) Smith, Abigail, MA, (F) Ramos Miranda, Annette J, MA, Group Name: Behavioral Health Group Name: Catholic (F) Resources Community Services Of Western Group Name: Consejo Counseling Provider ID: 003447626002 W And Referral Service NPI: 1669511267 Provider ID: 007720187001 Provider ID: 007224254001 110 W K St NPI: 1760919443 NPI: 1538362785 Shelton, WA 98584 601 W Franklin St

23291 Ne State Route 3 Bldg A1 (360) 426-1696 EB, P, R Shelton, WA 98584 Belfair, WA 98528 M-F 7:30 AM-6:00 PM (253) 761-3810

(360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Areas of Expertise: E010, E017, Areas of Expertise: E112 Ages: 0-99 E020, E025, E055, E062, E070, Spencer, Brittany L, LPC, (F) E075, E080, E090, E112, E115, Ramos Miranda, Annette J, MA, Group Name: Educational Service E165, E200, P010, P020, P030 (F) District 113 Group Name: Consejo Counseling Shelton, Hailey A, MA, (F) Provider ID: 006989231001 And Referral Service Group Name: Educational Service NPI: 1497244032 Provider ID: 007224254001 District 113 807 W Pine St NPI: 1538362785 Provider ID: 007184215001 Shelton, WA 98584

627 W Franklin St NPI: 1174095939 (360) 427-2050 EB, P, R Shelton, WA 98584 807 W Pine St Ages: 0-99

(360) 763-5610 EB, P, R Shelton, WA 98584 Starke, Bergen S, MA, (F) Cultural Competency: Y (360) 427-2050 EB, P, R Group Name: Peninsula Ages: 0-99 Ages: 0-99 Community Health Areas of Expertise: E112 Richards, Nathaniel T, MA, (M) Provider ID: 007069195001 Group Name: Behavioral Health NPI: 1316418411 Resources 300 E Campus Dr Provider ID: 007197979001 Belfair, WA 98528

NPI: 1407133861 (360) 377-3776 EB, P, R 110 W K St Ages: 0-99 Shelton, WA 98584

(360) 426-1696 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

279

Washington - Mason Behavioral Health Providers

Starke, Bergen S, MA, (F) Vallellanes Santiago, Ivelisse, MA, Psychiatric Nurse

Group Name: Peninsula (F) Community Health Group Name: Consejo Counseling Ishihara, Sharon P, MA, (F) Provider ID: 007069195001 And Referral Service Group Name: Peninsula NPI: 1316418411 Provider ID: 007463002001 Community Health 31 Ne State Route 300 Ste 200 NPI: 1215410550 Provider ID: 003317215006 Belfair, WA 98528 627 W Franklin St NPI: 1144544867 (360) 377-3776 EB, P, R Shelton, WA 98584 31 Ne State Route 300 Ste 200 Ages: 0-99 (360) 763-5610 EB, P, R Belfair, WA 98528

Ages: 0-99 (360) 377-3776 EB, P, R Stevens, Katherine E, MA, (F) Areas of Expertise: E112 Cultural Competency: Y Group Name: Community Youth Ages: 0-99 Services Wedinger, Lucerito R, MA, (F) Hospital Affiliations: Provider ID: 007194813001 Group Name: Consejo Counseling Banner Thunderbird Medical NPI: 1629443296 And Referral Service Center 601 W Franklin St Ste G-201 Provider ID: 007225651001 Banner Behavioral Health Shelton, WA 98584 NPI: 1013486828 Hospital (360) 918-7860 EB, P, R 23291 Ne State Route 3 Bldg A1 Areas of Expertise: A060, E020, Ages: 0-99 Belfair, WA 98528 E055, E070, E112, E160, E165, (360) 763-5600 EB, P, R Strickland, Yelena A, MA, (F) E170, E185, E198, E200, E210, Ages: 0-99 Group Name: Peninsula P010 Community Health Wedinger, Lucerito R, MA, (F) Ishihara, Sharon P, MA, (F) Provider ID: 007304773002 Group Name: Consejo Counseling Group Name: Peninsula NPI: 1134652605 And Referral Service Community Health 31 Ne State Route 300 Ste 200 Provider ID: 007225651001 Provider ID: 003317215006 Belfair, WA 98528 NPI: 1013486828 NPI: 1144544867 (360) 377-3776 EB, P, R 627 W Franklin St 627 W Franklin St Cultural Competency: Y Shelton, WA 98584 Shelton, WA 98584 Ages: 0-99 (360) 763-5610 EB, P, R (360) 377-3776 EB, P, R Ages: 0-99 Vallellanes Santiago, Ivelisse, MA, Cultural Competency: Y (F) Wiltse, Tricia, MA, (F) Ages: 0-99 Group Name: Consejo Counseling Group Name: Community Youth Hospital Affiliations: And Referral Service Services Banner Thunderbird Medical Provider ID: 007463002001 Provider ID: 003612222001 Center NPI: 1215410550 NPI: 1083943187 Banner Behavioral Health 23291 Ne State Route 3 Bldg A1 601 W Franklin St Ste G-201 Hospital Belfair, WA 98528 Shelton, WA 98584 Areas of Expertise: A060, E020, (360) 763-5600 EB, P, R (360) 918-7860 EB, P, R E055, E070, E112, E160, E165, Ages: 0-99 Ages: 0-99 E170, E185, E198, E200, E210, Areas of Expertise: E112 Areas of Expertise: E010, E017, P010 E020, E055, E070, E112, E165, E200, E215, P010

280

Behavioral Health Providers Washington - Mason

Tucker, Jamee S, MA, (F) Morris, John E, MA, (M), B Young, Linda, MD, (F), B Group Name: Behavioral Health Group Name: Behavioral Health Group Name: Behavioral Health Resources Resources Resources Provider ID: 007196738001 Provider ID: 000235406001 Provider ID: 001672192002 NPI: 1730619123 NPI: 1851314603 NPI: 1033208731 110 W K St 110 W K St 110 W K St Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 426-1696 EB, P, R (360) 426-1696 EB, P, R (360) 426-1696 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Areas of Expertise: E020, E070, Ages: 0-99 Psychiatry E112, E160, E165, E170, E190, Hospital Affiliations:

E210, P010 University Hospital Of Ar Danner, Katharine E, MA, (F) Areas of Expertise: A010, A025, Group Name: Behavioral Health Perez, Romelia, MA, (F) A070, A099, E020, E025, E070, Resources Group Name: Consejo Counseling E075, E112, E150, E160, E165, Provider ID: 006048493002 And Referral Service E170, E200, E210, E230, E390 NPI: 1356607303 Provider ID: 001706189001

110 W K St NPI: 1023265188 Social Worker - Licensed

Shelton, WA 98584 23291 Ne State Route 3 Bldg A1 (360) 426-1696 EB, P, R Belfair, WA 98528 Cabush, Carrie G, MA, (F) Ages: 0-99 (360) 763-5600 EB, P, R Group Name: Consejo Counseling Ages: 0-99 And Referral Service Gianutsos, Louis P, MD, (M), B Provider ID: 007442651001 Group Name: Planned Perez, Romelia, MA, (F) NPI: 1568010973 Parenthood Of The Great Nw & Group Name: Consejo Counseling 23291 Ne State Route 3 Bldg A1 Hi And Referral Service Belfair, WA 98528 Provider ID: 002139224010 Provider ID: 001706189001 (360) 763-5600 EB, P, R NPI: 1043394760 NPI: 1023265188 Ages: 0-99 2505 Olympic Hwy N Ste 400 627 W Franklin St Shelton, WA 98584 Shelton, WA 98584 Cabush, Carrie G, MA, (F)

(800) 769-0045 EB, P, R (360) 763-5610 EB, P, R Group Name: Consejo Counseling Languages Spoken: Ages: 0-99 And Referral Service Provider: Spanish Provider ID: 007442651001 Renn, Rebecca J, MD, (F) Cultural Competency: Y NPI: 1568010973 Group Name: Behavioral Health Ages: 0-99 627 W Franklin St Resources Hospital Affiliations: Shelton, WA 98584 Provider ID: 002665832001 Swedish Cherry Hill (360) 763-5610 EB, P, R NPI: 1457319071 Wahiawa General Hospital Ages: 0-99 110 W K St Swedish Medical Center Shelton, WA 98584 Evergreenhealth Medical Center (360) 426-1696 EB, P, R Areas of Expertise: E020, E070, Ages: 0-99 E112, E160, E165, MAT1

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

281

Washington - Mason Behavioral Health Providers

Doyle, Kristen R, MA, (F) Marquez, Amanda N, MA, (F) Mccord, Mercy P, MA, (F) Group Name: Behavioral Health Group Name: Consejo Counseling Group Name: Consejo Counseling Resources And Referral Service And Referral Service Provider ID: 007193916001 Provider ID: 007441602001 Provider ID: 007442603001 NPI: 1801337928 NPI: 1134752363 NPI: 1003384033 110 W K St 23291 Ne State Route 3 Bldg A1 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584 Belfair, WA 98528 Belfair, WA 98528

(360) 426-1696 EB, P, R (360) 763-5600 EB, P, R (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Hellenkamp, Colette C, MA, (F) Marquez, Amanda N, MA, (F) Mccord, Mercy P, MA, (F) Group Name: Consejo Counseling Group Name: Consejo Counseling Group Name: Consejo Counseling And Referral Service And Referral Service And Referral Service Provider ID: 007224273001 Provider ID: 007441602001 Provider ID: 007442603001 NPI: 1134602915 NPI: 1134752363 NPI: 1003384033 23291 Ne State Route 3 Bldg A1 627 W Franklin St 627 W Franklin St Belfair, WA 98528 Shelton, WA 98584 Shelton, WA 98584

(360) 763-5600 EB, P, R (360) 763-5610 EB, P, R (360) 763-5610 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Hellenkamp, Colette C, MA, (F) Marquez, Michelle, MA, (F) Wint, Nicole A, MA, (F) Group Name: Consejo Counseling Group Name: Consejo Counseling Group Name: Consejo Counseling And Referral Service And Referral Service And Referral Service Provider ID: 007224273001 Provider ID: 007442607001 Provider ID: 007228758001 NPI: 1134602915 NPI: 1457887960 NPI: 1104360171 627 W Franklin St 23291 Ne State Route 3 Bldg A1 23291 Ne State Route 3 Bldg A1 Shelton, WA 98584 Belfair, WA 98528 Belfair, WA 98528

(360) 763-5610 EB, P, R (360) 763-5600 EB, P, R (360) 763-5600 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Johnson, Angela D, MA, (F) Marquez, Michelle, MA, (F) Wint, Nicole A, MA, (F) Group Name: Behavioral Health Group Name: Consejo Counseling Group Name: Consejo Counseling Resources And Referral Service And Referral Service Provider ID: 007337184001 Provider ID: 007442607001 Provider ID: 007228758001 NPI: 1982006029 NPI: 1457887960 NPI: 1104360171 110 W K St 627 W Franklin St 627 W Franklin St Shelton, WA 98584 Shelton, WA 98584 Shelton, WA 98584

(360) 426-1696 EB, P, R (360) 763-5610 EB, P, R (360) 763-5610 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

282

Behavioral Health Providers Washington - Thurston Thurston Bongar, Debbierey P, MD, (F), B Dawson, Brian J, MD, (M)

Group Name: Ideal Option Group Name: Ideal Option Addiction Medicine Provider ID: 002947197074 Provider ID: 002610860040

NPI: 1801072137 NPI: 1871540435 Allgaier, Jeffrey T, MD, (M), B 205b Lilly Rd Ne Ste C 205b Lilly Rd Ne Ste B Group Name: Ideal Option Olympia, WA 98506 Olympia, WA 98506 Provider ID: 002714221086 (877) 522-1275 EB, P, R (877) 522-1275 NPI: 1659300374 Web address: www.kadlec.org Ages: 0-99 205b Lilly Rd Ne Ste B Ages: 0-99 Hospital Affiliations: Olympia, WA 98506 Hospital Affiliations: Kadlec Regional Medical Center (877) 522-1275 EB, P, R Kadlec Regional Medical Center Areas of Expertise: MAT1 Ages: 0-99 Areas of Expertise: MAT1, THS Hospital Affiliations: Dawson, Brian J, MD, (M) Kadlec Regional Medical Center Brownell, Kirk H, MD, (M) Group Name: Ideal Option Areas of Expertise: MAT1, P010, Group Name: Ideal Option Provider ID: 002610860040 THS Provider ID: 001913657050 NPI: 1871540435 NPI: 1326077710 205b Lilly Rd Ne Ste C Allgaier, Jeffrey T, MD, (M), B 205b Lilly Rd Ne Ste B Olympia, WA 98506 Group Name: Ideal Option Olympia, WA 98506 (877) 522-1275 Provider ID: 002714221155 (877) 522-1275 EB, P, R Ages: 0-99 NPI: 1659300374 Ages: 0-99 Hospital Affiliations: 205b Lilly Rd Ne Ste C Hospital Affiliations: Kadlec Regional Medical Center Olympia, WA 98506 Skagit Valley Hospital Areas of Expertise: MAT1 (509) 222-1275 EB, P, R Areas of Expertise: MAT1 Ages: 0-99 Egli, Kenneth J, MD, (M), B Hospital Affiliations: Brownell, Kirk H, MD, (M) Group Name: Ideal Option Kadlec Regional Medical Center Group Name: Ideal Option Provider ID: 002329225076 Areas of Expertise: MAT1, P010, Provider ID: 001913657032 NPI: 1205922879 THS NPI: 1326077710 205b Lilly Rd Ne 205b Lilly Rd Ne Ste C Olympia, WA 98506 Bongar, Debbierey P, MD, (F), B Olympia, WA 98506 (877) 522-1275 EB, P, R Group Name: Ideal Option (509) 222-1275 EB, P, R Ages: 0-99 Provider ID: 002947197071 Ages: 0-99 Areas of Expertise: THS NPI: 1801072137 Hospital Affiliations: Egli, Kenneth J, MD, (M), B 205b Lilly Rd Ne Ste B Skagit Valley Hospital Group Name: Ideal Option Olympia, WA 98506 Areas of Expertise: MAT1 (877) 522-1275 EB, P, R Provider ID: 002329225070 Web address: www.kadlec.org NPI: 1205922879 Ages: 0-99 205b Lilly Rd Ne Ste B Hospital Affiliations: Olympia, WA 98506 Kadlec Regional Medical Center (877) 522-1275 EB, P, R Areas of Expertise: MAT1, THS Ages: 0-99 Areas of Expertise: THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

283

Washington - Thurston Behavioral Health Providers

Egli, Kenneth J, MD, (M), B Leibrand, Howard L, MD, (M), B Rueda, Kristine Grace P, MD, (F) Group Name: Ideal Option Group Name: Ideal Option Group Name: Ideal Option Provider ID: 002329225057 Provider ID: 001708759137 Provider ID: 005534771073 NPI: 1205922879 NPI: 1710914312 NPI: 1720349509 205b Lilly Rd Ne Ste C 205b Lilly Rd Ne Ste C 205b Lilly Rd Ne Ste C Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(509) 222-1275 EB, P, R (877) 522-1275 EB, P, R (877) 522-1275 EB, P, R Ages: 0-99 Web address: https://idealoption.net/ Web address: https://idealoption.net/ Areas of Expertise: THS Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Laursen, Shawna L, MD, (F) Skagit Valley Hospital Rcch Trios Health Group Name: Ideal Option Areas of Expertise: MAT1 Areas of Expertise: MAT1, THS Provider ID: 001807514027 NPI: 1528137908 Mattis, Richard N, MD, (M), B Stanton, Kristopher T, MD, (M), 205b Lilly Rd Ne Ste C Group Name: Ideal Option B Olympia, WA 98506 Provider ID: 001960065083 Group Name: Ideal Option

(509) 222-1275 EB, P, R NPI: 1821040247 Provider ID: 006228751001 Ages: 0-99 205b Lilly Rd Ne Ste C NPI: 1063671147 Hospital Affiliations: Olympia, WA 98506 205b Lilly Rd Ne Ste C

Island Hospital (877) 522-1275 EB, P, R Olympia, WA 98506

Skagit Valley Hospital Web address: https://idealoption.net/ (509) 222-1275 EB, P, R Areas of Expertise: THS Ages: 0-99 Ages: 0-99 Hospital Affiliations: Leibrand, Howard L, MD, (M), B Newport Community Hospital Advanced Practice Registered Group Name: Ideal Option Areas of Expertise: MAT1, THS Psychiatric Nurse Practitioner

Provider ID: 001708759130 NPI: 1710914312 Myette, Whitney B, LPC, (F) Alber, Lynette N, MS, (F) 205b Lilly Rd Ne Ste B Group Name: Catholic Group Name: Catholic Olympia, WA 98506 Community Services Of Western Community Services Of Western (877) 522-1275 W W Web address: https://idealoption.net/ Provider ID: 007614641002 Provider ID: 002947875001 Ages: 0-99 NPI: 1194311704 NPI: 1952451916 Hospital Affiliations: 1202 Black Lake Blvd Sw 1202 Black Lake Blvd Sw Skagit Valley Hospital Olympia, WA 98502 Olympia, WA 98502

Areas of Expertise: MAT1 (360) 878-8248 EB, P, R (253) 761-3810 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: A010, A060, E010, E017, E020, E025, E070, E112, E115, E160, E165, E170, E185, E190, E198, E200, E210, E230, P010

284

Behavioral Health Providers Washington - Thurston

Alber, Lynette N, MS, (F) Cheung, Lai K, MS, (F) Clingenpeel, Jennifer A, MA, (F) Group Name: Catholic Group Name: Evergreen Group Name: Northwest Community Services Of Western Treatment Services Resources Ii Inc W Provider ID: 006988594001 Provider ID: 003017835003 Provider ID: 002947875001 NPI: 1356522957 NPI: 1992886956 NPI: 1952451916 6700 Martin Way E Ste 117 2708 Westmoor Ct Sw 715 E Yelm Ave Ste 8 Olympia, WA 98516 Olympia, WA 98502

Yelm, WA 98597 (360) 413-6310 EB, P, R (360) 943-8810 E, EB, P, R, RE,

(360) 878-8248 EB, P, R Ages: 0-99 S, T Ages: 0-99 Ages: 0-99 Chmelik, Mary R, NP, (F) Areas of Expertise: A010, A060, Areas of Expertise: A060, E020, Group Name: Multicare Health E010, E017, E020, E025, E070, E025, E070, E085, E112, E160, System E112, E115, E160, E165, E170, E165, E170, E185, E198, E200, Provider ID: 001988202003 E185, E190, E198, E200, E210, E210, E230, P010 NPI: 1194743757 E230, P010 3504 12th Ave Ne Clingenpeel, Jennifer A, MA, (F) Baker, Rachel A, NP, (F) Olympia, WA 98506 Group Name: Northwest

Group Name: Pmg Sw Wa (253) 403-4437 EB, P, R Resources Ii Inc Provider ID: 003836066076 Web address: www.multicare.org/d Provider ID: 003017835003 NPI: 1851665624 octors/mary-chmelik/ NPI: 1992886956 1018 Capitol Way S Ste 300 Ages: 0-99 3773a Martin Way E Ste 105107 Olympia, WA 98501 Hospital Affiliations: Olympia, WA 98506

(503) 891-6841 EB, P, R Providence Centralia Hospital (360) 688-7312 EB, P, R M-Su 8:00 AM-11:59 PM Areas of Expertise: A060, E020, Ages: 0-99 Cultural Competency: Y E070, E112, E160, E165 Areas of Expertise: A060, E020, Ages: 0-99 E025, E070, E085, E112, E160, Clingenpeel, Jennifer A, MA, (F) Hospital Affiliations: E165, E170, E185, E198, E200, Group Name: Northwest Swedish Medical Center E210, E230, P010 Resources Ii Inc Blum, Stephanie R, FNP, (F) Provider ID: 003017835003 Flood, Maribeth E, MS, (F) Group Name: Telecare Mental NPI: 1992886956 Group Name: Flood Maribeth E Health Services Of Wa In 200 Lilly Rd Ne Ste C Provider ID: 001032035001 Provider ID: 005207719002 Olympia, WA 98506 NPI: 1356479448

NPI: 1104092857 (360) 918-8336 E, EB, P, R, RE, 1101 1107 Eastside St Se 3285 Ferguson St Sw S, T Olympia, WA 98501

Tumwater, WA 98512 Ages: 0-99 (360) 357-9200 EB, P, R

(510) 337-7950 Areas of Expertise: A060, E020, M-Th 9:00 AM-6:00 PM Ages: 0-99 E025, E070, E085, E112, E160, Ages: 0-99 Areas of Expertise: E112, E160 E165, E170, E185, E198, E200, E210, E230, P010

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

285

Washington - Thurston Behavioral Health Providers

Fordmeir, Jennifer L, NP, (F) Fox, Eric, NP, (M) Gallardo, Melissa J, ARNP, (F) Group Name: Ideal Option Group Name: Ideal Option Group Name: Providence Health Provider ID: 003662476004 Provider ID: 006980591006 And Services Washingto NPI: 1518399286 NPI: 1346756137 Provider ID: 006962742005 205b Lilly Rd Ne Ste B 205b Lilly Rd Ne Ste C NPI: 1578039749 Olympia, WA 98506 Olympia, WA 98506 225 State Ave Ne

(509) 222-1275 EB, P, R (877) 522-1275 EB, P, R Olympia, WA 98501

Ages: 0-99 Ages: 0-99 (360) 486-6400 Areas of Expertise: A060, E025, Areas of Expertise: MAT1 Languages Spoken: E112, E160, E170, E185, E198, Interpreter: Medical Interp Fredericks, Mary E, NP, (F) E200, E210, P010, THS Vendor Group Name: Providence Health Cultural Competency: Y Fordmeir, Jennifer L, NP, (F) And Services Washingto Web address: https://www.providen Group Name: Ideal Option Provider ID: 005316546005 ce.org/ Provider ID: 003662476006 NPI: 1306188032 Ages: 0-99 NPI: 1518399286 413 Lilly Rd Ne Hospital Affiliations: 205b Lilly Rd Ne Ste C Olympia, WA 98506 Providence St Peter Hospital Olympia, WA 98506 (360) 493-9060 EB, P, R Providence Centralia Hospital (509) 222-1275 EB, P, R Ages: 0-99 Areas of Expertise: A060, A101, Ages: 0-99 Hospital Affiliations: E020, E070, E112, E160, E165 Areas of Expertise: THS Providence Centralia Hospital Areas of Expertise: A101, E020, Gallardo, Melissa J, ARNP, (F) Forno, Celia G, MA, (F) E070, E112, E165, MAT1 Group Name: Providence Health Group Name: Community Youth And Services Washingto Services Fredericks, Mary E, NP, (F) Provider ID: 006962742004 Provider ID: 003059326008 Group Name: Pmg Sw Wa NPI: 1578039749 NPI: 1437293909 Provider ID: 005316546001 413 Lilly Road Ne 711 State Ave Ne NPI: 1306188032 Olympia, WA 98506 Olympia, WA 98506 413 Lilly Road Ne (360) 493-9060 EB, P, R (360) 943-0780 EB, P, R Olympia, WA 98506 Cultural Competency: Y Ages: 0-99 (360) 493-7060 EB, P, R Web address: https://www.providen Areas of Expertise: A010, A025, Ages: 0-99 ce.org/ A050, A060, E010, E015, E017, Hospital Affiliations: Ages: 0-99 E020, E025, E070, E075, E090, Providence Centralia Hospital Hospital Affiliations: E105, E112, E115, E150, E155, Areas of Expertise: A101, E020, Providence St Peter Hospital E160, E165, E170, E200, E230, E070, E112, E165, MAT1 Providence Centralia Hospital E390, P010, P030 Areas of Expertise: A060, A101, E020, E070, E112, E160, E165

286

Behavioral Health Providers Washington - Thurston

Godfrey, Geoffrey L, NP, (M) Irvin, Shicara B, MA, (F) Kraiger, Anneliese, LPC, (F) Group Name: Ideal Option Group Name: Northwest Group Name: Behavioral Health Provider ID: 003038282036 Resources Ii Inc Resources NPI: 1689610925 Provider ID: 007197669004 Provider ID: 007015188001 205b Lilly Rd Ne Ste C NPI: 1144782095 NPI: 1285075457 Olympia, WA 98506 2708 Westmoor Ct Sw 3436 Mary Elder Rd Ne

(877) 522-1275 EB, P, R Olympia, WA 98502 Olympia, WA 98506

Web address: www.idealoption.ne (360) 943-8810 E, EB, P, R, RE, (360) 352-2037 Ages: 0-99 S, T Ages: 0-99 Hospital Affiliations: Ages: 0-99 Kraiger, Anneliese, LPC, (F) Island Hospital Areas of Expertise: A060, E160 Group Name: Behavioral Health Areas of Expertise: E112, E160, Johnson, Traci, MS, (F) Resources MAT1 Group Name: Evergreen Provider ID: 007015188001 Habashi, Noha, MS, (F) Treatment Services NPI: 1285075457 Group Name: Evergreen Provider ID: 007006454001 3775 Martin Way E Ste A2 Treatment Services NPI: 1164999611 Olympia, WA 98506

Provider ID: 007003023001 6700 Martin Way E Ste 117 (360) 236-7140 EB, P, R NPI: 1710454269 Olympia, WA 98516 Ages: 0-99

6700 Martin Way E Ste 117 (360) 413-6310 EB, P, R Kraiger, Anneliese, LPC, (F) Olympia, WA 98516 Ages: 0-99 Group Name: Behavioral Health (360) 413-6310 EB, P, R Kinney, Andrea K, NP, (F) Resources Ages: 0-99 Group Name: Multicare Health Provider ID: 007015188001 Herzog, Shanti E, NP, (F) System NPI: 1285075457 Group Name: Sea Mar Provider ID: 005298711007 3859 Martin Way E Ste 102 Community Health Center NPI: 1225433378 Olympia, WA 98506

Provider ID: 006656783004 1603 Cooper Point Rd Nw (360) 704-7170 EB, P, R NPI: 1770959025 Olympia, WA 98502 Ages: 0-99

6334 Littlerock Rd Sw (253) 572-7320 EB, P, R Kraiger, Anneliese, LPC, (F) Tumwater, WA 98512 Ages: 0-99 Group Name: Behavioral Health (360) 704-7590 EB, P, R Hospital Affiliations: Resources Ages: 0-99 Good Samaritan Hospital Provider ID: 007015188001 Hospital Affiliations: Tacoma General Allenmore NPI: 1285075457 Swedish Health Services Multicare Auburn Medical Center 6128 Capitol Blvd Se Mary Bridge Child Hosp/hlth Cntr Tumwater, WA 98501

(360) 754-5729 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

287

Washington - Thurston Behavioral Health Providers Web address: www.providence.org Martin, Vanessa G, NP, (F) Moore, Patricia, LPC, (F) Ages: 0-99 Group Name: Multicare Health Group Name: Northwest Hospital Affiliations: System Resources Ii Inc Providence St Peter Hospital Provider ID: 003194080012 Provider ID: 003903255001 Providence Centralia Hospital NPI: 1861652042 NPI: 1467771436 Areas of Expertise: MAT1 3504 12th Ave Ne 2708 Westmoor Ct Sw Olympia, WA 98506 Olympia, WA 98502 Nakai, Kimberley Y, NP, (F)

(253) 403-4437 EB, P, R (360) 943-8810 E, EB, P, R, RE, Group Name: Pmg Sw Wa Languages Spoken: S, T Provider ID: 007128487001 Provider: Spanish Ages: 0-99 NPI: 1710426002 Ages: 0-20 Areas of Expertise: E112 2555 Marvin Rd Ne Hospital Affiliations: Lacey, WA 98516 Morley, Courtney R, ARNP, (F) Kadlec Regional Medical Center (360) 493-4450 EB, P, R Group Name: Evergreen Areas of Expertise: A060, E020, M-F 8:00 AM-5:00 PM Treatment Services E070, E112, E160, E165 Sa,Su 9:00 AM-4:30 PM Provider ID: 003632976054 Web address: www.providence.org Montaperto, Christopher J, MS, NPI: 1922358183 Ages: 0-99 (M) 6700 Martin Way E Ste 117 Hospital Affiliations: Group Name: Pmg Sw Wa Olympia, WA 98516 Providence St Peter Hospital Provider ID: 003107843001 (360) 413-6310 EB, P, R Providence Centralia Hospital NPI: 1477713113 M-F 5:30 AM-4:30 PM Areas of Expertise: MAT1 413 Lilly Rd Ne Sa 5:30 AM-1:00 PM Olympia, WA 98506 Cultural Competency: Y Nakai, Kimberley Y, NP, (F)

(360) 493-7060 EB, P, R Ages: 0-99 Group Name: Pmg Sw Wa Cultural Competency: Y Hospital Affiliations: Provider ID: 007128487002 Ages: 0-99 Tacoma General Allenmore NPI: 1710426002 Hospital Affiliations: Multicare Auburn Medical Center 4800 College St Se Providence St Peter Hospital Good Samaritan Hospital Lacey, WA 98503

Mary Bridge Child Hosp/hlth Cntr (360) 486-2900 EB, P, R Moore, Patricia, LPC, (F) Areas of Expertise: E112 M-F 8:00 AM-7:30 PM Group Name: Northwest Sa,Su 9:00 AM-4:30 PM Resources Ii Inc Nakai, Kimberley Y, NP, (F) Web address: www.providence.org Provider ID: 003903255001 Group Name: Pmg Sw Wa Ages: 0-99 NPI: 1467771436 Provider ID: 007128487003 Hospital Affiliations: 200 Lilly Rd Ne Ste C NPI: 1710426002 Providence St Peter Hospital Olympia, WA 98506 1620 Cooper Point Rd Sw Providence Centralia Hospital (360) 918-8336 E, EB, P, R, RE, Olympia, WA 98502 Areas of Expertise: MAT1 S, T (360) 486-6710 EB, P, R Ages: 0-99 M-F 8:00 AM-7:30 PM Areas of Expertise: E112 Sa,Su 9:00 AM-4:30 PM

288

Behavioral Health Providers Washington - Thurston

Patterson, Anne M, MS, (F) Presson, Judith, ARNP, (F) Severson, Margaret A, MA, (F) Group Name: Behavioral Health Group Name: Providence St Peter Group Name: Evergreen Resources Hospital Treatment Services Provider ID: 007194003001 Provider ID: 005126400002 Provider ID: 006988608001 NPI: 1194255927 NPI: 1235264177 NPI: 1932521705 3775 Martin Way E Ste A2 420 Golf Club Rd Se Ste 203 6700 Martin Way E Ste 117 Olympia, WA 98506 Lacey, WA 98503 Olympia, WA 98516

(360) 236-7140 EB, P, R (360) 493-7469 EB, P, R (360) 413-6310 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Patterson, Anne M, MS, (F) Soloy, Jan A, NP, (F) St Patrick Hospital Group Name: Behavioral Health Group Name: Evergreen Areas of Expertise: A101, E020, Resources Treatment Services E070, E112, E165, THS Provider ID: 007194003001 Provider ID: 001155556003 NPI: 1194255927 San Roman, Talia K, FNP, (F) NPI: 1306004379 3859 Martin Way E Ste 102 Group Name: Community Youth 6700 Martin Way E Ste 117 Olympia, WA 98506 Services Olympia, WA 98516

(360) 704-7170 EB, P, R Provider ID: 006490773006 (360) 413-6310 EB, P, R Ages: 0-99 NPI: 1760929152 Ages: 0-99 711 State Ave Ne Patterson, Anne M, MS, (F) Steinbrenner, Sheila Y, MS, (F) Olympia, WA 98506 Group Name: Behavioral Health Group Name: Pmg Sw Wa (360) 943-0780 Resources Provider ID: 007332763002 Languages Spoken: Provider ID: 007194003001 NPI: 1124672126 Provider: Spanish NPI: 1194255927 413 Lilly Rd Ne Ages: 0-99 6128 Capitol Blvd Se Olympia, WA 98506 Areas of Expertise: A021, A045, Tumwater, WA 98501 (360) 493-7060 EB, P, R A060, A100, A101, E112, E160, (360) 754-5729 EB, P, R Languages Spoken: P010, P013, P030, P080, PLIC, Ages: 0-99 Interpreter: Medical Interp THS Vendor Presson, Judith, ARNP, (F) Schroeder, Mary E, MA, (F) Cultural Competency: Y Group Name: Providence St Peter Group Name: Providence Health Ages: 0-99 Hospital And Services Washingto Areas of Expertise: A101 Provider ID: 005126400002 Provider ID: 005536761004 NPI: 1235264177 NPI: 1437542388 3020 Willamette Dr Ne 225 State Ave Ne Lacey, WA 98516 Olympia, WA 98501 (360) 493-7469 EB, P, R (360) 486-6400 Web address: www.providence.org Web address: www.providence.org Ages: 0-99 Ages: 0-99 Hospital Affiliations: Areas of Expertise: A101, E017, St Patrick Hospital E020, E070, E112, E160, E165, Areas of Expertise: A101, E020, P010, P030, P080 E070, E112, E165, THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

289

Washington - Thurston Behavioral Health Providers

Wade, Ronda A, FNP, (F) Wheeler, Jessica, DNP, (F) Young, Nancy A, NP, (F) Group Name: Evergreen Group Name: Simply Thrive Group Name: Providence St Peter Treatment Services Psychotherapy Hospital Provider ID: 003676853010 Provider ID: 006514022003 Provider ID: 003126941003 NPI: 1609081249 NPI: 1811426521 NPI: 1174602635 6700 Martin Way E Ste 117 418 Carpenter Rd Se Ste 203 3020 Willamette Dr Ne Olympia, WA 98516 Lacey, WA 98503 Lacey, WA 98516

(360) 413-6310 EB, P, R (360) 878-9526 E, EB, IB, P, R, (360) 493-7469 EB, P, R Ages: 0-99 RE, S, T Ages: 0-99 Hospital Affiliations: M,W,Th,F 9:00 AM-7:00 PM Hospital Affiliations: Jcl Dv Hospital Ages: 0-99 Providence St Peter Hospital Honorhealth John C Lincoln Hospital Affiliations: Young, Nancy A, NP, (F) Medical Ctr Providence Centralia Hospital Group Name: Providence St Peter Jcl Nm Hospital Areas of Expertise: A060, A101, Hospital Scttsdle Hlth Osb E020, E025, E042, E070, E160, Provider ID: 003126941003 Honorhealth Scottsdale Shea E230, P010, P080 NPI: 1174602635 Medical Ctr Wright, Andrea, MA, (F) 420 Golf Club Rd Se Ste 203 Scottsdale Healthcare Shea Group Name: Wright Mind Lacey, WA 98503 Medical Ctr Provider ID: 007675050002 (360) 493-7469 EB, P, R Scttsdle Hlth Shea NPI: 1386273217 Ages: 0-99 Scttsdle Hlth Tpk In Home Provider Hospital Affiliations: Areas of Expertise: MAT1 Olympia, WA 98502 Providence St Peter Hospital Wahl, Lisa G, NP, (F) (712) 209-4958 Areas of Expertise: A101, E020, Group Name: Providence St Peter M-W 9:00 AM-7:00 PM E070, E112, E165 Hospital Th 9:00 AM-8:00 PM Provider ID: 002889721010 F 9:00 AM-6:00 PM Alcohol & Drug Counselor

NPI: 1518153949 Ages: 0-99 Andrews, Tina M, MA, (F) 3020 Willamette Dr Ne Areas of Expertise: A060, A100, Group Name: Evergreen Lacey, WA 98516 A101, E017, E020, E030, E042, Treatment Services (360) 493-7469 EB, P, R E043, E055, E070, E160, E165, Provider ID: 007013663001 Ages: 0-99 E170, E185, E200, E210, E381, NPI: 1396047163 Hospital Affiliations: P010, P013, P020, P080 6700 Martin Way E Ste 117 Providence St Peter Hospital Olympia, WA 98516

(360) 413-6310 EB, P, R Cultural Competency: Y Ages: 0-99

290

Behavioral Health Providers Washington - Thurston Cultural Competency: Y Armstrong, Michelle A, MA, (F) Coates, Lisha N, MA, (F) Ages: 0-99 Group Name: Behavioral Health Group Name: Evergreen Resources Benavente, Danilynn C, MA, (F) Treatment Services Provider ID: 007313763001 Group Name: Providence Health Provider ID: 006988602001 NPI: 1679802490 And Services Washingto NPI: 1477021731 6128 Capitol Blvd Se Provider ID: 007324346001 6700 Martin Way E Ste 117 Tumwater, WA 98501 NPI: 1467986802 Olympia, WA 98516

(360) 754-5729 EB, P, R 4800 College St Se (360) 413-6310 EB, P, R M-F 8:30 AM-6:30 PM Lacey, WA 98503 Ages: 0-99

Cultural Competency: Y (360) 456-7575 EB, P, R Cook, Jenna L, MA, (F) Ages: 0-99 Cultural Competency: Y Group Name: Northwest Ages: 0-99 Aurand, Kim A, MA, (F) Resources Ii Inc Areas of Expertise: A101 Group Name: Ideal Balance Pllc Provider ID: 007370764001 Provider ID: 007119620004 Bengtson, Audrey J, MA, (F) NPI: 1689110678 NPI: 1851670533 Group Name: Northwest 2708 Westmoor Ct Sw 205b Lilly Rd Ne Ste C Resources Ii Inc Olympia, WA 98502

Olympia, WA 98506 Provider ID: 007395937001 (360) 943-8810 E, EB, P, R, RE,

(509) 524-9903 EB, P, R NPI: 1083244644 S, T Ages: 0-99 3773 Martin Way E Ste 105 Ages: 0-99 Olympia, WA 98506 Bailey, Patricia L, MA, (F) Cook, Jonathon R, MA, (M) (360) 688-7312 EB, P, R Group Name: Community Youth Group Name: Northwest Cultural Competency: Y Services Resources Ii Inc Ages: 0-99 Provider ID: 007331356001 Provider ID: 007369969001 NPI: 1225504137 Buchanan, Tiffany R, BA, (F) NPI: 1093356008 711 State Ave Ne Group Name: Behavioral Health 2708 Westmoor Ct Sw Olympia, WA 98506 Resources Olympia, WA 98502

(360) 943-0780 EB, P, R Provider ID: 007178557001 (360) 943-8810 E, EB, P, R, RE, Cultural Competency: Y NPI: 1831229285 S, T Ages: 0-99 3857 Martin Way E Cultural Competency: Y Olympia, WA 98506 Ages: 0-99 Barnett, Dawn M, MA, (F) (360) 704-7170 EB, P, R Group Name: Northwest Davidson, Chi Mi Yi, MA, (M) Ages: 0-99 Resources Ii Inc Group Name: Northwest Provider ID: 007369947001 Bushman, Steven, MA, (M) Resources Ii Inc NPI: 1639643877 Group Name: Evergreen Provider ID: 007369941001 2708 Westmoor Ct Sw Treatment Services NPI: 1073052254 Olympia, WA 98502 Provider ID: 007014731001 2708 Westmoor Ct Sw

(360) 943-8810 E, EB, P, R, RE, NPI: 1881163202 Olympia, WA 98502

S, T 6700 Martin Way E Ste 117 (360) 943-8810 E, EB, P, R, RE, M-Th 8:30 AM-7:00 PM Olympia, WA 98516 S, T

F 8:30 AM-5:00 PM (360) 413-6310 EB, P, R M-Th 8:30 AM-7:00 PM Ages: 0-99 F 8:30 AM-5:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

291

Washington - Thurston Behavioral Health Providers Cultural Competency: Y Areas of Expertise: A101 Duenow, Kristin R, NON, (F) Ages: 0-99 Demartino, Dilma L, MA, (F) Group Name: Providence Health Davis, Morgan A, MA, (F) Group Name: Northwest And Services Washingto Group Name: Providence Health Resources Ii Inc Provider ID: 005360109001 And Services Washingto Provider ID: 007373723001 NPI: 1962498865 Provider ID: 007329544001 NPI: 1942869938 4800 College St Se NPI: 1558722595 2708 Westmoor Ct Sw Lacey, WA 98503

225 State Ave Ne Olympia, WA 98502 (360) 456-7575 EB, P, R

Olympia, WA 98501 (360) 943-8810 E, EB, P, R, RE, Ages: 0-99

(360) 486-6400 S, T Areas of Expertise: A101, E112 Ages: 0-99 Ages: 0-99 Edwards, Christopher, LPC, (M) Areas of Expertise: A101 Duenow, Kristin R, NON, (F) Group Name: Evergreen Davis, Morgan A, MA, (F) Group Name: Providence Health Treatment Services Group Name: Providence Health And Services Washingto Provider ID: 003835849001 And Services Washingto Provider ID: 005360109001 NPI: 1447727003 Provider ID: 007329544001 NPI: 1962498865 6700 Martin Way E Ste 117 NPI: 1558722595 225 State Ave Ne Olympia, WA 98516

413 Lilly Rd Ne Olympia, WA 98501 (360) 413-6310 EB, P, R

Olympia, WA 98506 (360) 486-6400 Ages: 0-99

(360) 493-7060 EB, P, R Ages: 0-99 Egan, Brett C, MA, (M) Ages: 0-99 Areas of Expertise: A101, E112 Group Name: Community Youth Areas of Expertise: A101 Duenow, Kristin R, NON, (F) Services Davis, Morgan A, MA, (F) Group Name: Providence Health Provider ID: 007324337002 Group Name: Providence Health And Services Washingto NPI: 1083268890 And Services Washingto Provider ID: 005360109001 711 State Ave Ne Provider ID: 007329544001 NPI: 1962498865 Olympia, WA 98506

NPI: 1558722595 413 Lilly Rd Ne (360) 943-0780 EB, P, R 420 Golf Club Rd Se Ste 203 Olympia, WA 98506 Cultural Competency: Y

Lacey, WA 98503 (360) 493-7060 EB, P, R Ages: 0-99

(360) 493-7469 Ages: 0-99 Freer, Rachel E, MA, (F) Ages: 0-99 Areas of Expertise: A101, E112 Group Name: Northwest Areas of Expertise: A101 Duenow, Kristin R, NON, (F) Resources Ii Inc Davis, Morgan A, MA, (F) Group Name: Providence Health Provider ID: 007551414001 Group Name: Providence Health And Services Washingto NPI: 1689291163 And Services Washingto Provider ID: 005360109001 200 Lilly Rd Ne Ste C Provider ID: 007329544001 NPI: 1962498865 Olympia, WA 98506

NPI: 1558722595 420 Golf Club Rd Se Ste 203 (360) 918-8336 E, EB, P, R, RE, 4800 College St Se Lacey, WA 98503 S, T

Lacey, WA 98503 (360) 493-7469 Ages: 0-99

(360) 456-7575 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: A101, E112

292

Behavioral Health Providers Washington - Thurston

Freer, Rachel E, MA, (F) Harris, Virginia K, MA, (F) Knutz, Bernadine, MA, (F) Group Name: Northwest Group Name: Providence Health Group Name: Northwest Resources Ii Inc And Services Washingto Resources Ii Inc Provider ID: 007551414001 Provider ID: 007329364001 Provider ID: 007374900001 NPI: 1689291163 NPI: 1992236814 NPI: 1982176574 2708 Westmoor Ct Sw 4800 College St Se 3773a Martin Way E Ste 105107 Olympia, WA 98502 Lacey, WA 98503 Olympia, WA 98506

(360) 943-8810 E, EB, P, R, RE, (360) 456-7575 EB, P, R (360) 688-7312 EB, P, R S, T Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Kozlowski, Sandra L, LPC, (F) Areas of Expertise: A101 Freer, Rachel E, MA, (F) Group Name: Northwest Group Name: Northwest Heller, Jody, MA, (F) Resources Ii Inc Resources Ii Inc Group Name: Evergreen Provider ID: 006960744001 Provider ID: 007551414001 Treatment Services NPI: 1851847206 NPI: 1689291163 Provider ID: 007448000001 2708 Westmoor Ct Sw 3773a Martin Way E Ste 105107 NPI: 1962042184 Olympia, WA 98502

Olympia, WA 98506 6700 Martin Way E Ste 117 (360) 943-8810 E, EB, P, R, RE,

(360) 688-7312 Olympia, WA 98516 S, T

Ages: 0-99 (360) 413-6310 EB, P, R M-Th 8:30 AM-7:00 PM M-F 5:30 AM-4:30 PM F 8:30 AM-5:00 PM Gillam, Amanda M, MA, (F) Sa 5:30 AM-1:00 PM Cultural Competency: Y Group Name: Ideal Balance Pllc Ages: 0-99 Ages: 0-99 Provider ID: 006892831002 Areas of Expertise: P010 NPI: 1467769117 Kahler, Stancin L, LPC, (F) 205b Lilly Rd Ne Ste C Group Name: Northwest Landry, Cheri K, MA, (F) Olympia, WA 98506 Resources Ii Inc Group Name: Educational Service

(509) 524-9903 EB, P, R Provider ID: 003604058001 District 113 Ages: 0-99 NPI: 1679942072 Provider ID: 006910151001 2708 Westmoor Ct Sw NPI: 1518456722 Hagen, David, LPC, (M) Olympia, WA 98502 1315 W Yelm Ave Group Name: Evergreen (360) 943-8810 E, EB, P, R, RE, Yelm, WA 98597 Treatment Services S, T (360) 458-6233 EB, P, R Provider ID: 001108779002 M-Th 8:30 AM-7:00 PM Ages: 0-99 NPI: 1760628937 F 8:30 AM-5:00 PM Areas of Expertise: E112 6700 Martin Way E Ste 117 Cultural Competency: Y Olympia, WA 98516 Ages: 0-99 (360) 413-6310 EB, P, R Areas of Expertise: E112 M-F 5:30 AM-4:30 PM Sa 5:30 AM-1:00 PM Cultural Competency: Y Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

293

Washington - Thurston Behavioral Health Providers

Landry, Cheri K, MA, (F) Loyal, Geri A, MA, (F) Mathews, Brandon J, MA, (M) Group Name: Educational Service Group Name: Providence Health Group Name: Northwest District 113 And Services Washingto Resources Ii Inc Provider ID: 006910151001 Provider ID: 007324361001 Provider ID: 007373714001 NPI: 1518456722 NPI: 1508056045 NPI: 1073085106 6005 Tyee Dr Sw 4800 College St Se 2708 Westmoor Ct Sw Tumwater, WA 98512 Lacey, WA 98503 Olympia, WA 98502

(360) 464-6874 EB, P, R (360) 456-7575 EB, P, R (360) 943-8810 E, EB, P, R, RE, Ages: 0-99 Tu,W,Th,F 8:00 AM-6:00 PM S, T Areas of Expertise: E112 Cultural Competency: Y M-Th 8:30 AM-7:00 PM Ages: 0-99 F 8:30 AM-5:00 PM Lanning, John P, MA, (M) Areas of Expertise: A101 Cultural Competency: Y Group Name: Providence Health Ages: 0-99 And Services Washingto Lund, Richard O, MA, (M) Areas of Expertise: P010 Provider ID: 007324375001 Group Name: Evergreen NPI: 1699206813 Treatment Services Mecum, David E, MA, (M) 413 Lilly Rd Ne Provider ID: 007328398001 Group Name: Northwest Olympia, WA 98506 NPI: 1770050239 Resources Ii Inc

(360) 493-7060 EB, P, R 6700 Martin Way E Ste 117 Provider ID: 007374909001 Cultural Competency: Y Olympia, WA 98516 NPI: 1861961633

Ages: 0-99 (360) 413-6310 EB, P, R 200 Lilly Rd Ne Ste C Areas of Expertise: A101 M-F 5:30 AM-4:30 PM Olympia, WA 98506

Sa 5:30 AM-1:00 PM (360) 918-8336 E, EB, P, R, RE, Lott, Jami L, MA, (F) Ages: 0-99 S, T Group Name: Northwest Ages: 0-99 Resources Ii Inc Martin, Kenyon T, MA, (F) Provider ID: 007373597001 Group Name: Community Youth Mecum, David E, MA, (M) NPI: 1669833281 Services Group Name: Northwest 2708 Westmoor Ct Sw Provider ID: 007192653001 Resources Ii Inc Olympia, WA 98502 NPI: 1376048603 Provider ID: 007374909001

(360) 943-8810 E, EB, P, R, RE, 505 Union Ave Se NPI: 1861961633 S, T Olympia, WA 98501 2708 Westmoor Ct Sw

Cultural Competency: Y (360) 918-7860 EB, P, R Olympia, WA 98502

Ages: 0-99 Ages: 0-99 (360) 943-8810 E, EB, P, R, RE, Areas of Expertise: P010 S, T Martin, Kenyon T, MA, (F) Ages: 0-99 Group Name: Community Youth Services Provider ID: 007192653001 NPI: 1376048603 711 State Ave Ne Olympia, WA 98506

(360) 943-0780 EB, P, R Ages: 0-99

294

Behavioral Health Providers Washington - Thurston

Mecum, David E, MA, (M) Mills, Kelly A, MA, (F) Moore, Patricia, LPC, (F) Group Name: Northwest Group Name: Educational Service Group Name: Northwest Resources Ii Inc District 113 Resources Ii Inc Provider ID: 007374909001 Provider ID: 007318949001 Provider ID: 003903255001 NPI: 1861961633 NPI: 1790272508 NPI: 1467771436 3773a Martin Way E Ste 105107 1315 W Yelm Ave 2708 Westmoor Ct Sw Olympia, WA 98506 Yelm, WA 98597 Olympia, WA 98502

(360) 688-7312 EB, P, R (360) 458-6233 EB, P, R (360) 943-8810 E, EB, P, R, RE, Ages: 0-99 Ages: 0-99 S, T Ages: 0-99 Medeiros, Patrick A, MA, (M) Mills, Kelly A, MA, (F) Areas of Expertise: E112 Group Name: Pierce County Group Name: Educational Service Alliance District 113 Moore, Sarah E, MA, (F) Provider ID: 007621394001 Provider ID: 007318949001 Group Name: Community Youth NPI: 1659855963 NPI: 1790272508 Services 2400 Bristol Ct Sw 6005 Tyee Dr Sw Provider ID: 007667396001 Olympia, WA 98502 Tumwater, WA 98512 NPI: 1164044301

(360) 357-2482 (360) 464-6874 EB, P, R 711 State Ave Ne Ages: 0-99 Ages: 0-99 Olympia, WA 98506

(360) 943-0780 EB, P, R Mercer, Kevin, MA, (M) Miranda, Richard, MA, (M) Ages: 0-99 Group Name: Northwest Group Name: Educational Service Resources Ii Inc District 113 Mortinson, John P, MA, (M) Provider ID: 006993317002 Provider ID: 007318954001 Group Name: Northwest NPI: 1891221131 NPI: 1255803409 Resources Ii Inc 200 Lilly Rd Ne Ste C 6005 Tyee Dr Sw Provider ID: 007373737001 Olympia, WA 98506 Tumwater, WA 98512 NPI: 1972052934

(360) 918-8336 E, EB, P, R, RE, (360) 464-6874 EB, P, R 2708 Westmoor Ct Sw S, T Ages: 0-99 Olympia, WA 98502

Cultural Competency: Y (360) 943-8810 E, EB, P, R, RE, Moore, Patricia, LPC, (F) Ages: 0-99 S, T Group Name: Northwest Cultural Competency: Y Mercer, Kevin, MA, (M) Resources Ii Inc Ages: 0-99 Group Name: Northwest Provider ID: 003903255001 Areas of Expertise: P010 Resources Ii Inc NPI: 1467771436 Provider ID: 006993317002 200 Lilly Rd Ne Ste C NPI: 1891221131 Olympia, WA 98506

2708 Westmoor Ct Sw (360) 918-8336 E, EB, P, R, RE, Olympia, WA 98502 S, T

(360) 943-8810 E, EB, P, R, RE, Ages: 0-99 S, T Areas of Expertise: E112 Cultural Competency: Y Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

295

Washington - Thurston Behavioral Health Providers

Mortinson, John P, MA, (M) Myers, Gregory S, MA, (M) Neal, Dennis, CSW, (M) Group Name: Northwest Group Name: Educational Service Group Name: Northwest Resources Ii Inc District 113 Resources Ii Inc Provider ID: 007373737001 Provider ID: 007318963001 Provider ID: 001854060001 NPI: 1972052934 NPI: 1558858993 NPI: 1174996649 3773a Martin Way E Ste 105107 1315 W Yelm Ave 2708 Westmoor Ct Sw Olympia, WA 98506 Yelm, WA 98597 Olympia, WA 98502

(360) 688-7312 EB, P, R (360) 458-6233 EB, P, R (360) 943-8810 E, EB, P, R, RE, Cultural Competency: Y Languages Spoken: S, T Ages: 0-99 Provider: Spanish Cultural Competency: Y Areas of Expertise: P010 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Moyer, Walter E, MA, (M) Neal, Dennis, CSW, (M) Group Name: Evergreen Myers, Gregory S, MA, (M) Group Name: Northwest Treatment Services Group Name: Educational Service Resources Ii Inc Provider ID: 006996470001 District 113 Provider ID: 001854060001 NPI: 1497272488 Provider ID: 007318963001 NPI: 1174996649 6700 Martin Way E Ste 117 NPI: 1558858993 3773a Martin Way E Ste 105107 Olympia, WA 98516 6005 Tyee Dr Sw Olympia, WA 98506

(360) 413-6310 EB, P, R Tumwater, WA 98512 (360) 688-7312 EB, P, R

Ages: 0-99 (360) 464-6874 EB, P, R Cultural Competency: Y Languages Spoken: Ages: 0-99 Muller, Stacy, MA, (F) Provider: Spanish Group Name: Educational Service Neff, Chelsea N, MA, (F) Ages: 0-99 District 113 Group Name: Northwest Areas of Expertise: E112 Provider ID: 007318960001 Resources Ii Inc NPI: 1023507498 Neal, Dennis, CSW, (M) Provider ID: 007374908001 6005 Tyee Dr Sw Group Name: Northwest NPI: 1790344778 Tumwater, WA 98512 Resources Ii Inc 3773a Martin Way E Ste 105107

(360) 464-6874 EB, P, R Provider ID: 001854060001 Olympia, WA 98506

Ages: 0-99 NPI: 1174996649 (360) 688-7312 EB, P, R 200 Lilly Rd Ne Ste C Cultural Competency: Y Munro, Stacie M, MA, (F) Olympia, WA 98506 Ages: 0-99 Group Name: Providence Health (360) 918-8336 E, EB, P, R, RE, And Services Washingto Newman, Karen L, MA, (F) S, T Provider ID: 007344385002 Group Name: Providence Health M-Th 8:30 AM-7:00 PM NPI: 1235773938 And Services Washingto F 8:30 AM-6:00 PM 4800 College St Se Provider ID: 007324382001 Cultural Competency: Y Lacey, WA 98503 NPI: 1114568540 Ages: 0-99 (360) 456-7575 EB, P, R 4800 College St Se M-F 8:00 AM-6:00 PM Lacey, WA 98503

Cultural Competency: Y (360) 456-7575 EB, P, R Ages: 0-99 M-Th 8:00 AM-6:00 PM Ages: 0-99

296

Behavioral Health Providers Washington - Thurston Areas of Expertise: A101 Patrick, Jill L, MA, (F) Patrick, Robert T, MA, (M) Page, Nichole, MA, (F) Group Name: Sea Mar Group Name: Providence Health Group Name: Educational Service Community Health Center And Services Washingto District 113 Provider ID: 007352663001 Provider ID: 006988636003 Provider ID: 007318968001 NPI: 1902372915 NPI: 1659848117 NPI: 1508355850 6336 Littlerock Rd Sw 4800 College St Se 6005 Tyee Dr Sw Tumwater, WA 98512 Lacey, WA 98503

Tumwater, WA 98512 (360) 704-7590 EB, P, R (360) 456-7575 EB, P, R

(360) 464-6874 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A101 Patrick, Robert T, MA, (M) Areas of Expertise: E112 Group Name: Providence Health Patrick, Robert T, MA, (M) Palomarez, Jeanette, MA, (F) And Services Washingto Group Name: Evergreen Group Name: Ideal Balance Pllc Provider ID: 006988636003 Treatment Services Provider ID: 007120983004 NPI: 1659848117 Provider ID: 006988636001 NPI: 1174058804 225 State Ave Ne NPI: 1659848117 205b Lilly Rd Ne Ste C Olympia, WA 98501 6700 Martin Way E Ste 117

Olympia, WA 98506 (360) 486-6400 Olympia, WA 98516

(509) 524-9903 EB, P, R Ages: 0-99 (360) 413-6310 EB, P, R Ages: 0-99 Areas of Expertise: A101 Ages: 0-99 Areas of Expertise: A101 Papasian, Zoe A, MA, (F) Patrick, Robert T, MA, (M) Group Name: Behavioral Health Group Name: Providence Health Peace, Eli, MA, (M) Resources And Services Washingto Group Name: Community Youth Provider ID: 007194055001 Provider ID: 006988636003 Services NPI: 1992234686 NPI: 1659848117 Provider ID: 006212604002 6128 Capitol Blvd Se 413 Lilly Rd Ne NPI: 1568828838 Tumwater, WA 98501 Olympia, WA 98506 505 Union Ave Se

(360) 754-5729 EB, P, R (360) 493-7060 EB, P, R Olympia, WA 98501

M-F 8:00 AM-7:00 PM Ages: 0-99 (360) 918-7860 EB, P, R Cultural Competency: Y Areas of Expertise: A101 Ages: 0-99 Ages: 0-99 Patrick, Robert T, MA, (M) Peace, Eli, MA, (M) Patrick, Jill L, MA, (F) Group Name: Providence Health Group Name: Community Youth Group Name: Sea Mar And Services Washingto Services Community Health Center Provider ID: 006988636003 Provider ID: 006212604002 Provider ID: 007352663001 NPI: 1659848117 NPI: 1568828838 NPI: 1902372915 420 Golf Club Rd Se Ste 203 711 State Ave Ne 6334 Littlerock Rd Sw Lacey, WA 98503 Olympia, WA 98506

Tumwater, WA 98512 (360) 493-7469 (360) 943-0780 EB, P, R

(360) 704-7590 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A101

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

297

Washington - Thurston Behavioral Health Providers Areas of Expertise: A101 Peet, Lauren A, MA, (F) Peters, Lisa M, LPC, (F) Group Name: Community Youth Group Name: Northwest Rundell, Kristina M, MA, (F) Services Resources Ii Inc Group Name: Behavioral Health Provider ID: 007192662001 Provider ID: 003038927001 Resources NPI: 1265901078 NPI: 1194194233 Provider ID: 007176727001 505 Union Ave Se 3773a Martin Way E Ste 105107 NPI: 1861921587 Olympia, WA 98501 Olympia, WA 98506 6128 Capitol Blvd Se

(360) 918-7860 EB, P, R (360) 688-7312 EB, P, R Tumwater, WA 98501

Cultural Competency: Y Ages: 0-99 (360) 754-5729 EB, P, R Ages: 0-99 Areas of Expertise: E112 M-F 7:00 AM-7:00 PM Cultural Competency: Y Peet, Lauren A, MA, (F) Puri, Kaitlyn B, MA, (F) Ages: 0-99 Group Name: Community Youth Group Name: Educational Service Areas of Expertise: E112 Services District 113 Provider ID: 007192662001 Provider ID: 007034907001 Scariato, Gina L, MA, (F) NPI: 1265901078 NPI: 1477043461 Group Name: Educational Service 711 State Ave Ne 1315 W Yelm Ave District 113 Olympia, WA 98506 Yelm, WA 98597 Provider ID: 007318983001

(360) 943-0780 EB, P, R (360) 458-6233 EB, P, R NPI: 1528555133 Cultural Competency: Y Ages: 0-99 1315 W Yelm Ave Ages: 0-99 Areas of Expertise: E112 Yelm, WA 98597

(360) 458-6233 EB, P, R Peterman, James, MA, (F) Puri, Kaitlyn B, MA, (F) Ages: 0-99 Group Name: Northwest Group Name: Educational Service Areas of Expertise: E112 Resources Ii Inc District 113 Provider ID: 007374919001 Provider ID: 007034907001 Scariato, Gina L, MA, (F) NPI: 1548631112 NPI: 1477043461 Group Name: Educational Service 2708 Westmoor Ct Sw 6005 Tyee Dr Sw District 113 Olympia, WA 98502 Tumwater, WA 98512 Provider ID: 007318983001

(360) 943-8810 E, EB, P, R, RE, (360) 464-6874 EB, P, R NPI: 1528555133 S, T Ages: 0-99 6005 Tyee Dr Sw Ages: 0-99 Areas of Expertise: E112 Tumwater, WA 98512

(360) 464-6874 EB, P, R Peterman, James, MA, (F) Putman, Ladonna J, MA, (F) Ages: 0-99 Group Name: Northwest Group Name: Providence Health Areas of Expertise: E112 Resources Ii Inc And Services Washingto Provider ID: 007374919001 Provider ID: 007324389001 NPI: 1548631112 NPI: 1083147599 3773a Martin Way E Ste 105107 4800 College St Se Olympia, WA 98506 Lacey, WA 98503

(360) 688-7312 EB, P, R (360) 456-7575 EB, P, R Ages: 0-99 Tu,W,Th,F 8:00 AM-6:00 PM Cultural Competency: Y Ages: 0-99

298

Behavioral Health Providers Washington - Thurston

Shelton, Hailey A, MA, (F) Shogreen, Misty A, MA, (F) Stenchever, Douglas A, MA, (M) Group Name: Educational Service Group Name: Educational Service Group Name: Sea Mar District 113 District 113 Community Health Center Provider ID: 007184215001 Provider ID: 007322599001 Provider ID: 007508226001 NPI: 1174095939 NPI: 1396273637 NPI: 1255947982 1315 W Yelm Ave 6005 Tyee Dr Sw 6334 Littlerock Rd Sw Yelm, WA 98597 Tumwater, WA 98512 Tumwater, WA 98512

(360) 458-6233 EB, P, R (360) 464-6867 EB, P, R (360) 704-7590 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Spencer, Brittany L, LPC, (F) Thomas, Andrew C, MA, (M) Shelton, Hailey A, MA, (F) Group Name: Educational Service Group Name: Providence Health Group Name: Educational Service District 113 And Services Washingto District 113 Provider ID: 006989231001 Provider ID: 007329494001 Provider ID: 007184215001 NPI: 1497244032 NPI: 1912475666 NPI: 1174095939 1315 W Yelm Ave 4800 College St Se 6005 Tyee Dr Sw Yelm, WA 98597 Lacey, WA 98503

Tumwater, WA 98512 (360) 458-6233 EB, P, R (360) 456-7575 EB, P, R

(360) 464-6874 EB, P, R Ages: 0-99 M-Th 8:00 AM-6:00 PM Ages: 0-99 Cultural Competency: Y Spencer, Brittany L, LPC, (F) Areas of Expertise: E112 Ages: 0-99 Group Name: Educational Service Areas of Expertise: A101 Shelton, Samuel E, MA, (M) District 113 Group Name: Community Youth Provider ID: 006989231001 Tody, Kristina R, MA, (F) Services NPI: 1497244032 Group Name: Behavioral Health Provider ID: 007192691001 6005 Tyee Dr Sw Resources NPI: 1477064236 Tumwater, WA 98512 Provider ID: 007310821001

505 Union Ave Se (360) 464-6875 EB, P, R NPI: 1568995975 Olympia, WA 98501 Ages: 0-99 6128 Capitol Blvd Se

(360) 918-7860 EB, P, R Tumwater, WA 98501 Stanley, Sophia P, MA, (F) Ages: 0-99 (360) 754-5729 EB, P, R Group Name: Providence Health Ages: 0-99 Shelton, Samuel E, MA, (M) And Services Washingto Group Name: Community Youth Provider ID: 007324413001 Valenzuela Ward, Eleanor A, Services NPI: 1245761675 MA, (F) Provider ID: 007192691001 4800 College St Se Group Name: Northwest NPI: 1477064236 Lacey, WA 98503 Resources Ii Inc

711 State Ave Ne (360) 456-7575 EB, P, R Provider ID: 007373574001 Olympia, WA 98506 M-Th 8:00 AM-6:00 PM NPI: 1992824288

(360) 943-0780 EB, P, R Cultural Competency: Y 2708 Westmoor Ct Sw Ages: 0-99 Ages: 0-99 Olympia, WA 98502

Areas of Expertise: A101 (360) 943-8810 E, EB, P, R, RE, S, T M-Th 8:30 AM-7:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

299

Washington - Thurston Behavioral Health Providers

F 8:30 AM-5:00 PM Wright, Dawn E, MA, (F) Cultural Competency: Y Autism Behavioral Analyst Group Name: Educational Service Ages: 0-99 District 113 Acklin, Agata, MA, (F) Areas of Expertise: P010 Provider ID: 007327356001 Group Name: Basics Nw LLC Vela, Nicole E, MA, (F) NPI: 1790256022 Provider ID: 007205341001 Group Name: Northwest 6005 Tyee Dr Sw NPI: 1881103992 Resources Ii Inc Tumwater, WA 98512 8282 28th Ct Ne Ste A Provider ID: 007373644001 (360) 464-6867 EB, P, R Lacey, WA 98516

NPI: 1992166482 Ages: 0-99 (360) 915-6868 EB, IB, P, R 2708 Westmoor Ct Sw M-F 8:00 AM-6:00 PM Yankey, Mykayla E, MA, (F) Olympia, WA 98502 Ages: 0-99 Group Name: Educational Service (360) 943-8810 E, EB, P, R, RE, District 113 Ambriz, Elisa, NON, (F) S, T Provider ID: 007327358001 Group Name: South Sound M-Th 8:30 AM-7:00 PM NPI: 1821586124 Behavior Therapy Corp F 8:30 AM-5:00 PM 6005 Tyee Dr Sw Provider ID: 006559469001 Cultural Competency: Y Tumwater, WA 98512 NPI: 1730696675 Ages: 0-99 (360) 464-6867 EB, P, R 3443 Lilly Rd Ne Verboomen, Jessica D, MA, (F) Ages: 0-99 Olympia, WA 98506

Group Name: Educational Service Areas of Expertise: E112 (360) 456-2237 EB, P, R District 113 Ages: 0-99 Yee, Jacqueline M, MA, (F) Provider ID: 007327343001 Areas of Expertise: A017, A070, Group Name: Educational Service NPI: 1942500806 E130, E390, P010, P013, P080 District 113 6005 Tyee Dr Sw Provider ID: 007327362001 Ambriz, Elisa, NON, (F) Tumwater, WA 98512 NPI: 1235626730 Group Name: South Sound (360) 464-6867 EB, P, R 1315 W Yelm Ave Behavior Therapy Corp Ages: 0-99 Yelm, WA 98597 Provider ID: 006559469001 White, Jillian, MA, (F) (360) 458-6233 EB, P, R NPI: 1730696675 Group Name: Northwest Ages: 0-99 In Home Provider Resources Ii Inc Olympia, WA 98506 Yee, Jacqueline M, MA, (F) Provider ID: 007374787001 (360) 456-2237 Group Name: Educational Service NPI: 1790181584 Ages: 0-99 District 113 2708 Westmoor Ct Sw Areas of Expertise: A017, A070, Provider ID: 007327362001 Olympia, WA 98502 E130, E390, P010, P013, P080 NPI: 1235626730 (360) 943-8810 E, EB, P, R, RE, 6005 Tyee Dr Sw Casimiro, Magdalena, NON, (F) S, T Tumwater, WA 98512 Group Name: Basics Nw LLC M-Th 8:30 AM-7:00 PM (360) 464-6875 EB, P, R Provider ID: 005545747001 F 8:30 AM-5:00 PM Ages: 0-99 NPI: 1669899035 Cultural Competency: Y 8282 28th Ct Ne Ages: 0-99 Lacey, WA 98516

(360) 915-6868 EB, P, R Ages: 0-99

300

Behavioral Health Providers Washington - Thurston Areas of Expertise: A017, A070, Areas of Expertise: A017, A070, Roberts, Ashley, BA, (F) E130, E390, P010, P013, P080 E112, E130, E390, P010, P013, Group Name: Basics Nw LLC P080 Espinosa, Barbara, BS, (F) Provider ID: 005215692001 Group Name: Basics Nw LLC Miller, Holly, MA, (F) NPI: 1689006421 Provider ID: 005524122001 Group Name: South Sound 8282 28th Ct Ne Ste A NPI: 1962836148 Behavior Therapy Corp Lacey, WA 98516

8282 28th Ct Ne Ste A Provider ID: 007312643001 (360) 915-6868 EB, IB, P, R Lacey, WA 98516 NPI: 1407373301 Web address: http://basicsnw.com

(360) 915-6868 EB, IB, P, R In Home Provider Does Not Accept New Patients Web address: http://basicsnw.com Olympia, WA 98506 Ages: 0-99 Ages: 0-99 (360) 456-2237 Areas of Expertise: A010, A017, Areas of Expertise: A017, A070, Ages: 0-99 A025, A070, E130, E390, P010 E130, E390, P010, P013, P080 Areas of Expertise: A017, A070, Rose, Jessica, MA, (F) E130, E390, P010, P013, P080 Green, Leeann, BS, (F) Group Name: Basics Nw LLC Group Name: Basics Nw LLC Rear, Jake O, NON, (M) Provider ID: 005578968001 Provider ID: 005515040001 Group Name: South Sound NPI: 1861891632 NPI: 1932539442 Behavior Therapy Corp 8282 28th Ct Ne Ste A 8282 28th Ct Ne Ste A Provider ID: 005541172001 Lacey, WA 98516

Lacey, WA 98516 NPI: 1386981280 (360) 918-6413 EB, IB, P, R

(360) 915-6868 EB, IB, P, R 3443 Lilly Rd Ne Web address: http://basicsnw.com Ages: 0-99 Olympia, WA 98506 Ages: 0-99

Areas of Expertise: A017, A070, (360) 456-2237 EB, P, R Areas of Expertise: A010, A017, E112, E130, E390, P010, P013, Ages: 0-99 A025, A070, E130, E390, P010, P080 Areas of Expertise: A017, A070, P013, P080 E130, E390, P010, P013, P080 Hart, Elaine, NON, (F) Warner, Jennica K, MS, (F) Group Name: South Sound Rear, Jake O, NON, (M) Group Name: South Sound Behavior Therapy Corp Group Name: South Sound Behavior Therapy Corp Provider ID: 005637495001 Behavior Therapy Corp Provider ID: 003606076001 NPI: 1245746361 Provider ID: 005541172001 NPI: 1285872218 3443 Lilly Rd Ne Ste B NPI: 1386981280 3443 Lilly Rd Ne Olympia, WA 98506 In Home Provider Olympia, WA 98506

(360) 456-2237 EB, P, R Olympia, WA 98506 (360) 456-2237 EB, P, R Ages: 0-99 (360) 456-2237 Ages: 0-99 Ages: 0-99 Areas of Expertise: A010, A025, Horn, Melena, NON, (F) Areas of Expertise: A017, A070, A070, A099, E085, E112, E130, Group Name: Basics Nw LLC E130, E390, P010, P013, P080 E150, E165, E390, P010 Provider ID: 005523563001 NPI: 1699112631 8282 28th Ct Ne Ste A Lacey, WA 98516

(360) 915-6868 EB, IB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

301

Washington - Thurston Behavioral Health Providers Areas of Expertise: A010, A025, Whipple, Angela, NON, (F) Bailey, Sara J, MA, (F) A070, E010, E015, E017, E020, Group Name: South Sound Group Name: Community Youth E025, E043, E055, E062, E070, Behavior Therapy Corp Services E080, E105, E112, E115, E165, Provider ID: 005519034001 Provider ID: 007190033001 E185, E187, E200, E218, P010, NPI: 1891216065 NPI: 1922587203 P030 In Home Provider 711 State Ave Ne Olympia, WA 98506 Olympia, WA 98506 Faust, James M, MA, (M)

(360) 456-2237 (360) 943-0780 EB, P, R Group Name: James Faust And Ages: 0-99 Ages: 0-99 Associates Areas of Expertise: A017, A070, Provider ID: 002655876002 Duke, Kaila, MA, (F) E130, E390, P010, P013, P080 NPI: 1972507622 Group Name: Community Youth 677 Woodland Square Loop Se#b4 Zaldivar, Maria, MA, (F) Services Lacey, WA 98503 Group Name: Family Applied Provider ID: 007294357001 (360) 754-4712 EB, P, R Behavioral Services LLC NPI: 1538653951 Cultural Competency: Y Provider ID: 007629154001 711 State Ave Ne Ages: 0-99 NPI: 1407131204 Olympia, WA 98506 965 Burton Ray St Ne (360) 943-0780 EB, P, R Graff, Allison, MA, (F) Olympia, WA 98516 Cultural Competency: Y Group Name: Community Youth (360) 605-0163 Ages: 0-99 Services Ages: 0-99 Provider ID: 007192590001 Ebio, Karol, LPC, (F) Areas of Expertise: A017, A070, NPI: 1336543354 Group Name: Behavioral Health E130, P010, P013, P080 505 Union Ave Se Resources Olympia, WA 98501 Marriage & Family Therapy Provider ID: 006129489001 (360) 918-7860 EB, P, R NPI: 1730363078 Ages: 0-99 Bailey, Sara J, MA, (F) 3859 Martin Way E Ste 102 Group Name: Community Youth Olympia, WA 98506 Graff, Allison, MA, (F) Services (360) 704-7170 EB, P, R Group Name: Community Youth Provider ID: 007190033001 Tu 8:00 AM-5:00 PM Services NPI: 1922587203 W,F 9:00 AM-7:30 PM Provider ID: 007192590001 505 Union Ave Se Th 9:00 AM-6:30 PM NPI: 1336543354 Olympia, WA 98501 Ages: 0-99 711 State Ave Ne

(360) 918-7860 EB, P, R Areas of Expertise: E112 Olympia, WA 98506

Ages: 0-99 (360) 943-0780 EB, P, R Farmer, Lauren D, MA, (F) Ages: 0-99 Group Name: Behavioral Health Resources Provider ID: 003423749001 NPI: 1831428135 3859 Martin Way E Ste 102 Olympia, WA 98506

(360) 704-7170 EB, P, R Ages: 0-99

302

Behavioral Health Providers Washington - Thurston Sa 9:00 AM-4:00 PM Grijalva, Athena F, MA, (F) Lopez, Jacqueline A, MA, (F) Cultural Competency: Y Group Name: Community Youth Group Name: Northwest Web address: http://www.prn365co Services Resources Ii Inc unseling.com Provider ID: 003082388001 Provider ID: 007373734001 Ages: 0-99 NPI: 1760624654 NPI: 1285119164 505 Union Ave Se 2708 Westmoor Ct Sw Rouse, Dupre D, MA, (M) Olympia, WA 98501 Olympia, WA 98502 Group Name: Catholic

(360) 918-7860 EB, P, R (360) 943-8810 E, EB, P, R, RE, Community Services Of Western Ages: 0-99 S, T W Areas of Expertise: E112 Cultural Competency: Y Provider ID: 007459473001 Ages: 0-99 NPI: 1063961530 Grijalva, Athena F, MA, (F) 1202 Black Lake Blvd Sw Group Name: Community Youth Myers, Deborah W, LPC, (F) Olympia, WA 98502 Services Group Name: Catholic (360) 878-8248 EB, P, R Provider ID: 003082388001 Community Services Of Western Cultural Competency: Y NPI: 1760624654 W Ages: 0-99 711 State Ave Ne Provider ID: 001386327002 Areas of Expertise: E112 Olympia, WA 98506 NPI: 1831281450 (360) 943-0780 EB, P, R 1202 Black Lake Blvd Sw Somppi, Kelsey, MA, (F) Ages: 0-99 Olympia, WA 98502 Group Name: Vancouver

Areas of Expertise: E112 (253) 761-3810 EB, P, R Counseling Solutions LLC Ages: 0-99 Provider ID: 007001951001 Hamel, Megan A, LPC, (F) Areas of Expertise: E112 NPI: 1578911046 Group Name: Behavioral Health Virtual Visits Only Address Resources Myers, Deborah W, LPC, (F) Olympia, WA 98505 Provider ID: 006983269001 Group Name: Catholic (360) 727-1450 EB, P, R NPI: 1548761026 Community Services Of Western Ages: 0-99 3857 Martin Way E W Areas of Expertise: A101, E010, Olympia, WA 98506 Provider ID: 001386327002 E017, E020, E025, E055, E070, (360) 704-7170 EB, P, R NPI: 1831281450 E080, E090, E105, E187, E190, Cultural Competency: Y 715 E Yelm Ave Ste 8 E198, E200, E215, E240, E374, Ages: 0-99 Yelm, WA 98597 E385, P010, P013, P020, P030, Areas of Expertise: E112 (360) 878-8248 EB, P, R P035, P080, P100 Ages: 0-99 Areas of Expertise: E112 Song, Joyann J, MA, (F) Group Name: Sea-Mar Perryman, Cindy L, MA, (F) Community Health Group Name: Prn365 Couseling Provider ID: 006207271001 Provider ID: 003586130004 NPI: 1306264270 NPI: 1891990586 202 Cullens St Nw 400 Union Ave Se Ste 200 Yelm, WA 98597 Olympia, WA 98501 (360) 400-4860 EB, P, R (360) 797-9741 E, EB, RE, S, T Ages: 0-99 M-F 8:00 AM-7:00 PM Areas of Expertise: E015, E025,

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

303

Washington - Thurston Behavioral Health Providers

E055, E062, E070, E085, E090, Waxwing, Lauren R, MA, (F) E150, E165, E170, E185, E187, Nurse - Lpn Mental Health Group Name: Community Youth E190, E198, E200, P010, P020, Services Bolinger, Mered, BA, (F) P030 Provider ID: 007192663001 Group Name: Behavioral Health Sowers, Robyn M, MA, (F) NPI: 1356858443 Resources Group Name: Attuned Family 711 State Ave Ne Provider ID: 001897572001 Therapy LLC Olympia, WA 98506 NPI: 1134659808 Provider ID: 006295366005 (360) 943-0780 EB, P, R 3857 Martin Way E NPI: 1104253624 Ages: 0-99 Olympia, WA 98506

1005 Olympia Ave Ne (360) 704-7170 EB, P, R Wylie, Sherry L, MA, (F) Olympia, WA 98506 Ages: 0-99 Group Name: Catholic (360) 556-6374 EB, P, R Areas of Expertise: E112 Community Services Of Western Cultural Competency: Y W Deusen, Jane M, LPN, (F) Ages: 0-99 Provider ID: 007465426001 Group Name: Catholic Tolliver, Traci N, MA, (F) NPI: 1326392887 Community Services Of Western Group Name: New Beginnings 1202 Black Lake Blvd Sw W Mhc Olympia, WA 98502 Provider ID: 007312714002 Provider ID: 006412048002 (360) 878-8248 EB, P, R NPI: 1598294217 NPI: 1750706669 Ages: 0-99 1202 Black Lake Blvd Sw 106 Plaza Dr Se Bldg B3 Areas of Expertise: E112 Olympia, WA 98502

Yelm, WA 98597 (360) 878-8248 EB, P, R Neuropsychology (253) 249-5991 E, EB, P, R, RE, T Cultural Competency: Y

Ages: 0-99 Dorsch, Andrea M, PHD, (F) Tu,W,Th 11:00 AM-7:00 PM Areas of Expertise: E112 Cultural Competency: Y Group Name: Multicare Health Ages: 0-99 System Martin, Shanailah J, MA, (F) Areas of Expertise: E010, E017, Provider ID: 001725156001 Group Name: Evergreen E020, E055, E070, E105, E110, NPI: 1548362379 Treatment Services E112, E170, E187, E190, E200, 3504 12th Ave Ne Provider ID: 006996455001 E374, P010, P013, P020, P030, Olympia, WA 98506 NPI: 1881163756 P035, P080 (253) 403-4437 EB, P, R 6700 Martin Way E Ste 117 Languages Spoken: Olympia, WA 98516 Waxwing, Lauren R, MA, (F) Provider: German (360) 413-6310 EB, P, R Group Name: Community Youth Ages: 0-99 Ages: 0-99 Services Hospital Affiliations: Provider ID: 007192663001 Seattle Children's Hospital NPI: 1356858443 University Of Washington 505 Union Ave Se Medical Ctr Olympia, WA 98501 Areas of Expertise: E020, E070, (360) 918-7860 EB, P, R E112, E165 Ages: 0-99

304

Behavioral Health Providers Washington - Thurston

Winter, Dione F, MA, (F) Physical Medicine & Rehab / Allen, Paul J, MD, (M), B Group Name: Evergreen Physiatry Group Name: Paul J Allen Md

Treatment Services Pllc Provider ID: 006995427001 Abbott, Zachary I, DO, (M), B Provider ID: 000934048001 NPI: 1417424979 Group Name: Olympia NPI: 1093065575 6700 Martin Way E Ste 117 Orthopaedic Associates 2983 Limited Ln Nw Ste B Olympia, WA 98516 Provider ID: 003040452001 Olympia, WA 98502 (360) 413-6310 EB, P, R NPI: 1154445203 (360) 352-8800 EB, P, R Ages: 0-99 3901 Capital Mall Dr Sw Ste A M-F 9:00 AM-5:00 PM Olympia, WA 98502 Ages: 0-99 Pediatric Rehabilitation Medicine (360) 786-8990 E, EB, IB, P, R, Hospital Affiliations:

RE, S, T Providence St Peter Hospital Cooper, Robert L, MD, (M), B Languages Spoken: Central Washington Hospital Group Name: Multicare Health Provider: Portuguese, Spanish Providence Centralia Hospital Systems Web address: www.olyortho.com Wenatchee Valley Hospital Provider ID: 002579425001 Ages: 0-99 NPI: 1295830834 Caserta, Kevin T, MD, (M), B Hospital Affiliations: 3504 12th Ave Ne Group Name: Pmg Sw Wa Providence St Peter Hospital Olympia, WA 98506 Provider ID: 002329750001 Multicare Capital Medical Center (253) 403-4437 EB, P, R NPI: 1033209853 Ages: 0-99 Abbott, Zachary I, DO, (M), B 4800 College St Se Hospital Affiliations: Group Name: Olympia Lacey, WA 98503 Peacehealth St John Medical Orthopaedic Associates (360) 493-4500 EB, P, R Center Provider ID: 003040452001 Web address: www.providence.org Tacoma General Allenmore NPI: 1154445203 Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr 3901 Capital Mall Dr Sw Ste B Hospital Affiliations: St Joseph Medical Center Olympia, WA 98502 Providence St Peter Hospital

(360) 786-8990 E, EB, IB, P, R, Harborview Medical Center Flanigan, Megan C, MD, (F), B RE, S, T Providence Centralia Hospital Group Name: Multicare Health Languages Spoken: University Of Washington System Provider: Portuguese, Spanish Medical Ctr Provider ID: 007472932001 Web address: www.olyortho.com Areas of Expertise: THS NPI: 1700205945 Ages: 0-99 3504 12th Ave Ne Cochrane, Christopher, DO, (M), Hospital Affiliations: Olympia, WA 98506 B Providence St Peter Hospital (253) 403-4437 EB, P, R Group Name: Electrodiagnosis & Multicare Capital Medical Center Ages: 0-99 Musculoskeletal Assoc Hospital Affiliations: Provider ID: 006377926001 Tacoma General Allenmore NPI: 1306044334 Mary Bridge Child Hosp/hlth Cntr 701 Lilly Rd Ne Olympia, WA 98506

(253) 272-9994 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

305

Washington - Thurston Behavioral Health Providers

Electrodiagnosis & Klein, Christina R, MD, (F), B Klein, Christina R, MD, (F), B Musculoskeletal Assoc Group Name: Providence St Peter Group Name: Providence St Peter Provider ID: 000074426004 Hospital Hospital NPI: 1508821422 Provider ID: 007199308001 Provider ID: 007199308001 701 Lilly Rd Ne NPI: 1154731727 NPI: 1154731727 Olympia, WA 98506 3525 Ensign Rd Ne 413 Lilly Road Ne

(253) 272-9994 EB, P, R Olympia, WA 98506 Olympia, WA 98506

Ages: 0-99 (360) 486-2999 EB, P, R (360) 486-6402 EB, P, R Ages: 0-99 Web address: www.providence.org Electrodiagnosis & Hospital Affiliations: Ages: 0-99 Musculoskeletal Assoc Providence St Peter Hospital Hospital Affiliations: Provider ID: 000074426004 Providence St Peter Hospital NPI: 1508821422 Klein, Christina R, MD, (F), B 704 Lilly Rd Se Group Name: Providence St Peter Klein, Christina R, MD, (F), B Olympia, WA 98501 Hospital Group Name: Providence St Peter

(253) 272-9994 EB, P, R Provider ID: 007199308001 Hospital Ages: 0-99 NPI: 1154731727 Provider ID: 007199308001 3525 Ensign Rd Ne Ste F NPI: 1154731727 Fisher, Lauren W, MD, (F), B Olympia, WA 98506 4800 College St Se Group Name: Pmg Sw Wa (360) 486-2999 Olympia, WA 98503 Provider ID: 005099655001 Ages: 0-99 (360) 486-6402 EB, P, R NPI: 1215253778 Hospital Affiliations: Web address: www.providence.org 1450 Northwest Ln Se Ste A Providence St Peter Hospital Ages: 0-99 Lacey, WA 98503 Hospital Affiliations: (360) 491-4460 EB, P, R Klein, Christina R, MD, (F), B Providence St Peter Hospital Web address: www.providence.org Group Name: Providence St Peter Ages: 0-99 Hospital Newell-Eggert, Margo K, MD, Hospital Affiliations: Provider ID: 007199308001 (F), B Providence St Peter Hospital NPI: 1154731727 Group Name: Pmg Sw Wa Areas of Expertise: MAT1 413 Lilly Rd Ne Provider ID: 000985994001 Olympia, WA 98506 NPI: 1710062740 Fisher, Lauren W, MD, (F), B (360) 486-6402 4800 College St Se Group Name: Pmg Sw Wa Ages: 0-99 Lacey, WA 98503 Provider ID: 005099655001 Hospital Affiliations: (360) 493-4500 EB, P, R NPI: 1215253778 Providence St Peter Hospital Web address: www.providence.org 4800 College St Se Accepting Existing Patients Only Lacey, WA 98503 Ages: 0-99 (360) 493-4500 EB, P, R Hospital Affiliations: Web address: www.providence.org Providence St Peter Hospital Ages: 0-99 Providence Centralia Hospital Hospital Affiliations: Areas of Expertise: THS Providence St Peter Hospital Areas of Expertise: MAT1

306

Behavioral Health Providers Washington - Thurston

Saeed, Mohammad A, MD, (M), B Hirano, Kendall, PA, (M) Adams, Sarahann, MA, (F) Group Name: Electrodiagnosis & Group Name: Evergreen Group Name: Community Youth Musculoskeletal Assoc Treatment Services Services Provider ID: 000925099002 Provider ID: 006987510001 Provider ID: 007305293001 NPI: 1184680845 NPI: 1598818577 NPI: 1558927087 704 Lilly Rd Se 6700 Martin Way E Ste 117 711 State Ave Ne Olympia, WA 98501 Olympia, WA 98516 Olympia, WA 98506

(253) 272-9994 EB, P, R (360) 413-6310 EB, P, R (360) 943-0780 EB, P, R Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Punjabi, Urdu Weissenberger, Thomas J, PA, Ashley, Bobbi J, MA, (F) Ages: 0-99 (M) Group Name: Sea-Mar Hospital Affiliations: Group Name: Westcare Clinic Community Health Tacoma General Allenmore Provider ID: 003287477002 Provider ID: 006999699001 St Francis Community Hospital NPI: 1407830383 NPI: 1386074581 St Clare Hospital 3000 Limited Ln Nw 202 Cullens St Nw St Joseph Medical Center Olympia, WA 98502 Yelm, WA 98597 San, Wesley J, MD, (M), B (360) 357-9392 EB, P, R (360) 400-4860 EB, P, R Group Name: Electrodiagnosis & M-F 8:00 AM-8:00 PM Ages: 0-99 Musculoskeletal Assoc Sa,Su 9:00 AM-5:00 PM Barbee, Pastora, MA, (F) Provider ID: 006121729001 Web address: www.westcareclinic.c Group Name: Catholic NPI: 1376834838 om Community Services Of Western 704 Lilly Rd Se Ages: 0-99 W Olympia, WA 98501 Areas of Expertise: MAT1 Provider ID: 007572216001

(253) 272-9994 EB, P, R NPI: 1295200640 Ages: 0-99 Professional Counselor 1202 Black Lake Blvd Sw

Physician Assistant-Behavioral Abbott, Kristyn O, LPC, (F) Olympia, WA 98502

Group Name: Behavioral Health (253) 761-3810 EB, P, R Barrera, Francisco, MD, (M) Resources Ages: 0-99 Group Name: Evergreen Provider ID: 007183801001 Areas of Expertise: E112 Treatment Services NPI: 1215328471 Barfield, Walt A, MA, (M) Provider ID: 007115575001 3857 Martin Way E Group Name: Behavioral Health NPI: 1013428739 Olympia, WA 98506 Resources 6700 Martin Way E Ste 117 (360) 704-7170 EB, P, R Provider ID: 001824493001 Olympia, WA 98516 Ages: 0-99 NPI: 1902326903 (360) 413-6310 EB, P, R 3857 Martin Way E Ages: 0-99 Olympia, WA 98506 Areas of Expertise: E112 (360) 704-7170 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

307

Washington - Thurston Behavioral Health Providers

Barron, Patricia A, MA, (F) Bock, Cindy, PT, (F) Byrd, Monica M, MA, (F) Group Name: Capital Recovery Group Name: Bock Cindy Group Name: Catholic Center Provider ID: 002897195003 Community Services Of Western Provider ID: 007480868001 NPI: 1518013119 W NPI: 1285046789 Virtual Visits Only Address Provider ID: 007469016001 1000 Cherry St Se Olympia, WA 98505 NPI: 1396275863

Olympia, WA 98501 (253) 561-3531 EB, P, R 1202 Black Lake Blvd Sw

(360) 357-2582 EB, IB, P, R Cultural Competency: Y Olympia, WA 98502

Ages: 0-99 Ages: 0-99 (360) 878-8248 EB, P, R Areas of Expertise: E112 Areas of Expertise: A101, E020, Ages: 0-99 E055, E070, E165, E185, E200, Areas of Expertise: E160 Beall, Stephanie L, MA, (F) E374, P010, P020, P080 Group Name: Providence Health Caldwell, Daniel F, MA, (F) And Services Washingto Borden, Diane K, MA, (F) Group Name: Community Youth Provider ID: 007003039002 Group Name: Borden Diane K Services NPI: 1346725389 Provider ID: 001376537001 Provider ID: 007190030001 413 Lilly Rd Ne NPI: 1437294139 NPI: 1477953214 Olympia, WA 98506 2101 4th Ave E Ste 200 505 Union Ave Se

(360) 493-7060 EB, P, R Olympia, WA 98506 Olympia, WA 98501

Cultural Competency: Y (360) 786-9499 E, EB, IB, P, R, (360) 918-7860 EB, P, R Ages: 0-99 RE, S, T Ages: 0-99 Areas of Expertise: A101 M,Th 10:00 AM-7:30 PM Caldwell, Daniel F, MA, (F) Cultural Competency: Y Bechtel, Brianne, MA, (F) Group Name: Community Youth Ages: 0-99 Group Name: Behavioral Health Services Resources Buchanan, Tiffany R, BA, (F) Provider ID: 007190030001 Provider ID: 007348346001 Group Name: Behavioral Health NPI: 1477953214 NPI: 1881139301 Resources 711 State Ave Ne 3857 Martin Way E Provider ID: 007178557001 Olympia, WA 98506

Olympia, WA 98506 NPI: 1831229285 (360) 943-0780 EB, P, R

(360) 704-7170 EB, P, R 3857 Martin Way E Ages: 0-99 M-F 7:30 AM-5:30 PM Olympia, WA 98506 Callely, Natalie C, MA, (F) Cultural Competency: Y (360) 704-7170 EB, P, R Group Name: Northwest Ages: 0-99 Ages: 0-99 Resources Ii Inc Areas of Expertise: E112 Provider ID: 007375959001 NPI: 1659920007 2708 Westmoor Ct Sw Olympia, WA 98502

(360) 943-8810 E, EB, P, R, RE, S, T Cultural Competency: Y Ages: 0-99

308

Behavioral Health Providers Washington - Thurston

Campbell, Connie L, MA, (F) Casebolt, Jeffrey A, LMHC, (M) Coupe, Cristina M, MA, (F) Group Name: C G Campbell Group Name: Providence Health Group Name: Evergreen Associates Inc And Services Washingto Treatment Services Provider ID: 001426824001 Provider ID: 005638531005 Provider ID: 006988544001 NPI: 1710032016 NPI: 1013225523 NPI: 1922575588 501 Columbia St Nw Ste E 4800 College St Se 6700 Martin Way E Ste 117 Olympia, WA 98501 Lacey, WA 98503 Olympia, WA 98516

(360) 754-2102 EB, P, R (360) 456-7575 EB, P, R (360) 413-6310 EB, P, R M 8:15 AM-6:00 PM M-Th 8:00 AM-6:00 PM Ages: 0-99 Tu 9:15 AM-5:00 PM Cultural Competency: Y Cowan, Kristen J, MA, (F) W 10:00 AM-3:00 PM Ages: 0-99 Group Name: Behavioral Health Th 9:15 AM-3:00 PM Areas of Expertise: A101 Resources Ages: 0-99 Christy, Carin L, LPC, (F) Provider ID: 007192658001 Areas of Expertise: A021, E010, Group Name: Christy Carin L NPI: 1629314547 E015, E020, E055, E070, E112, Provider ID: 002959436002 3857 Martin Way E E115, E165, E190, E200, E215, NPI: 1033253349 Olympia, WA 98506 E374, P010, P020, P030 1652 Yew Ave Ne (360) 704-7170 EB, P, R Casanova, Winona A, MA, (F) Olympia, WA 98506 Ages: 0-99

Group Name: Sea-Mar (360) 357-7965 EB, P, R Damron, Robert L, MA, (M) Community Health Cultural Competency: Y Group Name: Behavioral Health Provider ID: 007030869001 Web address: www.carinchristyther Resources NPI: 1366917668 apy.com Provider ID: 007192686001 202 Cullens St Nw Ages: 0-99 NPI: 1427588003 Yelm, WA 98597 Areas of Expertise: E010, E020, 3859 Martin Way E Ste 102 (360) 400-4860 EB, P, R E070, E105, E110, E112, E115, Olympia, WA 98506 Ages: 0-99 E165, E187, E198, E215, E240, (360) 704-7170 EB, P, R E374, E392, P010, P013, P030, Casebolt, Jeffrey A, LMHC, (M) M-F 7:00 AM-7:00 PM P080 Group Name: Pmg Sw Wa Ages: 0-99 Provider ID: 005638531001 Click, Nathan J, MA, (M) Areas of Expertise: E160 NPI: 1013225523 Group Name: Catholic Davis, Illyana Jameica M, MA, 413 Lilly Rd Ne Community Services Of Western (F) Olympia, WA 98506 W Group Name: Evergreen (360) 493-7060 EB, P, R Provider ID: 007594200001 Treatment Services Languages Spoken: NPI: 1881280485 Provider ID: 006986459001 Interpreter: Medical Interp 1202 Black Lake Blvd Sw NPI: 1255808713 Vendor Olympia, WA 98502 6700 Martin Way E Ste 117 Cultural Competency: Y (360) 878-8248 EB, P, R Olympia, WA 98516 Ages: 0-99 Ages: 0-99 (360) 413-6310 EB, P, R Areas of Expertise: A101 Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

309

Washington - Thurston Behavioral Health Providers

Dean, Gina J, MA, (F) Distefano, Jennifer D, MS, (F) Faust, James M, MA, (M) Group Name: Pmg Sw Wa Group Name: Pear Tree Group Name: James Faust And Provider ID: 007612893001 Counseling Associates NPI: 1215458203 Provider ID: 006742133003 Provider ID: 002655876002 4800 College St Se NPI: 1790011856 NPI: 1972507622 Lacey, WA 98503 Virtual Visits Only Address 677 Woodland Square Loop Se#b4

(360) 486-2900 EB, P, R Olympia, WA 98505 Lacey, WA 98503

Languages Spoken: (360) 612-2396 EB, P, R (360) 754-4712 EB, P, R Interpreter: Medical Interp Cultural Competency: Y Cultural Competency: Y Vendor Web address: www.peartreecounseli Ages: 0-99 M-F 8:00 AM-7:30 PM ng.com Fenwick, Steven M, LMHC, (M) Sa,Su 9:00 AM-4:30 PM Ages: 0-99 Group Name: Fenwick Steven M Ages: 0-99 Areas of Expertise: A101, E010, Provider ID: 002993244001 Areas of Expertise: A101 E015, E020, E025, E055, E070, NPI: 1790894483 E075, E090, E112, E115, E187, Delastrada, Jean G, MD, (F) 222 Kenyon St Nw Ste 14 E200, E375, E390, P010, P013, Group Name: Delastrada Jean G Olympia, WA 98502 P030, P080 Provider ID: 006679374001 (360) 867-1877 EB, P, R NPI: 1952573974 Ellsworth, Sara M, MA, (F) M-Th 10:30 AM-7:00 PM 222 Kenyon St Nw Group Name: Educational Service Ages: 0-99 Olympia, WA 98502 District 113 Ferris, Alicia L, MA, (F) (206) 501-9404 EB, P, R Provider ID: 007261064001 Group Name: Community Youth Ages: 0-99 NPI: 1205150687 Services Areas of Expertise: E017, E020, 6005 Tyee Dr Sw Provider ID: 007192589001 E025, E042, E043, E055, E062, Tumwater, WA 98512 NPI: 1215244637 E070, E075, E080, E115, E130, (360) 464-6874 EB, P, R 505 Union Ave Se E150, E165, E170, E187, E200, Ages: 0-99 Olympia, WA 98501 E210, E218, E373, E376, E377, Elsey, Amy M, MA, (F) (360) 918-7860 EB, P, R E390, P010, P013, P030, P080 Group Name: Behavioral Health Ages: 0-99 Dilk, Walter S, MA, (M) Resources Ferris, Alicia L, MA, (F) Group Name: Behavioral Health Provider ID: 007194001001 Group Name: Community Youth Resources NPI: 1730584871 Services Provider ID: 007178571001 3859 Martin Way E Ste 102 Provider ID: 007192589001 NPI: 1285155218 Olympia, WA 98506 NPI: 1215244637 3857 Martin Way E (360) 704-7170 EB, P, R 711 State Ave Ne Olympia, WA 98506 Ages: 0-99 Olympia, WA 98506 (360) 704-7170 EB, P, R (360) 943-0780 EB, P, R Ages: 0-99 Ages: 0-99

310

Behavioral Health Providers Washington - Thurston

Fix, Dina, MA, (F) Furry, Kaylin J, MA, (F) Gale, Julianne, MA, (F) Group Name: Sea-Mar Group Name: Furry Kaylin J Group Name: Community Youth Community Health Provider ID: 005171112003 Services Provider ID: 003526005001 NPI: 1346477551 Provider ID: 007294356001 NPI: 1427212166 1204 4th Ave E Ste 1 NPI: 1386111904 202 Cullens St Nw Olympia, WA 98506 711 State Ave Ne

Yelm, WA 98597 (360) 292-2775 E, EB, IB, P, R, S Olympia, WA 98506

(360) 400-4860 EB, P, R (360) 943-0780 EB, P, R Ages: 0-99 M 8:30 AM-6:30 PM Cultural Competency: Y W,Th,F 9:00 AM-6:30 PM Ages: 0-99 Fix, Dina, MA, (F) Ages: 0-99 Group Name: Sea-Mar Glidden, Edward, MA, (M) Community Health Furry, Kaylin J, MA, (F) Group Name: Primary Office Provider ID: 003526005001 Group Name: Furry Kaylin J Provider ID: 007712060001 NPI: 1427212166 Provider ID: 005171112003 NPI: 1518347251 6334 Littlerock Rd Sw NPI: 1346477551 613 Quince St Ne Tumwater, WA 98512 822 Sleater Kinney Rd Ne Ste G Olympia, WA 98506 Olympia, WA 98506 (360) 704-7590 EB, P, R (360) 602-1944 Ages: 0-99 (360) 292-2775 EB, P, R Tu,W,Th,F 9:00 AM-5:00 PM M-W 9:00 AM-5:00 PM Ages: 0-99 Fogarty, Melissa L, MA, (F) Th,F 8:00 AM-5:00 PM Areas of Expertise: A101, E010, Group Name: Fogarty Melissa Ages: 0-99 E017, E055, E070, E085, E105, Provider ID: 001375494002 E115, E200, E374, E375, P010, NPI: 1609049030 Gagnon, Jamie L, MA, (F) Group Name: Behavioral Health P035, P080 Virtual Visits Only Address Olympia, WA 98505 Resources Goetz, Silva J, MA, (F) Provider ID: 007194024001 (253) 514-5422 EB, P, R Group Name: Behavioral Health Tu,W,Th 11:00 AM-7:00 PM NPI: 1841729944 Resources Cultural Competency: Y 3859 Martin Way E Ste 102 Provider ID: 007193971001 Ages: 0-99 Olympia, WA 98506 NPI: 1477082196 Areas of Expertise: A101, E010, (360) 704-7170 EB, P, R 3857 Martin Way E E020, E025, E055, E070, E090, M 8:00 AM-5:00 PM Olympia, WA 98506 Tu 8:00 AM-7:00 PM E112, E115, E165, E180, E198, (360) 704-7170 EB, P, R E200, E215, P010 W 8:00 AM-5:30 PM Ages: 0-99 Th 8:00 AM-6:00 PM Frickleton, Rachel, MA, (F) F 8:00 AM-12:00 PM Goodface, Craig F, MA, (M) Group Name: Behavioral Health Cultural Competency: Y Group Name: Evergreen Resources Ages: 0-99 Treatment Services Provider ID: 007392621001 Provider ID: 007002123001 NPI: 1780204784 NPI: 1093221533 6128 Capitol Blvd Se 6700 Martin Way E Ste 117 Tumwater, WA 98501 Olympia, WA 98516

(360) 754-5729 EB, P, R (360) 413-6310 EB, P, R Ages: 0-99 Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

311

Washington - Thurston Behavioral Health Providers

Gosciewski, Susan, MA, (F) Hamel, Megan A, LPC, (F) Hoiland, Resa, MS, (F) Group Name: Behavioral Health Group Name: Behavioral Health Group Name: Behavioral Health Resources Resources Resources Provider ID: 003939714001 Provider ID: 006983269001 Provider ID: 005987353001 NPI: 1992916035 NPI: 1548761026 NPI: 1619407251 3857 Martin Way E 3857 Martin Way E 3859 Martin Way E Ste 102 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(360) 704-7170 EB, P, R (360) 704-7170 EB, P, R (360) 704-7170 EB, P, R Ages: 0-99 Cultural Competency: Y Ages: 0-99 Ages: 0-99 Grossman, Melissa L, MA, (F) Hooker, James C, MA, (M) Areas of Expertise: E112 Group Name: Evergreen Group Name: Behavioral Health Treatment Services Heath, Jonni, MA, (F) Resources Provider ID: 007003017001 Group Name: Evergreen Provider ID: 003779034002 NPI: 1053831560 Treatment Services NPI: 1992059711 6700 Martin Way E Ste 117 Provider ID: 007324215001 3857 Martin Way E Olympia, WA 98516 NPI: 1871053637 Olympia, WA 98506

(360) 413-6310 EB, P, R 6700 Martin Way E Ste 117 (360) 704-7170 EB, P, R Ages: 0-99 Olympia, WA 98516 Cultural Competency: Y

(360) 413-6310 EB, P, R Ages: 0-99 Gullett, Matthew, MA, (M) M-F 5:30 AM-4:30 PM Areas of Expertise: E017, E020, Group Name: Catholic Sa 5:30 AM-1:00 PM E025, E042, E043, E055, E056, Community Services Of Western Ages: 0-99 E070, E100, E105, E110, E115, W E130, E147, E165, E168, E200, Provider ID: 004663292001 Hoffer, Cynthia, BS, (F) E210, E240, E376, E377, E385, NPI: 1497030704 Group Name: Willow Point P010, P035 1202 Black Lake Blvd Sw Counseling Olympia, WA 98502 Provider ID: 005347828001 Hopkins, Lyssa J, MA, (F)

(253) 761-3810 EB, P, R NPI: 1104217678 Group Name: Sea-Mar Ages: 0-99 3231 Willamette Dr Ne Ste C Community Health Areas of Expertise: E112 Lacey, WA 98516 Provider ID: 007320982001

(360) 999-3318 EB, P, R NPI: 1134685746 Gullett, Matthew, MA, (M) Ages: 0-99 6336 Littlerock Rd Sw Group Name: Catholic Areas of Expertise: E010, E015, Tumwater, WA 98512 Community Services Of Western E017, E020, E025, E075, E105, (360) 704-7590 EB, P, R W E110, E115, E150, E165, E187, Tu,W,Th,F,Sa 8:00 AM-5:00 PM Provider ID: 004663292001 E240, E385, P035, P100 Ages: 0-99 NPI: 1497030704 715 E Yelm Ave Ste 8 Yelm, WA 98597

(360) 878-8248 EB, P, R Ages: 0-99 Areas of Expertise: E112

312

Behavioral Health Providers Washington - Thurston

Horton, Terry K, MA, (F) Jarvis, Chloe, MA, (F) Jones, Kelley S, PSY, (F) Group Name: Behavioral Health Group Name: Community Youth Group Name: Synchronicity LLC Resources Services Provider ID: 005149978001 Provider ID: 007648646001 Provider ID: 007190029001 NPI: 1568589406 NPI: 1215466420 NPI: 1235611476 12605 Reo Rd Se 3857 Martin Way E 711 State Ave Ne Rainier, WA 98576

Olympia, WA 98506 Olympia, WA 98506 (360) 970-2135 EB, P, R

(360) 704-7170 EB, P, R (360) 943-0780 EB, P, R M-Th 9:00 AM-6:00 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A010, A021, Areas of Expertise: E112 A025, A070, E010, E015, E020, Java, Cristal, MA, (F) E025, E055, E062, E070, E080, Jahn, Michelle L, MA, (F) Group Name: Community Youth E090, E105, E112, E115, E165, Group Name: Forefront Services E185, E187, E190, E200, E215, Rosenzweig Medical Services Provider ID: 007294311001 E240, E375, E385, E392, P010, Provider ID: 007045689003 NPI: 1871143446 P013, P020, P030, P080, P100 NPI: 1881850998 711 State Ave Ne 1780 Barnes Blvd Sw Olympia, WA 98506 Jones, Kelley S, PSY, (F)

Tumwater, WA 98512 (360) 943-0780 EB, P, R Group Name: Synchronicity LLC

(510) 201-0190 EB, P, R Ages: 0-99 Provider ID: 005149978001 M-Sa 7:00 AM-9:00 PM NPI: 1568589406 Johnson, Cole R, MA, (M) Ages: 0-99 1800 Cooper Point Rd Sw Ste 17 Group Name: Behavioral Health Areas of Expertise: E017, E020, Olympia, WA 98502 Resources E042, E043, E050, E055, E070, (360) 970-2135 E, EB, IB, P, R, Provider ID: 006484707001 E165, E187, E198, P010, P020, RE, S, T NPI: 1962931139 P080 M,W,Th 4:00 PM 8:00 PM 3857 Martin Way E F 11:00 AM-8:00 PM Jarvis, Chloe, MA, (F) Olympia, WA 98506 Ages: 0-99 Group Name: Community Youth (360) 704-7170 EB, P, R Areas of Expertise: E080, E112, Services Ages: 0-99 E185 Provider ID: 007190029001 Areas of Expertise: E112 NPI: 1235611476 Kenworthy, Jennifer T, MA, (F) Johnson, Michelle, LPC, (F) 505 Union Ave Se Group Name: Behavioral Health Group Name: Behavioral Health Olympia, WA 98501 Resources Resources (360) 918-7860 EB, P, R Provider ID: 007192642001 Provider ID: 007172870001 Cultural Competency: Y NPI: 1114441151 NPI: 1407359672 Ages: 0-99 3859 Martin Way E Ste 102 3775 Martin Way E Ste A2 Olympia, WA 98506 Olympia, WA 98506 (360) 704-7170 EB, P, R (360) 236-7140 EB, P, R M-F 7:30 AM-5:30 PM Ages: 0-99 Ages: 0-99 Areas of Expertise: E160

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

313

Washington - Thurston Behavioral Health Providers

Kranz, Heather, MA, (F) Landry, Cheri K, MA, (F) Leonard, Jennifer, MA, (F) Group Name: Behavioral Health Group Name: Educational Service Group Name: Sea-Mar Resources District 113 Community Health Provider ID: 005773732001 Provider ID: 006910151001 Provider ID: 003527166001 NPI: 1891129045 NPI: 1518456722 NPI: 1912180456 3857 Martin Way E 1315 W Yelm Ave 6334 Littlerock Rd Sw Olympia, WA 98506 Yelm, WA 98597 Tumwater, WA 98512

(360) 704-7170 EB, P, R (360) 458-6233 EB, P, R (360) 704-7590 EB, P, R Cultural Competency: Y Ages: 0-99 Web address: www.clevelandclinic. Ages: 0-99 Areas of Expertise: E112 org Ages: 0-99 Kurz, Janet G, MA, (F) Landry, Cheri K, MA, (F) Group Name: Kurz Janet G Group Name: Educational Service Leoncavallo, Gianna C, MA, (F) Provider ID: 003198976003 District 113 Group Name: Leoncavallo NPI: 1821120452 Provider ID: 006910151001 Gianna Virtual Visits Only Address NPI: 1518456722 Provider ID: 005956492001 Olympia, WA 98505 6005 Tyee Dr Sw NPI: 1407088669

(253) 426-5131 EB, P, R Tumwater, WA 98512 Virtual Visits Only Address

Tu 10:00 AM-2:00 PM (360) 464-6874 EB, P, R Olympia, WA 98505

W,Th 3:00 PM 7:00 PM Ages: 0-99 (425) 535-6129 EB, P, R F 9:30 AM-1:30 PM Areas of Expertise: E112 Languages Spoken: Ages: 0-99 Provider: French Lasley, Tracey, LPC, (F) Areas of Expertise: A101, E010, Cultural Competency: Y Group Name: Behavioral Health E017, E020, E042, E070, E085, Ages: 0-99 Resources E112, E115, E165, E170, E180, Provider ID: 006971567001 Lyneta, White C, LPC, (F) E198, E200, E215, E235, E374, NPI: 1235565672 Group Name: Catholic P010 3857 Martin Way E Community Services Of Western Laguana, Dione Marie I, MA, (F) Olympia, WA 98506 W

Group Name: Northwest Therapy (360) 704-7170 EB, P, R Provider ID: 007614651002 Group Pllc Ages: 0-99 NPI: 1841812757 Provider ID: 003635114002 1202 Black Lake Blvd Sw Leonard, Jennifer, MA, (F) NPI: 1215112461 Olympia, WA 98502 Group Name: Sea-Mar 8284 28th Ct Ne Ste A (360) 878-8248 EB, P, R Community Health Lacey, WA 98516 Ages: 0-99 Provider ID: 003527166001 (360) 402-1962 E, EB, IB, P, R, NPI: 1912180456 RE, S, T 202 Cullens St Nw M-F 9:00 AM-5:00 PM Yelm, WA 98597 Web address: http://nwtherapygroup (360) 400-4860 EB, P, R .com Web address: www.clevelandclinic. Ages: 0-99 org Ages: 0-99

314

Behavioral Health Providers Washington - Thurston

Malakar, Shrijana, MA, (F) Mcclinton, Brandee L, MA, (F) Mecum, David E, MA, (M) Group Name: Community Youth Group Name: Providence Health Group Name: Northwest Services And Services Washingto Resources Ii Inc Provider ID: 007529653001 Provider ID: 007330227001 Provider ID: 007374909001 NPI: 1720559586 NPI: 1548735889 NPI: 1861961633 711 State Ave Ne 225 State Ave Ne 200 Lilly Rd Ne Ste C Olympia, WA 98506 Olympia, WA 98501 Olympia, WA 98506

(360) 943-0780 (360) 486-6400 (360) 918-8336 E, EB, P, R, RE, Cultural Competency: Y Cultural Competency: Y S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A101 Martin, Jodie B, MA, (F) Mecum, David E, MA, (M) Group Name: Catholic Mcdonald Lopez, Michelle, MA, Group Name: Northwest Community Services Of Western (F) Resources Ii Inc W Group Name: Behavioral Health Provider ID: 007374909001 Provider ID: 007504171001 Resources NPI: 1861961633 NPI: 1700494184 Provider ID: 007193936001 2708 Westmoor Ct Sw 715 E Yelm Ave NPI: 1619284064 Olympia, WA 98502

Yelm, WA 98597 3857 Martin Way E (360) 943-8810 E, EB, P, R, RE,

(253) 761-2810 EB, P, R Olympia, WA 98506 S, T

Ages: 0-99 (360) 704-7170 EB, P, R Ages: 0-99 Areas of Expertise: E112 Ages: 0-99 Mecum, David E, MA, (M) Areas of Expertise: E112 Mayeux, Carrie H, MA, (F) Group Name: Northwest Group Name: Community Youth Mcfadden, Linda S, MA, (F) Resources Ii Inc Services Group Name: Northwest Provider ID: 007374909001 Provider ID: 007192609001 Resources Ii Inc NPI: 1861961633 NPI: 1346642980 Provider ID: 007374934001 3773a Martin Way E Ste 105107 505 Union Ave Se NPI: 1720553712 Olympia, WA 98506

Olympia, WA 98501 2708 Westmoor Ct Sw (360) 688-7312 EB, P, R

(360) 918-7860 EB, P, R Olympia, WA 98502 Ages: 0-99

Ages: 0-99 (360) 943-8810 E, EB, P, R, RE, Mercer, Kevin, MA, (M) S, T Mayeux, Carrie H, MA, (F) Group Name: Northwest M-Th 8:30 AM-7:00 PM Group Name: Community Youth Resources Ii Inc F 8:30 AM-5:00 PM Services Provider ID: 006993317002 Ages: 0-99 Provider ID: 007192609001 NPI: 1891221131 NPI: 1346642980 200 Lilly Rd Ne Ste C 711 State Ave Ne Olympia, WA 98506

Olympia, WA 98506 (360) 918-8336 E, EB, P, R, RE,

(360) 943-0780 EB, P, R S, T Ages: 0-99 Cultural Competency: Y Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

315

Washington - Thurston Behavioral Health Providers

Mercer, Kevin, MA, (M) Mulligan, Maria L, MA, (F) Myers, Deborah W, LPC, (F) Group Name: Northwest Group Name: Catholic Group Name: Catholic Resources Ii Inc Community Services Of Western Community Services Of Western Provider ID: 006993317002 W W NPI: 1891221131 Provider ID: 007458289001 Provider ID: 001386327002 2708 Westmoor Ct Sw NPI: 1013407030 NPI: 1831281450 Olympia, WA 98502 715 E Yelm Ave Ste 8 715 E Yelm Ave Ste 8

(360) 943-8810 E, EB, P, R, RE, Yelm, WA 98597 Yelm, WA 98597

S, T (360) 878-8248 EB, P, R (360) 878-8248 EB, P, R Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

Miller, Michelle A, MA, (F) Muuru, Ruth N, MA, (F) Navarro, Jennifer, MA, (F) Group Name: Behavioral Health Group Name: Behavioral Health Group Name: Sea-Mar Resources Resources Community Health Provider ID: 007647385001 Provider ID: 007193957001 Provider ID: 005542051001 NPI: 1932340163 NPI: 1144750852 NPI: 1891089595 3859 Martin Way E Ste 102 3857 Martin Way E 202 Cullens St Nw Olympia, WA 98506 Olympia, WA 98506 Yelm, WA 98597

(360) 704-7170 EB, P, R (360) 704-7170 EB, P, R (360) 400-4860 EB, P, R Ages: 0-99 M-F 7:30 AM-5:30 PM Ages: 0-99 Cultural Competency: Y Areas of Expertise: E020, E070, Mills, Jason, MA, (M) Ages: 0-99 E105, E110, E112, E115, E165, Group Name: Catholic Areas of Expertise: E112 E186, E320, E377, P010 Community Services Of Western W Myers, Deborah W, LPC, (F) Navarro, Jennifer, MA, (F) Provider ID: 006786338002 Group Name: Catholic Group Name: Sea-Mar NPI: 1447783097 Community Services Of Western Community Health 1202 Black Lake Blvd Sw W Provider ID: 005542051001 Olympia, WA 98502 Provider ID: 001386327002 NPI: 1891089595

(360) 878-8248 EB, P, R NPI: 1831281450 6334 Littlerock Rd Sw Ages: 0-99 1202 Black Lake Blvd Sw Tumwater, WA 98512

Olympia, WA 98502 (360) 704-7590 EB, P, R Morris, Jessica L, MA, (F) (253) 761-3810 EB, P, R Ages: 0-99 Group Name: Behavioral Health Ages: 0-99 Areas of Expertise: E020, E070, Resources Areas of Expertise: E112 E105, E110, E112, E115, E165, Provider ID: 007328408001 E186, E320, E377, P010 NPI: 1942729298 3857 Martin Way E Olympia, WA 98506

(360) 704-7170 EB, P, R M-F 8:00 AM-4:30 PM Ages: 0-99

316

Behavioral Health Providers Washington - Thurston

Nayes, April, MA, (F) Papoff, Traci A, MA, (F) Peace, Eli, MA, (M) Group Name: Evergreen Group Name: Capital Recovery Group Name: Community Youth Treatment Services Center Services Provider ID: 003514332001 Provider ID: 007480889001 Provider ID: 006212604002 NPI: 1457587800 NPI: 1952770786 NPI: 1568828838 6700 Martin Way E Ste 117 1000 Cherry St Se 711 State Ave Ne Olympia, WA 98516 Olympia, WA 98501 Olympia, WA 98506

(360) 413-6310 EB, P, R (360) 357-2582 EB, IB, P, R (360) 943-0780 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Neff, Chelsea N, MA, (F) Pearson, Francesca, MA, (F) Group Name: Northwest Patterson, Rosemary A, MA, (F) Group Name: Sea Mar Resources Ii Inc Group Name: Community Youth Community Health Center Provider ID: 007374908001 Services Provider ID: 007320957001 NPI: 1790344778 Provider ID: 007192687001 NPI: 1952657405 3773a Martin Way E Ste 105107 NPI: 1033513825 6336 Littlerock Rd Sw Olympia, WA 98506 505 Union Ave Se Tumwater, WA 98512

(360) 688-7312 EB, P, R Olympia, WA 98501 (360) 704-7590 EB, P, R

Cultural Competency: Y (360) 918-7860 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Peltz, Edward, MA, (M) Ages: 0-99 Newcomb, Chad C, MA, (M) Group Name: Community Youth Group Name: Sea-Mar Patterson, Rosemary A, MA, (F) Services Community Health Group Name: Community Youth Provider ID: 007292099001 Provider ID: 007024708001 Services NPI: 1134781768 NPI: 1316440837 Provider ID: 007192687001 711 State Ave Ne 6334 Littlerock Rd Sw NPI: 1033513825 Olympia, WA 98506

Tumwater, WA 98512 711 State Ave Ne (360) 943-0780 EB, P, R

(360) 704-7590 EB, P, R Olympia, WA 98506 Ages: 0-99

Ages: 0-99 (360) 943-0780 EB, P, R Petersen Hobbs, Samantha S, Cultural Competency: Y Olszewski, Leigh A, MA, (F) MA, (F) Ages: 0-99 Group Name: Providence Health Group Name: Behavioral Health And Services Washingto Peace, Eli, MA, (M) Resources Provider ID: 007330275001 Group Name: Community Youth Provider ID: 003695336001 NPI: 1588135784 Services NPI: 1407293996 413 Lilly Rd Ne Provider ID: 006212604002 3859 Martin Way E Ste 102 Olympia, WA 98506 NPI: 1568828838 Olympia, WA 98506

(360) 493-7060 EB, P, R 505 Union Ave Se (360) 704-7170 EB, P, R Cultural Competency: Y Olympia, WA 98501 Ages: 0-99

Ages: 0-99 (360) 918-7860 EB, P, R Areas of Expertise: E020, E070, Areas of Expertise: A101 Ages: 0-99 E112, E165, P010, P013, P035, P080

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

317

Washington - Thurston Behavioral Health Providers

Pham, Jessica V, MA, (F) Ramos, Ashley J, MA, (F) Robertson, Alanna C, MA, (F) Group Name: Behavioral Health Group Name: Catholic Group Name: Catholic Resources Community Services Of Western Community Services Of Western Provider ID: 007573199001 W W NPI: 1073948089 Provider ID: 007477685001 Provider ID: 007569961001 3857 Martin Way E NPI: 1083234231 NPI: 1407218456 Olympia, WA 98506 1202 Black Lake Blvd Sw 1202 Black Lake Blvd Sw

(360) 704-7170 EB, P, R Olympia, WA 98502 Olympia, WA 98502

Ages: 0-99 (360) 878-8248 EB, P, R (360) 878-8248 EB, P, R Ages: 0-99 Ages: 0-99 Powers, Kim M, MA, (F) Areas of Expertise: E112 Areas of Expertise: E112 Group Name: Evergreen Treatment Services Reynolds, Courtney J, MA, (F) Robertson, Astrid M, MA, (F) Provider ID: 001932471001 Group Name: Behavioral Health Group Name: Astrid L Robertson NPI: 1457485716 Resources Provider ID: 005244146003 6700 Martin Way E Ste 117 Provider ID: 007302543001 NPI: 1174932123 Olympia, WA 98516 NPI: 1326577032 3912 Martin Way E

(360) 413-6310 EB, P, R 3859 Martin Way E Ste 102 Olympia, WA 98506

Ages: 0-99 Olympia, WA 98506 (360) 890-2046 EB, P, R

Areas of Expertise: A010, E112, (360) 704-7170 EB, P, R M 9:00 AM-5:00 PM E115, E185, E198, P020, P030 Cultural Competency: Y Tu 8:30 AM-8:00 PM Ages: 0-99 W 9:30 AM-2:30 PM Puri, Kaitlyn B, MA, (F) Th 8:00 AM-8:00 PM Group Name: Educational Service Richards, Nathaniel T, MA, (M) F 8:30 AM-3:30 PM District 113 Group Name: Behavioral Health Cultural Competency: Y Provider ID: 007034907001 Resources Ages: 0-99 NPI: 1477043461 Provider ID: 007197979001 Areas of Expertise: E112 1315 W Yelm Ave NPI: 1407133861 Yelm, WA 98597 3857 Martin Way E Russell, Deborah L, MS, (F)

(360) 458-6233 EB, P, R Olympia, WA 98506 Group Name: Behavioral Health

Ages: 0-99 (360) 704-7170 EB, P, R Resources Areas of Expertise: E112 Ages: 0-99 Provider ID: 006883776001 NPI: 1790205797 Puri, Kaitlyn B, MA, (F) Riley, Amber C, MA, (F) 3857 Martin Way E Group Name: Educational Service Group Name: Catholic Olympia, WA 98506 District 113 Community Services Of Western (360) 704-7170 EB, P, R Provider ID: 007034907001 W Ages: 0-99 NPI: 1477043461 Provider ID: 007470097001 6005 Tyee Dr Sw NPI: 1700327251 Tumwater, WA 98512 1202 Black Lake Blvd Sw

(360) 464-6874 EB, P, R Olympia, WA 98502

Ages: 0-99 (360) 878-8248 EB, P, R Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112

318

Behavioral Health Providers Washington - Thurston

Shelton, Hailey A, MA, (F) Smetak, Jody R, MA, (F) Smith, Abigail, MA, (F) Group Name: Educational Service Group Name: Community Youth Group Name: Catholic District 113 Services Community Services Of Western Provider ID: 007184215001 Provider ID: 002976799001 W NPI: 1174095939 NPI: 1093046708 Provider ID: 007720187001 1315 W Yelm Ave 505 Union Ave Se NPI: 1760919443 Yelm, WA 98597 Olympia, WA 98501 715 Yelm Ave Ste #8

(360) 458-6233 EB, P, R (360) 918-7860 EB, P, R Yelm, WA 98597

Ages: 0-99 Ages: 0-99 (360) 878-8248 EB, P, R Areas of Expertise: E112 Ages: 0-99 Smetak, Jody R, MA, (F) Areas of Expertise: E112 Shelton, Hailey A, MA, (F) Group Name: Community Youth Group Name: Educational Service Services Somppi, Kelsey, MA, (F) District 113 Provider ID: 002976799001 Group Name: Vancouver Provider ID: 007184215001 NPI: 1093046708 Counseling Solutions LLC NPI: 1174095939 711 State Ave Ne Provider ID: 007001951001 6005 Tyee Dr Sw Olympia, WA 98506 NPI: 1578911046

Tumwater, WA 98512 (360) 943-0780 EB, P, R Virtual Visits Only Address

(360) 464-6874 EB, P, R Ages: 0-99 Olympia, WA 98505

Ages: 0-99 (360) 727-1450 EB, P, R Smith, Abigail, MA, (F) Areas of Expertise: E112 Ages: 0-99 Group Name: Catholic Areas of Expertise: A101, E010, Sheppard, Keara K, MA, (F) Community Services Of Western E017, E020, E025, E055, E070, Group Name: Sea-Mar W E080, E090, E105, E187, E190, Community Health Provider ID: 007720187001 E198, E200, E215, E240, E374, Provider ID: 003768174002 NPI: 1760919443 E385, P010, P013, P020, P030, NPI: 1548698921 1202 Black Lake Blvd Sw P035, P080, P100 6334 Littlerock Rd Sw Olympia, WA 98502 Tumwater, WA 98512 (360) 878-8248 EB, P, R Spencer, Brittany L, LPC, (F)

(360) 704-7590 EB, P, R Ages: 0-99 Group Name: Educational Service Ages: 0-99 Areas of Expertise: E112 District 113 Provider ID: 006989231001 Sloan, Jacob A, MA, (M) Smith, Abigail, MA, (F) NPI: 1497244032 Group Name: Behavioral Health Group Name: Catholic 1315 W Yelm Ave Resources Community Services Of Western Yelm, WA 98597 Provider ID: 007373594001 W (360) 458-6233 EB, P, R NPI: 1568019438 Provider ID: 007720187001 Ages: 0-99 3857 Martin Way E NPI: 1760919443 Olympia, WA 98506 715 E Yelm Ave

(360) 704-7170 EB, P, R Yelm, WA 98597

Ages: 0-99 (253) 761-2810 Ages: 0-99 Areas of Expertise: E112

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

319

Washington - Thurston Behavioral Health Providers E187, E190, E198, E200, E210, Spencer, Brittany L, LPC, (F) Vasquez, Kaitlan N, MA, (F) E235, E240, E285, E374, E376, Group Name: Educational Service Group Name: Behavioral Health E377, E385, P010, P020, P030 District 113 Resources Provider ID: 006989231001 Swan, Jennifer, MS, (F) Provider ID: 007194027001 NPI: 1497244032 Group Name: Sea-Mar NPI: 1316440589 6005 Tyee Dr Sw Community Health 3775 Martin Way E Ste A2 Tumwater, WA 98512 Provider ID: 006021730001 Olympia, WA 98506

(360) 464-6875 EB, P, R NPI: 1700135324 (360) 236-7140 EB, P, R Ages: 0-99 202 Cullens St Nw Ages: 0-99 Yelm, WA 98597 Stevens, Katherine E, MA, (F) Washington, Christina, MSW, (F) (360) 400-4860 EB, P, R Group Name: Community Youth Group Name: Olympia Pediatrics Ages: 0-99 Services Pllc Areas of Expertise: A010, A025, Provider ID: 007194813001 Provider ID: 007374508001 A070, A099, E010, E015, E017, NPI: 1629443296 NPI: 1851925580 E020, E025, E043, E055, E062, 505 Union Ave Se 3434 12th Ave Ne E070, E075, E105, E112, E115, Olympia, WA 98501 Olympia, WA 98506 E150, E165, E170, E185, E187, (360) 918-7860 EB, P, R (360) 413-8470 EB, P, R E190, E200, E215, E218, E240, Ages: 0-99 M-F 8:00 AM-5:00 PM E285, E373, E374, E375, E376, Sa 8:00 AM-12:00 PM Stevens, Katherine E, MA, (F) E385, P030 Ages: 0-99 Group Name: Community Youth Tebay, Molly S, MA, (F) Areas of Expertise: A101, E017, Services Group Name: Behavioral Health E020, E025, E042, E055, E070, Provider ID: 007194813001 Resources E085, E105, E165, E185, E200, NPI: 1629443296 Provider ID: 007196670001 E210, E375, P013, P080 711 State Ave Ne NPI: 1093129546 Olympia, WA 98506 Williams, Heidi I, MA, (F) 3857 Martin Way E (360) 943-0780 EB, P, R Group Name: Catholic Olympia, WA 98506 Ages: 0-99 Community Services Of Western (360) 704-7170 EB, P, R W Stocks, Kristin M, MA, (F) M-F 8:30 AM-5:30 PM Provider ID: 007333088002 Group Name: Providence Health Ages: 0-99 NPI: 1689921645 And Services Washingto Tornquist, Lori A, MA, (F) 1202 Black Lake Blvd Sw Provider ID: 005972460001 Group Name: Sea-Mar Olympia, WA 98502 NPI: 1437514650 Community Health (360) 878-8248 EB, P, R 225 State Ave Ne Provider ID: 007041829001 Cultural Competency: Y Olympia, WA 98501 NPI: 1861858920 Ages: 0-99 (360) 486-6400 6334 Littlerock Rd Sw Areas of Expertise: E112 Cultural Competency: Y Tumwater, WA 98512 Ages: 0-99 (360) 704-7590 EB, P, R Areas of Expertise: A101, E017, Ages: 0-99 E020, E025, E043, E055, E062, E070, E075, E085, E090, E105, E112, E115, E165, E170, E185,

320

Behavioral Health Providers Washington - Thurston

Wilson, Zebedee R, MA, (M) Yearian, Marilyn R, MA, (F) Anderson, Catherine A, MA, (F) Group Name: Sea-Mar Group Name: Northwest Therapy Group Name: Evergreen Community Health Group Pllc Treatment Services Provider ID: 007310838001 Provider ID: 005426028002 Provider ID: 006993258001 NPI: 1326297615 NPI: 1093970345 NPI: 1053888594 6334 Littlerock Rd Sw 8284 28th Ct Ne Ste A 6700 Martin Way E Ste 117 Tumwater, WA 98512 Lacey, WA 98516 Olympia, WA 98516

(360) 704-7590 EB, P, R (360) 915-3221 E, EB, IB, P, R, (360) 413-6310 EB, P, R Ages: 0-99 RE, S, T Ages: 0-99 M-F 9:00 AM-6:00 PM Wiltse, Tricia, MA, (F) Davis, James M, MA, (M) Cultural Competency: Y Group Name: Community Youth Group Name: Evergreen Web address: www.nwtherapygroup Services Treatment Services .com Provider ID: 003612222001 Provider ID: 007008082001 Ages: 0-99 NPI: 1083943187 NPI: 1154890382 Areas of Expertise: A010, A025, 505 Union Ave Se 6700 Martin Way E Ste 117 A070, A101, E010, E015, E020, Olympia, WA 98501 Olympia, WA 98516 E025, E042, E055, E070, E090, (360) 918-7860 EB, P, R (360) 413-6310 EB, P, R E105, E112, E115, E145, E165, Ages: 0-99 Ages: 0-99 E170, E187, E190, E198, E200, Areas of Expertise: E010, E017, E215, E240, E374, E385, P010, Denison, Cheryl C, MA, (F) E020, E055, E070, E112, E165, P030 Group Name: Evergreen E200, E215, P010

Treatment Services Wiltse, Tricia, MA, (F) Psychiatric Nurse Provider ID: 006989635001

Group Name: Community Youth NPI: 1275000838 Adams, Arlene J, MA, (F) Services 6700 Martin Way E Ste 117 Group Name: Providence Health Provider ID: 003612222001 Olympia, WA 98516 And Services Washingto NPI: 1083943187 (360) 413-6310 EB, P, R Provider ID: 007324331001 711 State Ave Ne Ages: 0-99 NPI: 1669014973 Olympia, WA 98506 4800 College St Se Drebis, Sara, RN, (F) (360) 943-0780 EB, P, R Lacey, WA 98503 Group Name: Capital Recovery Ages: 0-99 (360) 456-7575 EB, P, R Center Areas of Expertise: E010, E017, M-F 8:00 AM-6:00 PM Provider ID: 007505592001 E020, E055, E070, E112, E165, Cultural Competency: Y NPI: 1700412756 E200, E215, P010 Ages: 0-99 1000 Cherry St Se Olympia, WA 98501

(360) 357-2582 EB, IB, P, R Ages: 0-99 Areas of Expertise: E112, E160

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

321

Washington - Thurston Behavioral Health Providers Areas of Expertise: E112 German, Donna J, MA, (F) Hudson Miles, Shelli, MA, (F) Group Name: Behavioral Health Group Name: Evergreen Mammoser, Anita, MA, (F) Resources Treatment Services Group Name: Evergreen Provider ID: 007193879001 Provider ID: 006987544001 Treatment Services NPI: 1871023929 NPI: 1043787609 Provider ID: 006989618001 3857 Martin Way E 6700 Martin Way E Ste 117 NPI: 1205044880 Olympia, WA 98506 Olympia, WA 98516 6700 Martin Way E Ste 117

(360) 704-7170 EB, P, R (360) 413-6310 EB, P, R Olympia, WA 98516

Ages: 0-99 Ages: 0-99 (360) 413-6310 EB, P, R Ages: 0-99 Habashi, Noha, MS, (F) John, Pamala, MA, (F) Group Name: Evergreen Group Name: Evergreen Marasigan, Sandra, MA, (F) Treatment Services Treatment Services Group Name: Evergreen Provider ID: 007003023001 Provider ID: 006987532001 Treatment Services NPI: 1710454269 NPI: 1063981934 Provider ID: 006989697001 6700 Martin Way E Ste 117 6700 Martin Way E Ste 117 NPI: 1942778212 Olympia, WA 98516 Olympia, WA 98516 6700 Martin Way E Ste 117

(360) 413-6310 EB, P, R (360) 413-6310 EB, P, R Olympia, WA 98516

Ages: 0-99 Ages: 0-99 (360) 413-6310 EB, P, R Ages: 0-99 Hausman, Peter, MA, (F) Kenny, Angela Y, NP, (F) Group Name: Evergreen Group Name: Multicare Health Mclemore, James R, MA, (M) Treatment Services Systems Group Name: Northwest Provider ID: 006975354002 Provider ID: 003623337001 Resources Ii Inc NPI: 1497234892 NPI: 1417215666 Provider ID: 007722313001 6700 Martin Way E Ste 117 3504 12th Ave Ne NPI: 1831734599 Olympia, WA 98516 Olympia, WA 98506 2708 Westmoor Ct Sw

(360) 413-6310 EB, P, R (253) 403-4437 EB, P, R Olympia, WA 98502

Ages: 0-99 Ages: 0-99 (360) 943-8810 E, EB, P, R, RE, Hospital Affiliations: S, T Holmstrom, Margaret, RN, (F) Tacoma General Allenmore M-F 8:30 AM-4:30 PM Group Name: Evergreen Areas of Expertise: A060, E020, Ages: 0-99 Treatment Services E070, E112, E160, E165 Provider ID: 006989286001 NPI: 1801365408 Mahangel, Zerai, MA, (F) 6700 Martin Way E Ste 117 Group Name: Evergreen Olympia, WA 98516 Treatment Services

(360) 413-6310 EB, P, R Provider ID: 006989716001 Ages: 0-99 NPI: 1720557317 6700 Martin Way E Ste 117 Olympia, WA 98516

(360) 413-6310 EB, P, R Cultural Competency: Y Ages: 0-99

322

Behavioral Health Providers Washington - Thurston

Montaperto, Christopher J, MS, Schefstrom, Marci, MA, (F) Tiangson, Julius Cesar, MA, (M) (M) Group Name: Evergreen Group Name: Evergreen Group Name: Pmg Sw Wa Treatment Services Treatment Services Provider ID: 003107843001 Provider ID: 006988607001 Provider ID: 006979812001 NPI: 1477713113 NPI: 1497222061 NPI: 1386113934 413 Lilly Rd Ne 6700 Martin Way E Ste 117 6700 Martin Way E Ste 117 Olympia, WA 98506 Olympia, WA 98516 Olympia, WA 98516

(360) 493-7060 EB, P, R (360) 413-6310 EB, P, R (360) 413-6310 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Sherman, Jennifer R, MS, (F) Tucker, Jamee S, MA, (F) Hospital Affiliations: Group Name: Evergreen Group Name: Behavioral Health Providence St Peter Hospital Treatment Services Resources Rosales, Matthew R, MA, (M) Provider ID: 006989270001 Provider ID: 007196738001 Group Name: Evergreen NPI: 1457828915 NPI: 1730619123 Treatment Services 6700 Martin Way E Ste 117 3859 Martin Way E Ste 102 Provider ID: 006988612001 Olympia, WA 98516 Olympia, WA 98506

NPI: 1053880922 (360) 413-6310 EB, P, R (360) 704-7170 EB, P, R 6700 Martin Way E Ste 117 Ages: 0-99 Ages: 0-99 Olympia, WA 98516 Solise, Lindsay B, MA, (F) Tucker, Jamee S, MA, (F) (360) 413-6310 EB, P, R Group Name: Behavioral Health Group Name: Behavioral Health Ages: 0-99 Resources Resources Sandhu, Jagjit S, MA, (M) Provider ID: 007480847001 Provider ID: 007196738001 Group Name: Behavioral Health NPI: 1699385203 NPI: 1730619123 Resources 3857 Martin Way E 6128 Capitol Blvd Se Provider ID: 007195219001 Olympia, WA 98506 Tumwater, WA 98501

NPI: 1619482767 (360) 704-7170 EB, P, R (360) 754-5729 EB, P, R 3857 Martin Way E Ages: 0-99 Ages: 0-99 Olympia, WA 98506 Areas of Expertise: E160 Psychiatry (360) 704-7170 EB, P, R Tashakkor, Nasim, MA, (F) Languages Spoken: Group Name: Evergreen Abegg, Sharon C, MD, (F), B Interpreter: Korean Treatment Services Group Name: Pmg Sw Wa Ages: 0-99 Provider ID: 006988627001 Provider ID: 002698687001 Areas of Expertise: E160 NPI: 1164990453 NPI: 1437291143 6700 Martin Way E Ste 117 413 Lilly Rd Ne Olympia, WA 98516 Olympia, WA 98506

(360) 413-6310 EB, P, R (360) 493-7060 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: P010 Hospital Affiliations: Providence St Peter Hospital Areas of Expertise: A010, A101, E112, E160

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

323

Washington - Thurston Behavioral Health Providers Areas of Expertise: MAT1 Basnett, Saneer, MD, (M), B Danner, Katharine E, MA, (F) Group Name: Pmg Sw Wa Bouchard, Marc A, MD, (M), B Group Name: Behavioral Health Provider ID: 003475739007 Group Name: Pmg Sw Wa Resources NPI: 1508015173 Provider ID: 007210727002 Provider ID: 006048493002 413 Lilly Rd Ne NPI: 1750677605 NPI: 1356607303 Olympia, WA 98506 413 Lilly Rd Ne 3775 Martin Way E Ste A2

(360) 493-7060 EB, P, R Olympia, WA 98506 Olympia, WA 98506

Ages: 0-99 (360) 493-7060 EB, P, R (360) 236-7140 EB, P, R Hospital Affiliations: Web address: www.providence.org Ages: 0-99 Providence Sacred Heart Med Ctr Ages: 0-99 Danner, Katharine E, MA, (F) & Child Bouchard, Marc A, MD, (M), B Group Name: Behavioral Health Areas of Expertise: A101, E020, Group Name: Providence Health Resources E070, E112, E160, E165 And Services Washingto Provider ID: 006048493002 Basnett, Saneer, MD, (M), B Provider ID: 007210727003 NPI: 1356607303 Group Name: Providence St Peter NPI: 1750677605 3859 Martin Way E Ste 102 Hospital 4800 College St Se Olympia, WA 98506

Provider ID: 003475739009 Lacey, WA 98503 (360) 704-7170 EB, P, R

NPI: 1508015173 (360) 456-7575 EB, P, R Ages: 0-99 4800 College St Se Ages: 0-99 Danner, Katharine E, MA, (F) Lacey, WA 98503 Bouchard, Marc A, MD, (M), B Group Name: Behavioral Health (360) 456-7575 EB, P, R Group Name: Pmg Sw Wa Resources Web address: www.providence.org Provider ID: 007210727002 Provider ID: 006048493002 Ages: 0-99 NPI: 1750677605 NPI: 1356607303 Hospital Affiliations: 525 Lilly Rd Ne 6128 Capitol Blvd Se Providence Sacred Heart Med Ctr Olympia, WA 98506 Tumwater, WA 98501 & Child (360) 493-7230 EB, P, R (360) 754-5729 EB, P, R Areas of Expertise: A101, E020, Ages: 0-99 Ages: 0-99 E070, E112, E160, E165 Bouchard, Marc A, MD, (M), B Flake, Eric, MD, (M), B Bhatraju, Elenore P, MD, (F) Group Name: Pmg Sw Wa Group Name: Olympia Pediatrics Group Name: Evergreen Provider ID: 007210727002 Pllc Treatment Services NPI: 1750677605 Provider ID: 005744555002 Provider ID: 003498879006 525 Lilly Road Ne NPI: 1477521318 NPI: 1134353857 Olympia, WA 98506 3434 12th Ave Ne 6700 Martin Way E Ste 117 (360) 493-7230 EB, P, R Olympia, WA 98506 Olympia, WA 98516 Ages: 0-99 (360) 413-8470 EB, P, R (360) 413-6310 EB, P, R Languages Spoken: Cultural Competency: Y Provider: Spanish Ages: 0-99 M-Sa 8:00 AM-5:00 PM Hospital Affiliations: Harborview Medical Center University Of Washington Medical Ctr

324

Behavioral Health Providers Washington - Thurston Ages: 0-99 Areas of Expertise: A101, E020, Lykins, Stephen D, MD, (M), B Hospital Affiliations: E070, E112, E160, E165 Group Name: Providence St Peter Good Samaritan Hospital Harriage, Scott R, MD, (M), B Hospital Tacoma General Allenmore Group Name: Capital Clubhouse Provider ID: 001332836004 Multicare Auburn Medical Center Provider ID: 003325407004 NPI: 1194805390 Mary Bridge Child Hosp/hlth Cntr NPI: 1437207826 4800 College St Se Areas of Expertise: A010, A025, 1000 Cherry St Se Lacey, WA 98503 A055, A070, A101, E020, E025, Olympia, WA 98501 (360) 456-7575 EB, P, R E150, E165, E170, E230, E390, (360) 357-2582 EB, IB, P, R Ages: 0-99 P013, P080 Ages: 0-99 Hospital Affiliations: Flake, Eric, MD, (M), B Areas of Expertise: E160 Providence St Peter Hospital Group Name: Multicare Health Holttum, John R, MD, (M) Martin, Lawrence M, MD, (M) System Group Name: Catholic Group Name: Behavioral Health Provider ID: 005744555001 Community Services Of Western Resources NPI: 1477521318 W Provider ID: 006362463001 3504 12th Ave Ne Provider ID: 001433746002 NPI: 1902919202 Olympia, WA 98506 NPI: 1700839891 3857 Martin Way E (360) 252-3801 EB, P, R 1202 Black Lake Blvd Sw Olympia, WA 98506 Languages Spoken: Olympia, WA 98502 (360) 704-7170 EB, P, R Provider: Spanish (360) 878-8248 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Areas of Expertise: E112 Hospital Affiliations: Ages: 0-99 Good Samaritan Hospital Meis, Peter M, MD, (M), B Hospital Affiliations: Tacoma General Allenmore Group Name: Pmg Sw Wa Tacoma General Allenmore Multicare Auburn Medical Center Provider ID: 003650529001 Mary Bridge Child Hosp/hlth Cntr Mary Bridge Child Hosp/hlth Cntr NPI: 1326273632 Areas of Expertise: E112 3425 Ensign Rd Ne Ste 220 Goueli, Hisam S, MD, (M), B Leisenring, Sarah E, MD, (F) Olympia, WA 98506 Group Name: Pmg Sw Wa Group Name: Behavioral Health (360) 493-7060 EB, P, R Provider ID: 003052526007 Resources Languages Spoken: NPI: 1639382906 Provider ID: 003615520001 Interpreter: Medical Interp 1018 Capitol Way S Ste 300 NPI: 1609844836 Vendor Olympia, WA 98501 3857 Martin Way E Ages: 0-99 (425) 525-5851 EB, P, R Olympia, WA 98506 Areas of Expertise: E020, E025, Ages: 0-99 (360) 704-7170 EB, P, R E055, E070, E112, E115, E160, Hospital Affiliations: Ages: 0-99 E165, E170, E185, E198, E200, Northwest Hospital & Med Cntr Areas of Expertise: E112 E210, P010, P035 Providence St Peter Hospital Harborview Medical Center Emory University Hospital University Of Washington Medical Ctr Seattle Cancer Care Alliance

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

325

Washington - Thurston Behavioral Health Providers

Meis, Peter M, MD, (M), B Morris, John E, MA, (M), B Penner, David E, PHD, (M), B Group Name: Pmg Sw Wa Group Name: Behavioral Health Group Name: David Penner Md Provider ID: 003650529001 Resources Pllc NPI: 1326273632 Provider ID: 000235406001 Provider ID: 003068635002 413 Lilly Rd Ne NPI: 1851314603 NPI: 1114005584 Olympia, WA 98506 3775 Martin Way E Ste A2 1801 W Bay Dr Nw Ste 104

(360) 493-7060 EB, P, R Olympia, WA 98506 Olympia, WA 98502

Ages: 0-99 (360) 236-7140 EB, P, R (360) 539-1736 Areas of Expertise: E020, E025, Ages: 0-99 Ages: 0-99 E055, E070, E112, E115, E160, Areas of Expertise: E020, E070, Areas of Expertise: A102 E165, E170, E185, E198, E200, E112, E160, E165, E170, E190, Renn, Rebecca J, MD, (F) E210, P010, P035 E210, P010 Group Name: Behavioral Health Miller, Linda L, MD, (F), B Morris, John E, MA, (M), B Resources Group Name: Miller Linda L Group Name: Behavioral Health Provider ID: 002665832001 Provider ID: 001859617002 Resources NPI: 1457319071 NPI: 1306914346 Provider ID: 000235406001 3436 Mary Elder Rd Ne 3000 Limited Ln Nw NPI: 1851314603 Olympia, WA 98506

Olympia, WA 98502 3857 Martin Way E (360) 528-2590

(360) 701-1715 EB, P, R Olympia, WA 98506 Ages: 0-99

M-F 9:00 AM-5:00 PM (360) 704-7170 EB, P, R Renn, Rebecca J, MD, (F) Sa 8:00 AM-5:00 PM Ages: 0-99 Group Name: Behavioral Health Cultural Competency: Y Areas of Expertise: E020, E070, Resources Ages: 0-99 E112, E160, E165, E170, E190, Provider ID: 002665832001 Hospital Affiliations: E210, P010 NPI: 1457319071 Iu Health Bedford Morris, John E, MA, (M), B 3775 Martin Way E Ste A2 Indiana University Hlth Group Name: Behavioral Health Olympia, WA 98506 Bloomington Hsp Resources (360) 236-7140 EB, P, R Iu Health Morgan Hospital Provider ID: 000235406001 Ages: 0-99 Indiana University Health Paoli NPI: 1851314603 Evergreenhealth Medical Center Renn, Rebecca J, MD, (F) 3859 Martin Way E Ste 102 Mercy Hospital Springfield Group Name: Behavioral Health Olympia, WA 98506 Areas of Expertise: E020, E042, Resources (360) 704-7170 EB, P, R E055, E070, E112, E140, E160, Provider ID: 002665832001 Ages: 0-99 E165, E170, E210, E230, E391, NPI: 1457319071 Areas of Expertise: E020, E070, P010 3857 Martin Way E E112, E160, E165, E170, E190, Olympia, WA 98506 E210, P010 (360) 704-7170 EB, P, R Ages: 0-99

326

Behavioral Health Providers Washington - Thurston Spanish Renn, Rebecca J, MD, (F) Turner, Eric E, MD, (M), B Interpreter: Medical Interp Group Name: Behavioral Health Group Name: Valley View Health Vendor Resources Center Web address: www.providence.org Provider ID: 002665832001 Provider ID: 003259968004 Ages: 0-99 NPI: 1457319071 NPI: 1366540437 Areas of Expertise: A101, E020, 3859 Martin Way E Ste 102 3775 Martin Way E Ste A E070, E112, E160, E165, P010 Olympia, WA 98506 Olympia, WA 98506 (360) 704-7170 EB, P, R Sharangpani, Ritawari, MD, (F), (360) 236-7166 E, EB, IB, P, R, Ages: 0-99 B RE, S, T Group Name: Providence Health Ages: 0-99 Renn, Rebecca J, MD, (F) And Services Washingto Hospital Affiliations: Group Name: Behavioral Health Provider ID: 002421613005 Harborview Medical Center Resources NPI: 1154473015 University Of Washington Provider ID: 002665832001 4800 College St Se Medical Ctr NPI: 1457319071 Lacey, WA 98503 Areas of Expertise: A101, E020, 6128 Capitol Blvd Se (360) 456-7575 EB, P, R E070, E112, E160, E165 Tumwater, WA 98501 Languages Spoken: (360) 754-5729 EB, P, R Wang, Ken S, MD, (M), B Provider: Hindi, Marathi, Ages: 0-99 Group Name: Multicare Health Spanish Systems Sattar, Anjan K, MD, (M), B Interpreter: Medical Interp Provider ID: 003366597001 Group Name: Pmg Sw Wa Vendor NPI: 1851474308 Provider ID: 002988359001 Web address: https://www.providen 3504 12th Ave Ne NPI: 1487754271 ce.org/ Olympia, WA 98506 413 Lilly Rd Ne Ages: 0-99 (253) 403-4437 EB, P, R Olympia, WA 98506 Areas of Expertise: A101, E020, Ages: 0-99 (360) 493-7060 EB, P, R E070, E112, E160, E165, P010 Hospital Affiliations: Web address: https://www.providen Turner, Eric E, MD, (M), B Mary Bridge Child Hosp/hlth Cntr ce.org/ Group Name: Valley View Health Areas of Expertise: E020, E070, Ages: 0-99 Center E112, E165, MAT1, P010, P030 Hospital Affiliations: Provider ID: 003259968004 Providence St Peter Hospital Young, Linda, MD, (F), B NPI: 1366540437 Areas of Expertise: MAT1 Group Name: Behavioral Health 273 Sussex Ave E Resources Sharangpani, Ritawari, MD, (F), Tenino, WA 98589 Provider ID: 001672192002 B (360) 264-5665 E, EB, IB, P, R, NPI: 1033208731 Group Name: Pmg Sw Wa RE, S, T 3775 Martin Way E # A-2 Provider ID: 002421613003 Ages: 0-99 Olympia, WA 98506 NPI: 1154473015 Hospital Affiliations: (360) 236-7140 EB, P, R 413 Lilly Rd Ne Harborview Medical Center Cultural Competency: Y Olympia, WA 98506 University Of Washington Ages: 0-99 (360) 493-7060 EB, P, R Medical Ctr Hospital Affiliations: Languages Spoken: Areas of Expertise: A101, E020, University Hospital Of Ar Provider: Hindi, Marathi, E070, E112, E160, E165 Areas of Expertise: A010, A025,

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

327

Washington - Thurston Behavioral Health Providers A070, A099, E020, E025, E070, Young, Linda, MD, (F), B Shen, Tong, MD, (F), B E075, E112, E150, E160, E165, Group Name: Behavioral Health Group Name: Multicare Health E170, E200, E210, E230, E390 Resources Systems Young, Linda, MD, (F), B Provider ID: 001672192002 Provider ID: 005299153001 Group Name: Behavioral Health NPI: 1033208731 NPI: 1447360342 Resources 6128 Capitol Blvd Se 3504 12th Ave Ne Provider ID: 001672192002 Tumwater, WA 98501 Olympia, WA 98506

NPI: 1033208731 (360) 754-5729 EB, P, R (253) 403-4437 EB, P, R 3857 Martin Way E Cultural Competency: Y Languages Spoken: Olympia, WA 98506 Ages: 0-99 Provider: Chinese

(360) 704-7170 EB, P, R Hospital Affiliations: Ages: 0-99 Cultural Competency: Y University Hospital Of Ar Hospital Affiliations: Ages: 0-99 Areas of Expertise: A010, A025, Good Samaritan Hospital Hospital Affiliations: A070, A099, E020, E025, E070, Tacoma General Allenmore University Hospital Of Ar E075, E112, E150, E160, E165, Multicare Auburn Medical Center Areas of Expertise: A010, A025, E170, E200, E210, E230, E390 Mary Bridge Child Hosp/hlth Cntr A070, A099, E020, E025, E070, Areas of Expertise: E020, E070, E075, E112, E150, E160, E165, Psychiatry - Child & Adolescent E112, E160, E165

E170, E200, E210, E230, E390 Beilke, Robert L, PHD, (M) Wang, Ken S, MD, (M), B Young, Linda, MD, (F), B Group Name: Multicare Health Group Name: Multicare Health Group Name: Behavioral Health System Systems Resources Provider ID: 001853915001 Provider ID: 003366597001 Provider ID: 001672192002 NPI: 1992800239 NPI: 1851474308 NPI: 1033208731 3504 12th Ave Ne 3504 12th Ave Ne 3859 Martin Way E Ste 102 Olympia, WA 98506 Olympia, WA 98506

Olympia, WA 98506 (253) 403-4437 EB, P, R (253) 403-4437 EB, P, R (360) 704-7170 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Multicare Auburn Medical Center Mary Bridge Child Hosp/hlth Cntr Hospital Affiliations: Areas of Expertise: E020, E070, Areas of Expertise: E020, E070, University Hospital Of Ar E112, E165 E112, E165, MAT1, P010, P030 Areas of Expertise: A010, A025, Purses, Jennifer D, DO, (F), B A070, A099, E020, E025, E070, Group Name: Multicare Health E075, E112, E150, E160, E165, Systems E170, E200, E210, E230, E390 Provider ID: 003176694001 NPI: 1407054778 3504 12th Ave Ne Olympia, WA 98506

(253) 403-4437 EB, P, R Ages: 0-99 Areas of Expertise: E020, E070, E112, E165

328

Behavioral Health Providers Washington - Thurston

Areas of Expertise: E020, E070, Dewine, David B, LP, (M) Psychology E112, E165

Group Name: Multicare Health Barnes, Melanie H, PHD, (F) Systems Holcombe, Philip, PHD, (M) Group Name: Multicare Health Provider ID: 005239551001 Group Name: Better Together System NPI: 1144459306 Counseling & Educational Provider ID: 001870820001 3504 12th Ave Ne Provider ID: 007037437001 NPI: 1053330670 Olympia, WA 98506 NPI: 1629052592 3504 12th Ave Ne (253) 403-4437 EB, P, R 205 Lilly Rd Ne Olympia, WA 98506 Ages: 0-99 Olympia, WA 98506

(253) 403-4437 EB, P, R Hospital Affiliations: (360) 999-9318 EB, P, R Ages: 0-99 Tacoma General Allenmore Ages: 0-99 Hospital Affiliations: Mary Bridge Child Hosp/hlth Cntr Holcombe, Philip, PHD, (M) Tacoma General Allenmore Areas of Expertise: E020, E070, Group Name: Better Together Areas of Expertise: A010, A025, E112, E165 Counseling & Educational A070, E020, E025, E055, E070, Digman, Barbara E, PHD, (F) Provider ID: 007037437001 E112, E165, E180, E200, E392, Group Name: Pmg Sw Wa NPI: 1629052592 P030 Provider ID: 003001918001 205 Lilly Rd Ne Ste A Beilke, Robert L, PHD, (M) NPI: 1841456696 Olympia, WA 98506 Group Name: Multicare Health 1620 Cooper Point Rd Sw (360) 999-9318 EB, P, R System Olympia, WA 98502 Ages: 0-99

Provider ID: 001853915001 (360) 486-6710 EB, P, R Langhofer, Rachelle C, PHD, (F) NPI: 1992800239 Languages Spoken: Group Name: Simply Thrive 3504 12th Ave Ne Interpreter: Medical Interp Psychotherapy Olympia, WA 98506 Vendor Provider ID: 003505948003 (253) 403-4437 EB, P, R Web address: https://www.providen NPI: 1437486396 Ages: 0-99 ce.org/ 418 Carpenter Rd Se Ste 203 Hospital Affiliations: Ages: 0-99 Lacey, WA 98503 Multicare Auburn Medical Center Dorsch, Andrea M, PHD, (F) (360) 878-9526 E, EB, IB, P, R, Areas of Expertise: E020, E070, Group Name: Multicare Health RE, S, T E112, E165 System M-F 9:00 AM-7:00 PM Dahmer White, Laura K, PHD, Provider ID: 001725156001 Cultural Competency: Y (F) NPI: 1548362379 Ages: 0-99 Group Name: Pmg Sw Wa 3504 12th Ave Ne Oh, Isabelle, PHD, (F) Provider ID: 001834761001 Olympia, WA 98506 Group Name: Multicare Health NPI: 1831297233 (253) 403-4437 EB, P, R System 410 Providence Ln Ne Bldg 2 Languages Spoken: Provider ID: 007272589001 Olympia, WA 98506 Provider: German NPI: 1477194173 (360) 493-4500 Ages: 0-99 3504 12th Ave Ne Ages: 0-99 Hospital Affiliations: Olympia, WA 98506 Areas of Expertise: A101, E020, Seattle Children's Hospital (253) 403-4437 EB, P, R E070, E112, E165 University Of Washington Ages: 0-99 Medical Ctr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

329

Washington - Thurston Behavioral Health Providers Areas of Expertise: E020, E070, E190, E200, E285, E374, P010, E070, E112, E165 E112, E165 P020, P030, P080 Vadixx, Chelsey A, LP, (F) Petra, Jeffrey R, PHD, (M) Reynolds, David J, PHD, (M) Group Name: Multicare Health Group Name: Petra Jeffrey Group Name: Reynolds David J System Provider ID: 002337840001 Provider ID: 000236507001 Provider ID: 006966574001 NPI: 1487739603 NPI: 1528174448 NPI: 1518485390 2118 Caton Way Sw 501 Columbia St Nw Ste E 3504 12th Ave Ne Olympia, WA 98502 Olympia, WA 98501 Olympia, WA 98506

(360) 754-4662 E, EB, P, R, RE, (360) 754-5354 EB, P, R (253) 403-4437 EB, P, R S, T M-Tu 9:00 AM-8:00 PM Ages: 0-99 M 7:00 AM-7:00 PM W,Th 9:00 AM-9:00 PM Hospital Affiliations: Tu 12:00 AM-2:00 AM F 9:00 AM-5:00 PM Tacoma General Allenmore W 2:00 AM-4:00 AM Web address: www.drdavidjreynold Multicare Auburn Medical Center Th 12:00 AM-1:30 AM s.com Good Samaritan Hospital F 1:30 AM-5:00 AM Ages: 0-99 Mary Bridge Child Hosp/hlth Cntr Sa 12:00 AM-3:30 AM Areas of Expertise: A010, A021, Areas of Expertise: E020, E070, Su 7:00 AM-5:00 PM A045, E017, E020, E025, E030, E112, E165 Ages: 0-99 E055, E060, E062, E070, E080, Areas of Expertise: E392 E112, E115, E150, E165, E170, Psychology - Child

E190, E200, E285, E374, P010, Rayls, Katrina R, PHD, (F) Barnes, Melanie H, PHD, (F) P020, P030, P080 Group Name: Multicare Health Group Name: Multicare Health System Ryan, Mary W, PHD, (F) System Provider ID: 002071539001 Group Name: Multicare Health Provider ID: 001870820001 NPI: 1912913138 Systems NPI: 1053330670 3504 12th Ave Ne Provider ID: 004250904001 3504 12th Ave Ne Olympia, WA 98506 NPI: 1932418183 Olympia, WA 98506

(253) 403-4437 EB, P, R 3504 12th Ave Ne (253) 403-4437 EB, P, R Ages: 0-99 Olympia, WA 98506 Ages: 0-99 Areas of Expertise: E020, E070, (253) 403-4437 EB, P, R Hospital Affiliations: E112, E165 Ages: 0-99 Tacoma General Allenmore Areas of Expertise: E020, E070, Areas of Expertise: A010, A025, Reynolds, David J, PHD, (M) E112, E165 A070, E020, E025, E055, E070, Group Name: Reynolds David J E112, E165, E180, E200, E392, Provider ID: 000236507001 Smith, Manvi V, LP, (F) P030 NPI: 1528174448 Group Name: Pmg Sw Wa 2633 Mugho St Se Provider ID: 006110501001 Lacey, WA 98513 NPI: 1346694403

(360) 754-5354 EB, P, R 2555 Marvin Rd Ne Ages: 0-99 Lacey, WA 98516

Areas of Expertise: A010, A021, (360) 413-4200 EB, P, R A045, E017, E020, E025, E030, Web address: www.providence.org E055, E060, E062, E070, E080, Ages: 0-99 E112, E115, E150, E165, E170, Areas of Expertise: A101, E020,

330

Behavioral Health Providers Washington - Thurston

Beilke, Robert L, PHD, (M) Ryan, Mary W, PHD, (F) Barrett, Timothy, MA, (M) Group Name: Multicare Health Group Name: Multicare Health Group Name: Sea Mar System Systems Community Health Center Provider ID: 001853915001 Provider ID: 004250904001 Provider ID: 007567054001 NPI: 1992800239 NPI: 1932418183 NPI: 1730715020 3504 12th Ave Ne 3504 12th Ave Ne 6334 Littlerock Rd Sw Olympia, WA 98506 Olympia, WA 98506 Tumwater, WA 98512

(253) 403-4437 EB, P, R (253) 403-4437 EB, P, R (360) 704-7590 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Areas of Expertise: E020, E070, Blomberg, Karen A, MA, (F) Multicare Auburn Medical Center E112, E165 Group Name: Northwest Areas of Expertise: E020, E070, Resources Ii Inc E112, E165 Social Worker

Provider ID: 007411079001 Dewaay, Rebecca J, PSY, (F) Boyle-Connelly, Sharon E, MSW, NPI: 1639714249 Group Name: Multicare Health (F) 200 Lilly Rd Ne Ste C Systems Group Name: University Of Olympia, WA 98506 Provider ID: 003710859001 Washington Phys (360) 918-8336 E, EB, P, R, RE, NPI: 1548459050 Provider ID: 003606697003 S, T 3504 12th Ave Ne NPI: 1053651729 Ages: 0-99 Olympia, WA 98506 3525 Ensign Rd Ne Ste B Blomberg, Karen A, MA, (F) (253) 403-4437 EB, P, R Olympia, WA 98506 Group Name: Northwest Ages: 0-99 (206) 520-5000 EB, P, R Resources Ii Inc Hospital Affiliations: Ages: 0-99 Provider ID: 007411079001 Tacoma General Allenmore NPI: 1639714249 Mary Bridge Child Hosp/hlth Cntr Social Worker - Licensed 3773a Martin Way E Ste 105107 Areas of Expertise: E020, E070, Olympia, WA 98506 E112, E165 Amyx, Brooke, MA, (F) Group Name: Behavioral Health (360) 688-7312 EB, P, R Rayls, Katrina R, PHD, (F) Resources Ages: 0-99 Group Name: Multicare Health Provider ID: 004364117002 Boyle-Connelly, Sharon E, MSW, System NPI: 1164767158 (F) Provider ID: 002071539001 3857 Martin Way E Group Name: University Of NPI: 1912913138 Olympia, WA 98506 Washington Phys 3504 12th Ave Ne (360) 704-7170 EB, P, R Provider ID: 003606697003 Olympia, WA 98506 M-F 7:30 AM-5:30 PM NPI: 1053651729 (253) 403-4437 EB, P, R Ages: 0-99 3525 Ensign Rd Ne Ste B Ages: 0-99 Areas of Expertise: E112 Olympia, WA 98506 Areas of Expertise: E020, E070, (206) 520-5000 EB, P, R E112, E165 Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

331

Washington - Thurston Behavioral Health Providers

Braun, Marissa L, MA, (F) Gilley, Rebecca, MA, (F) Judah, Liesl, CSW, (F) Group Name: Providence Health Group Name: Evergreen Group Name: Liesl M Bauer And Services Washingto Treatment Services Judah Provider ID: 007396704001 Provider ID: 007002184001 Provider ID: 003492446001 NPI: 1548617251 NPI: 1518434174 NPI: 1730477639 413 Lilly Rd Ne 6700 Martin Way E Ste 117 2101 4th Ave E Ste 200 Olympia, WA 98506 Olympia, WA 98516 Olympia, WA 98506

(360) 493-9060 EB, P, R (360) 413-6310 EB, P, R (360) 786-9499 EB, R M-F 8:00 AM-6:00 PM Ages: 0-99 Tu,Th 10:00 AM-7:00 PM Cultural Competency: Y Cultural Competency: Y Jensen, Cynthia J, MS, (F) Ages: 0-99 Ages: 0-99 Group Name: Sea-Mar Areas of Expertise: E170, E187, Daughtry, Rebecca L, CSW, (F) Community Health P013, P080 Group Name: Behavioral Health Provider ID: 004654006001 Resources NPI: 1790834786 Kalilimoku, Allison, MA, (F) Provider ID: 006405012001 202 Cullens St Nw Group Name: Behavioral Health NPI: 1336329838 Yelm, WA 98597 Resources

3859 Martin Way E Ste 102 (360) 400-4860 EB, P, R Provider ID: 007580884001 Olympia, WA 98506 Ages: 0-99 NPI: 1396331757

(360) 704-7170 EB, P, R Areas of Expertise: E017, E020, 3857 Martin Way E M-Tu 7:30 AM-7:00 PM E055, E070, E090, E100, E112, Olympia, WA 98506

W,Th,F 7:30 AM-5:30 PM E115, E165, E185, E200, E210, (360) 704-7170 EB, P, R Ages: 0-99 E215, P010 Ages: 0-99 Areas of Expertise: E112 Johnson, Jennifer L, MA, (F) Larson, Lisa A, LICSW, (F) Dennehy, Erica M, LICSW, (M) Group Name: Behavioral Health Group Name: Capital Recovery Group Name: Pmg Sw Wa Resources Center Provider ID: 005666630001 Provider ID: 007649530001 Provider ID: 005727261002 NPI: 1326296096 NPI: 1508457920 NPI: 1326193871 413 Lilly Rd Ne 3857 Martin Way E 1000 Cherry St Se Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98501

(360) 493-7060 EB, P, R (360) 704-7170 EB, P, R (360) 357-2582 EB, IB, P, R Languages Spoken: Ages: 0-99 M-F 8:00 AM-8:00 PM Interpreter: Medical Interp Areas of Expertise: E112 Ages: 0-99 Vendor Areas of Expertise: E010, E020, Jones, Garret D, MA, (M) Ages: 0-99 E055, E070, E080, E105, E112, Group Name: Behavioral Health E160, E165, P010, P080 Resources Provider ID: 007192628001 NPI: 1962985358 3857 Martin Way E Olympia, WA 98506

(360) 704-7170 EB, P, R Ages: 0-99

332

Behavioral Health Providers Washington - Thurston

Majkut, Devin, MA, (F) Papasian, Zoe A, MA, (F) Rittmueller, Anna M, MA, (F) Group Name: Evergreen Group Name: Behavioral Health Group Name: Catholic Treatment Services Resources Community Services Of Western Provider ID: 006989646001 Provider ID: 007194055001 W NPI: 1952878522 NPI: 1992234686 Provider ID: 007470100001 6700 Martin Way E Ste 117 6128 Capitol Blvd Se NPI: 1851522536 Olympia, WA 98516 Tumwater, WA 98501 1202 Black Lake Blvd Sw

(360) 413-6310 EB, P, R (360) 754-5729 EB, P, R Olympia, WA 98502

Ages: 0-99 M-F 8:00 AM-7:00 PM (360) 878-8248 EB, P, R Cultural Competency: Y Ages: 0-99 Masters, Amy A, MA, (F) Ages: 0-99 Areas of Expertise: E112 Group Name: Sea Mar Community Health Center Perretta, Cammie M, MA, (F) Russo, Monica Lynn D, MA, (F) Provider ID: 007423907001 Group Name: Behavioral Health Group Name: Evergreen NPI: 1124669395 Resources Treatment Services 202 Cullens St Nw Provider ID: 007195327001 Provider ID: 006999628001 Yelm, WA 98597 NPI: 1730618323 NPI: 1629546916

(360) 400-4860 EB, P, R 3859 Martin Way E Ste 102 6700 Martin Way E Ste 117 Ages: 0-99 Olympia, WA 98506 Olympia, WA 98516

(360) 704-7170 EB, P, R (360) 413-6310 EB, P, R Minton, Kelsey A, MA, (F) Ages: 0-99 Ages: 0-99 Group Name: Behavioral Health Resources Retterath, Gordon, MS, (M) Staley, Molly J, MA, (F) Provider ID: 007194032001 Group Name: Simply Thrive Group Name: Staley Molly J NPI: 1346725462 Psychotherapy Provider ID: 003265810001 3859 Martin Way E Ste 102 Provider ID: 007379516001 NPI: 1982616900 Olympia, WA 98506 NPI: 1790871572 1204 4th Ave E Ste 1

(360) 704-7170 EB, P, R 418 Carpenter Rd Se Ste 203 Olympia, WA 98506

Ages: 0-99 Lacey, WA 98503 (360) 352-1668 E, EB, IB, P, R, S

(360) 878-9526 E, EB, IB, P, R, Murayama, Miri, MA, (F) RE, S, T M 9:30 AM-5:30 PM Group Name: Behavioral Health M-F 9:00 AM-7:00 PM Tu 11:00 AM-6:30 PM Resources Ages: 0-99 W 10:30 AM-6:30 PM Provider ID: 007194042001 Areas of Expertise: E010, E017, Th 9:30 AM-6:00 PM NPI: 1275062812 E020, E042, E070, E115, E200, Accepting Existing Patients Only 3859 Martin Way E Ste 102 P010 Ages: 0-99 Olympia, WA 98506 Areas of Expertise: E010, E020, (360) 704-7170 EB, P, R E055, E062, E070, E115, E165, M-F 7:00 AM-5:30 PM E170, E190, E200, E215, E374, Cultural Competency: Y P010, P020 Ages: 0-99 Areas of Expertise: E112

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

333

Washington - Thurston Behavioral Health Providers

Stallings, Molly G, MA, (F) Vega, Shannon R, MA, (F) Social Worker - Psychiatric

Group Name: Community Youth Group Name: Catholic Services Community Services Of Western Ryan, David M, DO, (M) Provider ID: 007532339001 W Group Name: Ideal Option NPI: 1417515206 Provider ID: 007108111001 Provider ID: 000943962057 711 State Ave Ne NPI: 1952672792 NPI: 1912918129 Olympia, WA 98506 715 E Yelm Ave Ste 8 205b Lilly Rd Ne Ste C (360) 943-0780 EB, P, R Yelm, WA 98597 Olympia, WA 98506

Cultural Competency: Y (360) 878-8248 EB, P, R (509) 222-1275 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Hospital Affiliations: Sullivan, Nancy, MSW, (F) Kadlec Regional Medical Center Group Name: Sullivan Nancy Watras, Charles C, MS, (M) Areas of Expertise: MAT1, THS Provider ID: 002676458001 Group Name: Sea-Mar

NPI: 1316930282 Community Health Social Worker - Registered

1800 Cooper Point Rd Sw Ste 24b Provider ID: 005596932001 Olympia, WA 98502 NPI: 1265785695 Boyle-Connelly, Sharon E, MSW, (360) 786-1195 EB, P, R 202 Cullens St Nw (F) M 9:00 AM-8:00 PM Yelm, WA 98597 Group Name: University Of W 9:00 AM-7:00 PM (360) 400-4860 EB, P, R Washington Phys F 9:00 AM-1:00 PM Ages: 0-99 Provider ID: 003606697003 Cultural Competency: Y Areas of Expertise: E112, E186, NPI: 1053651729 Ages: 0-99 E220, P010 3525 Ensign Rd Ne Ste B Areas of Expertise: E020, E025, Witte, Hillary L, MA, (F) Olympia, WA 98506 E055, E075, E112, E115, E150, Group Name: Evergreen (206) 520-5000 EB, P, R E170, E180, E187, E190, E200, Treatment Services Ages: 0-99 E230, P010, P035 Provider ID: 006986458001 Tollefson, Katelyn, MA, (F) NPI: 1396212965 Group Name: Community Youth 6700 Martin Way E Ste 117 Services Olympia, WA 98516

Provider ID: 007292123001 (360) 413-6310 EB, P, R NPI: 1952953135 Ages: 0-99 711 State Ave Ne Olympia, WA 98506

(360) 943-0780 EB, P, R Ages: 0-99

334

Pediatric Behavioral Health Providers Washington - Mason

Pediatric Behavioral Health Providers Areas of Expertise: A010, A025, E030, E043, E062, E070, E075, Washington A060, E020, E025, E062, E070, E090, E105, E112, E115, E120, E085, E112, E160, E165, E170, E145, E150, E155, E170, E180,

Mason

E210, E230, P010, P020 E185, E187, E198, E200, E215, E225, E240, E285, E287, P010 Advanced Practice Registered Miskimon, Mae M, MS, (F) Psychiatric Nurse Practitioner Group Name: Consejo Counseling Mezen, Margaret R, MA, (F)

And Referral Service Group Name: Peninsula Jennings-Vigil, Casilda M, MS, Provider ID: 003527172004 Community Health (F) NPI: 1992974059 Provider ID: 004946633002 Group Name: Consejo Counseling 627 W Franklin St NPI: 1467873190 And Referral Service Shelton, WA 98584 31 Ne State Route 300 Ste 200

Provider ID: 003526587004 (360) 763-5610 EB, P, R Belfair, WA 98528

NPI: 1902981962 Ages: 0-99 (360) 377-3776 EB, P, R 23291 Ne State Route 3 Bldg A1 Areas of Expertise: A010, A025, Ages: 0-99 Belfair, WA 98528 A060, E020, E025, E062, E070, Areas of Expertise: A010, A050, (360) 763-5600 EB, P, R E085, E112, E160, E165, E170, E010, E015, E017, E020, E025, Ages: 0-99 E210, E230, P010, P020 E030, E043, E062, E070, E075, Areas of Expertise: A010, A025, E090, E105, E112, E115, E120, A060, A070, E020, E070, E112, Autism Behavioral Analyst E145, E150, E155, E170, E180,

E160, E165 E185, E187, E198, E200, E215, Aaro, Kimberly M, MA, (F) E225, E240, E285, E287, P010 Jennings-Vigil, Casilda M, MS, Group Name: Basics Nw LLC

(F) Provider ID: 004283729002 Psychiatry

Group Name: Consejo Counseling NPI: 1982838553 And Referral Service 31 E Saphire Ct Young, Linda, MD, (F), B Provider ID: 003526587004 Belfair, WA 98528 Group Name: Behavioral Health NPI: 1902981962 (360) 550-2355 Resources 627 W Franklin St Ages: 0-99 Provider ID: 001672192002 Shelton, WA 98584 Areas of Expertise: A017, A070, NPI: 1033208731 (360) 763-5610 EB, P, R E390, P010, P013, P080 110 W K St Ages: 0-99 Shelton, WA 98584 Areas of Expertise: A010, A025, Professional Counselor (360) 426-1696 EB, P, R

A060, A070, E020, E070, E112, Cultural Competency: Y Mezen, Margaret R, MA, (F) E160, E165 Ages: 0-99 Group Name: Peninsula Hospital Affiliations: Miskimon, Mae M, MS, (F) Community Health University Hospital Of Ar Group Name: Consejo Counseling Provider ID: 004946633002 Areas of Expertise: A010, A025, And Referral Service NPI: 1467873190 A070, A099, E020, E025, E070, Provider ID: 003527172004 300 E Campus Dr E075, E112, E150, E160, E165, NPI: 1992974059 Belfair, WA 98528 23291 Ne State Route 3 Bldg A1 E170, E200, E210, E230, E390 (360) 377-3776 EB, P, R Belfair, WA 98528 Ages: 0-99 (360) 763-5600 EB, P, R Areas of Expertise: A010, A050, Ages: 0-99 E010, E015, E017, E020, E025,

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

335

Washington - Thurston Pediatric Behavioral Health Providers Thurston Forno, Celia G, MA, (F) Casimiro, Magdalena, NON, (F)

Group Name: Community Youth Group Name: Basics Nw LLC Advanced Practice Registered Services Provider ID: 005545747001 Psychiatric Nurse Practitioner Provider ID: 003059326008 NPI: 1669899035

NPI: 1437293909 8282 28th Ct Ne Alber, Lynette N, MS, (F) 711 State Ave Ne Lacey, WA 98516 Group Name: Catholic Olympia, WA 98506 (360) 915-6868 EB, P, R Community Services Of Western (360) 943-0780 EB, P, R Ages: 0-99 W Ages: 0-99 Areas of Expertise: A017, A070, Provider ID: 002947875001 Areas of Expertise: A010, A025, E130, E390, P010, P013, P080 NPI: 1952451916 A050, A060, E010, E015, E017, Espinosa, Barbara, BS, (F) 1202 Black Lake Blvd Sw E020, E025, E070, E075, E090, Group Name: Basics Nw LLC Olympia, WA 98502 E105, E112, E115, E150, E155, Provider ID: 005524122001 (253) 761-3810 EB, P, R E160, E165, E170, E200, E230, NPI: 1962836148 Ages: 0-99 E390, P010, P030 8282 28th Ct Ne Ste A Areas of Expertise: A010, A060, E010, E017, E020, E025, E070, Autism Behavioral Analyst Lacey, WA 98516

E112, E115, E160, E165, E170, (360) 915-6868 EB, IB, P, R E185, E190, E198, E200, E210, Ambriz, Elisa, NON, (F) Web address: http://basicsnw.com E230, P010 Group Name: South Sound Ages: 0-99 Behavior Therapy Corp Areas of Expertise: A017, A070, Alber, Lynette N, MS, (F) Provider ID: 006559469001 E130, E390, P010, P013, P080 Group Name: Catholic NPI: 1730696675 Green, Leeann, BS, (F) Community Services Of Western 3443 Lilly Rd Ne Group Name: Basics Nw LLC W Olympia, WA 98506 Provider ID: 002947875001 Provider ID: 005515040001 (360) 456-2237 EB, P, R NPI: 1932539442 NPI: 1952451916 Ages: 0-99 8282 28th Ct Ne Ste A 715 E Yelm Ave Ste 8 Areas of Expertise: A017, A070, Lacey, WA 98516 Yelm, WA 98597 E130, E390, P010, P013, P080 (360) 878-8248 EB, P, R (360) 915-6868 EB, IB, P, R Ages: 0-99 Ambriz, Elisa, NON, (F) Ages: 0-99 Areas of Expertise: A010, A060, Group Name: South Sound Areas of Expertise: A017, A070, E010, E017, E020, E025, E070, Behavior Therapy Corp E112, E130, E390, P010, P013, E112, E115, E160, E165, E170, Provider ID: 006559469001 P080 NPI: 1730696675 E185, E190, E198, E200, E210, Horn, Melena, NON, (F) In Home Provider E230, P010 Group Name: Basics Nw LLC Olympia, WA 98506 Provider ID: 005523563001 (360) 456-2237 NPI: 1699112631 Ages: 0-99 8282 28th Ct Ne Ste A Areas of Expertise: A017, A070, Lacey, WA 98516 E130, E390, P010, P013, P080 (360) 915-6868 EB, IB, P, R Ages: 0-99 Areas of Expertise: A017, A070,

336

Pediatric Behavioral Health Providers Washington - Thurston E112, E130, E390, P010, P013, Roberts, Ashley, BA, (F) Whipple, Angela, NON, (F) P080 Group Name: Basics Nw LLC Group Name: South Sound Miller, Holly, MA, (F) Provider ID: 005215692001 Behavior Therapy Corp Group Name: South Sound NPI: 1689006421 Provider ID: 005519034001 Behavior Therapy Corp 8282 28th Ct Ne Ste A NPI: 1891216065 Provider ID: 007312643001 Lacey, WA 98516 In Home Provider

NPI: 1407373301 (360) 915-6868 EB, IB, P, R Olympia, WA 98506 In Home Provider Web address: http://basicsnw.com (360) 456-2237 Olympia, WA 98506 Does Not Accept New Patients Ages: 0-99 (360) 456-2237 Ages: 0-99 Areas of Expertise: A017, A070, Ages: 0-99 Areas of Expertise: A010, A017, E130, E390, P010, P013, P080 Areas of Expertise: A017, A070, A025, A070, E130, E390, P010 Zaldivar, Maria, MA, (F) E130, E390, P010, P013, P080 Rose, Jessica, MA, (F) Group Name: Family Applied Rear, Jake O, NON, (M) Group Name: Basics Nw LLC Behavioral Services LLC Group Name: South Sound Provider ID: 005578968001 Provider ID: 007629154001 Behavior Therapy Corp NPI: 1861891632 NPI: 1407131204 Provider ID: 005541172001 8282 28th Ct Ne Ste A 965 Burton Ray St Ne NPI: 1386981280 Lacey, WA 98516 Olympia, WA 98516

3443 Lilly Rd Ne (360) 918-6413 EB, IB, P, R (360) 605-0163 Olympia, WA 98506 Web address: http://basicsnw.com Ages: 0-99

(360) 456-2237 EB, P, R Ages: 0-99 Areas of Expertise: A017, A070, Ages: 0-99 Areas of Expertise: A010, A017, E130, P010, P013, P080 Areas of Expertise: A017, A070, A025, A070, E130, E390, P010, E130, E390, P010, P013, P080 P013, P080 Marriage & Family Therapy

Rear, Jake O, NON, (M) Warner, Jennica K, MS, (F) Farmer, Lauren D, MA, (F) Group Name: South Sound Group Name: South Sound Group Name: Behavioral Health Behavior Therapy Corp Behavior Therapy Corp Resources Provider ID: 005541172001 Provider ID: 003606076001 Provider ID: 003423749001 NPI: 1386981280 NPI: 1285872218 NPI: 1831428135 In Home Provider 3443 Lilly Rd Ne 3859 Martin Way E Ste 102 Olympia, WA 98506 Olympia, WA 98506 Olympia, WA 98506

(360) 456-2237 (360) 456-2237 EB, P, R (360) 704-7170 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A017, A070, Areas of Expertise: A010, A025, Areas of Expertise: A010, A025, E130, E390, P010, P013, P080 A070, A099, E085, E112, E130, A070, E010, E015, E017, E020, E150, E165, E390, P010 E025, E043, E055, E062, E070, E080, E105, E112, E115, E165, E185, E187, E200, E218, P010, P030

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

337

Washington - Thurston Pediatric Behavioral Health Providers

E150, E165, E170, E185, E187, Flake, Eric, MD, (M), B Professional Counselor E190, E200, E215, E218, E240, Group Name: Olympia Pediatrics E285, E373, E374, E375, E376, Jones, Kelley S, PSY, (F) Pllc E385, P030 Group Name: Synchronicity LLC Provider ID: 005744555002 Provider ID: 005149978001 Yearian, Marilyn R, MA, (F) NPI: 1477521318 NPI: 1568589406 Group Name: Northwest Therapy 3434 12th Ave Ne 12605 Reo Rd Se Group Pllc Olympia, WA 98506 Rainier, WA 98576 Provider ID: 005426028002 (360) 413-8470 EB, P, R

(360) 970-2135 EB, P, R NPI: 1093970345 Languages Spoken: M-Th 9:00 AM-6:00 PM 8284 28th Ct Ne Ste A Provider: Spanish Ages: 0-99 Lacey, WA 98516 M-Sa 8:00 AM-5:00 PM Areas of Expertise: A010, A021, (360) 915-3221 E, EB, IB, P, R, Ages: 0-99 A025, A070, E010, E015, E020, RE, S, T Hospital Affiliations: E025, E055, E062, E070, E080, M-F 9:00 AM-6:00 PM Good Samaritan Hospital E090, E105, E112, E115, E165, Cultural Competency: Y Tacoma General Allenmore E185, E187, E190, E200, E215, Web address: www.nwtherapygroup Multicare Auburn Medical Center E240, E375, E385, E392, P010, .com Mary Bridge Child Hosp/hlth Cntr P013, P020, P030, P080, P100 Ages: 0-99 Areas of Expertise: A010, A025, Areas of Expertise: A010, A025, A055, A070, A101, E020, E025, Powers, Kim M, MA, (F) A070, A101, E010, E015, E020, E150, E165, E170, E230, E390, Group Name: Evergreen E025, E042, E055, E070, E090, P013, P080 Treatment Services E105, E112, E115, E145, E165, Provider ID: 001932471001 Sattar, Anjan K, MD, (M), B E170, E187, E190, E198, E200, NPI: 1457485716 Group Name: Providence Health E215, E240, E374, E385, P010, 6700 Martin Way E Ste 117 And Services Washingto P030 Olympia, WA 98516 Provider ID: 002988359004

(360) 413-6310 EB, P, R Psychiatry NPI: 1487754271

Ages: 0-99 413 Lilly Rd Ne Areas of Expertise: A010, E112, Abegg, Sharon C, MD, (F), B Olympia, WA 98506 E115, E185, E198, P020, P030 Group Name: Pmg Sw Wa (360) 493-9060 EB, P, R Provider ID: 002698687001 Languages Spoken: Swan, Jennifer, MS, (F) NPI: 1437291143 Interpreter: Medical Interp Group Name: Sea-Mar 413 Lilly Rd Ne Vendor Community Health Olympia, WA 98506 Web address: https://www.providen Provider ID: 006021730001 (360) 493-7060 EB, P, R ce.org/ NPI: 1700135324 Ages: 0-99 Ages: 0-99 202 Cullens St Nw Hospital Affiliations: Hospital Affiliations: Yelm, WA 98597 Providence St Peter Hospital Providence St Peter Hospital (360) 400-4860 EB, P, R Areas of Expertise: A010, A101, Areas of Expertise: A010, A101, Ages: 0-99 E112, E160 E020, E070, E112, E165, MAT1 Areas of Expertise: A010, A025, A070, A099, E010, E015, E017, E020, E025, E043, E055, E062, E070, E075, E105, E112, E115,

338

Pediatric Behavioral Health Providers Washington - Thurston

Young, Linda, MD, (F), B Young, Linda, MD, (F), B Psychology

Group Name: Behavioral Health Group Name: Behavioral Health Resources Resources Barnes, Melanie H, PHD, (F) Provider ID: 001672192002 Provider ID: 001672192002 Group Name: Multicare Health NPI: 1033208731 NPI: 1033208731 System 3775 Martin Way E # A-2 3859 Martin Way E Ste 102 Provider ID: 001870820001 Olympia, WA 98506 Olympia, WA 98506 NPI: 1053330670 (360) 236-7140 EB, P, R (360) 704-7170 EB, P, R 3504 12th Ave Ne Cultural Competency: Y Cultural Competency: Y Olympia, WA 98506

Ages: 0-99 Ages: 0-99 (253) 403-4437 EB, P, R Hospital Affiliations: Hospital Affiliations: Ages: 0-99 University Hospital Of Ar University Hospital Of Ar Hospital Affiliations: Areas of Expertise: A010, A025, Areas of Expertise: A010, A025, Tacoma General Allenmore A070, A099, E020, E025, E070, A070, A099, E020, E025, E070, Areas of Expertise: A010, A025, E075, E112, E150, E160, E165, E075, E112, E150, E160, E165, A070, E020, E025, E055, E070, E170, E200, E210, E230, E390 E170, E200, E210, E230, E390 E112, E165, E180, E200, E392, P030 Young, Linda, MD, (F), B Young, Linda, MD, (F), B Group Name: Behavioral Health Group Name: Behavioral Health Reynolds, David J, PHD, (M) Resources Resources Group Name: Reynolds David J Provider ID: 001672192002 Provider ID: 001672192002 Provider ID: 000236507001 NPI: 1033208731 NPI: 1033208731 NPI: 1528174448 3857 Martin Way E 6128 Capitol Blvd Se 2633 Mugho St Se Olympia, WA 98506 Tumwater, WA 98501 Lacey, WA 98513

(360) 704-7170 EB, P, R (360) 754-5729 EB, P, R (360) 754-5354 EB, P, R Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A010, A021, Hospital Affiliations: Hospital Affiliations: A045, E017, E020, E025, E030, University Hospital Of Ar University Hospital Of Ar E055, E060, E062, E070, E080, Areas of Expertise: A010, A025, Areas of Expertise: A010, A025, E112, E115, E150, E165, E170, A070, A099, E020, E025, E070, A070, A099, E020, E025, E070, E190, E200, E285, E374, P010, E075, E112, E150, E160, E165, E075, E112, E150, E160, E165, P020, P030, P080 E170, E200, E210, E230, E390 E170, E200, E210, E230, E390 Reynolds, David J, PHD, (M) Group Name: Reynolds David J Provider ID: 000236507001 NPI: 1528174448 501 Columbia St Nw Ste E Olympia, WA 98501

(360) 754-5354 EB, P, R M-Tu 9:00 AM-8:00 PM W,Th 9:00 AM-9:00 PM F 9:00 AM-5:00 PM

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

339

Washington - Thurston Pediatric Behavioral Health Providers Web address: www.drdavidjreynold s.com Ages: 0-99 Areas of Expertise: A010, A021, A045, E017, E020, E025, E030, E055, E060, E062, E070, E080, E112, E115, E150, E165, E170, E190, E200, E285, E374, P010, P020, P030, P080

Psychology - Child

Barnes, Melanie H, PHD, (F) Group Name: Multicare Health System Provider ID: 001870820001 NPI: 1053330670 3504 12th Ave Ne Olympia, WA 98506

(253) 403-4437 EB, P, R Ages: 0-99 Hospital Affiliations: Tacoma General Allenmore Areas of Expertise: A010, A025, A070, E020, E025, E055, E070, E112, E165, E180, E200, E392, P030

340

Behavioral Health Facilities Washington - Thurston

Behavioral Health Facilities Thurston Washington Northwest Resources Ii

Provider ID: 002697013001 Mason Alcohol/Chemical Treatment Ctr NPI: 1164586210

200 Lilly Rd Bldg C Community Mental Health Royal Life Centers LLC Olympia, WA 98506 Provider ID: 006039971001 Center (360) 918-8336 EB, P, R

NPI: 1215383138 Areas of Expertise: SP80 Community Youth Services 8649 Martin Way E Provider ID: 007171463001 Lacey, WA 98516 Northwest Resources Ii Provider ID: 002697013001 NPI: 1386997138 (360) 505-0422 EB, P, R 601 W Franklin St Ste G-201 Web address: www.royallifecenters. NPI: 1164586210 Shelton, WA 98584 com 2708 Westmoor Ct Sw Olympia, WA 98502 (360) 918-7860 EB, P, R Areas of Expertise: SP30, SP80 Languages Spoken: (360) 943-8810 E, EB, P, R, RE, Community Mental Health Provider: German S, T Center Areas of Expertise: A021, A060 Areas of Expertise: SP80

Northwest Resources Ii Mental Health Facility Community Youth Services Provider ID: 002697013001 Provider ID: 007171463001

Northwest Resources Ii NPI: 1386997138 NPI: 1164586210 Provider ID: 002697013001 505 Union Ave Se 3773 Martin Way E Ste 105 NPI: 1164586210 Olympia, WA 98501 Olympia, WA 98506 (360) 688-7312 EB, P, R 235 S 3rd St (360) 918-7860 EB, P, R

Shelton, WA 98584 Languages Spoken: Northwest Resources Ii (360) 426-0890 EB, P, R Provider: German Provider ID: 002697013001 Areas of Expertise: SP80 Areas of Expertise: A021, A060 NPI: 1164586210

3773 Martin Way E Ste A Substance Abuse Center Community Youth Services Olympia, WA 98506 Provider ID: 007171463001

Social Treatment Opportunity NPI: 1386997138 (206) 824-9273 Prgms 711 State Ave Ne Areas of Expertise: SP80

Provider ID: 003330724001 Olympia, WA 98506 Psychiatric Hospital (360) 943-0780 EB, P, R NPI: 1225186448

611 W Cota St Languages Spoken: South Sound Behavioral Hospital Shelton, WA 98584 Provider: German Provider ID: 007394459001 (360) 426-5654 EB, P, R Staff: German NPI: 1336605849 Areas of Expertise: A021, A060 605 Woodland Square Loop Se

Mental Health Facility Lacey, WA 98503

(360) 764-8400 EB, P, R

Ideal Option Provider ID: 006058661002 205b Lilly Rd Ne Ste C Olympia, WA 98506

(509) 222-1275 EB, P, R

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

341

Washington - Mason Vision

Vision

Washington Grimes, James H, OD, (M) Mckinney, Michael J, OD, (M)

Group Name: Kornmesser Opt Group Name: Mckinney Mason Clinic, Inc Whitemarsh Pllc

Provider ID: GRIM012 Provider ID: MCKI022 Ophthalmology NPI: 1104818814 NPI: 1114922184

422 West Birch Street 23160 Northeast State Route 3 Vuong, Monica B, MD, (F) Shelton, WA 98584 Belfair, WA 98528

Group Name: Public Hospital (360) 426-5578 (360) 275-2020 District Number 1 Of Mason Ages: 0-99 M-Th 9:00 AM-5:00 PM County F 9:00 AM-12:00 PM La, Steven, OD, (M) Provider ID: VUON021 Ages: 0-99 NPI: 1942209044 Group Name: Shelton Family Eye 2300 Kati Court Care, LLC Renaud, Joseph J, OD, (M) Suite C Provider ID: LA011 Group Name: Kornmesser Opt Shelton, WA 98584 NPI: 1679838874 Clinic, Inc 100 East Wallace Kneeland Provider ID: RENA032 (360) 426-8717 Ages: 0-99 Boulevard NPI: 1952926636

Shelton, WA 98584 422 West Birch Street

Optometry (360) 427-8324 Shelton, WA 98584

Languages Spoken: (360) 426-5578 Aaseby, Jenni R, OD, (F) Provider: Vietnamese Web address: olympiaeyedoctor.co Group Name: Public Hospital Interpreter: Vietnamese m District Number 1 Of Mason Tu,W,Th,F 9:00 AM-6:00 PM Ages: 0-99 County Sa 9:00 AM-3:00 PM Whitemarsh, David B, OD, (M) Provider ID: AASE011 Ages: 0-99 Group Name: Mckinney NPI: 1720133374 2300 Kati Court Lasater, David J, OD, (M) Whitemarsh Pllc Suite C Group Name: Mckinney Provider ID: WHIT103 Shelton, WA 98584 Whitemarsh Pllc NPI: 1215190897 Provider ID: LASA023 23160 Northeast State Route 3 (360) 426-8717 Ages: 0-99 NPI: 1467475236 Belfair, WA 98528 23160 Northeast State Route 3 (360) 275-2020 Dale, Charles R, OD, (M) Belfair, WA 98528 M-F 9:00 AM-5:00 PM

Group Name: Charles R. Dale, (360) 275-2020 Ages: 0-99 O.d. Languages Spoken: Provider ID: DALE012 Provider: American Sign NPI: 1497801633 Language 1610 Olympic Highway North Interpreter: American Sign Shelton, WA 98584 Language (360) 426-3906 M-F 9:00 AM-5:00 PM M-Th 9:00 AM-5:00 PM Ages: 0-99 Ages: 0-99

342

Vision Washington - Thurston Thurston Johns, Gordon E, MD, (M) Bailey, Ashley L, OD, (F)

Group Name: Pacific Cataract Group Name: Pacific Cataract Ophthalmology And Laser Institute, Inc., P.c. And Laser Institute, Inc., P.c.

Provider ID: JOHN232 Provider ID: BAIL385 Durham, Michelle R, OD, (F) NPI: 1053358077 NPI: 1760034821 Group Name: Hawks Prairie 115 New View Court Northeast 115 New View Court Northeast Vision Clinic Olympia, WA 98506 Olympia, WA 98506 Provider ID: DURH061 (360) 252-1642 (360) 252-1642 EB, ER, IB, P, R NPI: 1023287067 M-Th 8:00 AM-5:00 PM 2539 Marvin Road Northeast F 8:00 AM-1:00 PM M-Th 8:00 AM-5:00 PM Suite B Ages: 0-99 F 8:00 AM-1:00 PM Lacey, WA 98516 Ages: 0-99

(360) 459-3333 Yoon, Eden, MD, (M) Eckroth, Kim P, OD, (F) M,W,Th 8:30 AM-6:00 PM Group Name: Pacific Cataract Group Name: Vision Care Tu 9:30 AM-6:00 PM And Laser Institute, Inc., P.c. Associates, Pllc F 8:30 AM-4:00 PM Provider ID: YOON084 Provider ID: ECKR012 Ages: 0-99 NPI: 1679916100 115 New View Court North East NPI: 1992777189 Geissler, Francis T, MD, (M) Olympia, WA 98506 207 Yelm Avenue West Group Name: Eye Mds Of Puget Yelm, WA 98597 (360) 252-1642 Sound Pllc M-Th 8:00 AM-5:00 PM (360) 458-2088 Provider ID: GEIS015 F 8:00 AM-1:00 PM M-Th 9:00 AM-5:00 PM NPI: 1386683837 Ages: 0-99 F 9:00 AM-2:00 PM

2401 Bristol Court South West Ages: 0-99 Suite B101 Optometry

Glandon, Joseph W, OD, (M) Olympia, WA 98502 Group Name: Dr. Joseph (253) 248-2020 Aaseby, Jenni R, OD, (F) Glandon LLC W 8:00 AM-5:00 PM Group Name: Hawks Prairie Provider ID: GLAN031 F 8:00 AM-2:00 PM Vision Clinic NPI: 1356457436 Ages: 0-99 Provider ID: AASE013 NPI: 1720133374 1401 Galaxy Drive North East Gurdian, Silvio J, MD, (M) 2539 Marvin Road Ne Walmart Vision Center 3531 Group Name: Eye Mds Of Puget Suite B Olympia, WA 98516 Sound Pllc Lacey, WA 98516 (360) 456-7867 Provider ID: GURD014 Languages Spoken: (360) 459-3333 NPI: 1164497558 M,W,Th 8:30 AM-6:00 PM Provider: German 2401 Bristol Court South West Tu 9:30 AM-6:00 PM Interpreter: German Suite B101 F 8:30 AM-4:00 PM M,Tu,W,Sa 10:00 AM-6:00 PM Olympia, WA 98502 Ages: 0-99 Ages: 0-99 (360) 753-2955 M-Th 8:00 AM-5:00 PM F 8:00 AM-3:00 PM Ages: 0-99

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

343

Washington - Thurston Vision

Grimes, James H, OD, (M) Ly, Van B, OD, (F) Olsovsky, Paul J, OD, (M) Group Name: Kornmesser Opt Group Name: Van B. Ly, Od LLC Group Name: Eyes On Pearle, Clinic, Inc Provider ID: LY032 Pllc Provider ID: GRIM011 NPI: 1386836591 Provider ID: OLSO133 NPI: 1104818814 319 7th Avenue South East NPI: 1700112125 1405 Harrison Avenue North West Suite 101 625 Black Lake Boulevard Olympia, WA 98502 Olympia, WA 98501 Southwest

(360) 357-5548 (360) 748-6191 Olympia, WA 98502

M,F 8:00 AM-5:00 PM Languages Spoken: (360) 357-2542 Tu,W,Th 8:00 AM-6:00 PM Provider: Vietnamese Languages Spoken: Sa 7:30 AM-2:00 PM Interpreter: Vietnamese Provider: Spanish Ages: 0-99 M-F 9:00 AM-5:00 PM Interpreter: Spanish Ages: 0-99 M,Tu,F,Sa,Su 11:00 AM-6:00 PM Hamblet, Samantha, OD, (F) Ages: 0-99 Group Name: Eye Love Pllc Mamiya, Reid I, OD, (M) Provider ID: HAMB042 Group Name: Pacific Cataract Piranio, Aron, OD, (M) NPI: 1639327232 And Laser Institute, Inc., P.c. Group Name: Hawks Prairie 3409 Capitol Boulevard Southwest Provider ID: MAMI0110 Vision Clinic Olympia, WA 98501 NPI: 1407963770 Provider ID: PIRA031

(360) 228-2733 115 New View Court Northeast NPI: 1356724009 M-Tu 9:00 AM-5:00 PM Olympia, WA 98506 2539 Marvin Road Northeast

W 11:00 AM-7:00 PM (360) 252-1642 Suite B F 10:00 AM-3:00 PM M-Th 8:00 AM-5:00 PM Lacey, WA 98516

Ages: 0-99 F 8:00 AM-1:00 PM (360) 459-3333 Ages: 0-99 M,W,Th 8:30 AM-6:00 PM Hays, David S, OD, (M) Tu 9:30 AM-6:00 PM Group Name: Vision Care Mattson, Jeffrey W, OD, (M) F 8:30 AM-4:00 PM Associates, Pllc Group Name: Pacific Cataract Ages: 0-99 Provider ID: HAYS022 And Laser Institute, Inc., P.c. NPI: 1710959580 Provider ID: MATT176 Renaud, Joseph J, OD, (M) 207 Yelm Avenue West NPI: 1831532571 Group Name: Kornmesser Opt Yelm, WA 98597 115 New View Court Northeast Clinic, Inc

(360) 458-2088 Olympia, WA 98506 Provider ID: RENA031

M-Th 9:00 AM-5:00 PM (360) 252-1642 NPI: 1952926636 F 9:00 AM-2:00 PM M-Th 8:00 AM-5:00 PM 1405 Harrison Avenue North West Ages: 0-99 F 8:00 AM-1:00 PM Suite 101 Ages: 0-99 Olympia, WA 98502

(360) 357-5548 EB, ER, IB, P, R M,F 8:00 AM-5:00 PM Tu,W,Th 7:30 AM-6:00 PM Sa 7:30 AM-2:00 PM

344

Vision Washington - Thurston Web address: olympiaeyedoctor.co m Ages: 0-99

Riskedahl, Amy L, OD, (F) Group Name: Amy L. Riskedahl, Od Pllc Provider ID: RISK013 NPI: 1104863356 5900 Littlerock Road South West Olympia, WA 98512

(360) 350-6024 Tu,W,F 10:00 AM-6:00 PM Sa 10:00 AM-5:00 PM Cultural Competency: Y Ages: 0-99

Zurcher, Levi A, OD, (M) Group Name: Levi Zurcher, Ps Provider ID: ZURC012 NPI: 1801051602 400 Yauger Way Southwest Building 1 Suite A Olympia, WA 98502

(360) 491-2121 EB, ER, IB, P, R M-Th 8:30 AM-5:00 PM F 8:30 AM-3:00 PM Ages: 0-99

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

345

Washington - Mason Pharmacy

Pharmacy

Washington Peninsula Community Health Safeway Pharmacy #0585

Services Phar Provider ID: 4917285 Mason Provider ID: 4938152 NPI: 1427094010

NPI: 1497205223 600 W Franklin St Pharmacy 31 Ne State Route 300 Shelton, WA 98584

Suite 102 (360) 426-0718 EB, IB, P, R, S Fred Meyer Pharmacy Belfair, WA 98528

Provider ID: 4926044 (360) 277-2555 Languages Spoken: NPI: 1003852641 Languages Spoken: Provider: English 301 E Wallace Kneeland Blvd Provider: English M-F 9:00 AM-8:30 PM Shelton, WA 98584 Ages: 0-99 Sa 9:00 AM-6:00 PM (360) 432-5373 Su 11:00 AM-5:00 PM Qfc Pharmacy #101 M-F 9:00 AM-9:00 PM Ages: 0-99 Sa 9:00 AM-7:00 PM Provider ID: 4929874 Su 11:00 AM-6:00 PM NPI: 1225053861 Safeway Pharmacy #1571 Ages: 0-99 Ne 201 State Rt 300 Provider ID: 4927173 Belfair, WA 98528 NPI: 1902835929

Kamilche Pharmacy (360) 275-9671 23961 Ne State Route 3 Provider ID: 4929709 Languages Spoken: Belfair, WA 98528 NPI: 1548378318 Provider: English (360) 275-0953 EB, IB, P, R, S 90 Se Klah-che-min Dr M-F 9:00 AM-8:00 PM Shelton, WA 98584 Sa 9:00 AM-6:00 PM Languages Spoken: (360) 432-3990 E, EB, P, R Su 11:00 AM-6:00 PM Provider: English Languages Spoken: Ages: 0-99 M-F 9:00 AM-9:00 PM Provider: English Sa 9:00 AM-6:00 PM M-F 9:00 AM-5:00 PM Rite Aid Pharmacy 06544 Su 11:00 AM-6:00 PM Cultural Competency: Y Provider ID: 4933138 Ages: 0-99 Ages: 0-99 NPI: 1679728075 23940 Ne State Route 3 Shelton Pharmacy Neils Pharmacy Belfair, WA 98528 Provider ID: 4937732

Provider ID: 4908274 (360) 275-8964 EB, IB, P, R NPI: 1801244504 NPI: 1285729012 Languages Spoken: 110 W K St 512 W Franklin Provider: English Shelton, WA 98584 Shelton, WA 98584 M-F 9:00 AM-9:00 PM (360) 545-4333 (360) 426-3327 Sa 9:00 AM-6:00 PM Languages Spoken: Languages Spoken: Su 10:00 AM-6:00 PM Provider: English, Hindi, Telugu Provider: English Cultural Competency: Y M-F 9:00 AM-6:00 PM M-F 9:00 AM-6:00 PM Ages: 0-99 Sa 9:00 AM-1:00 PM Sa 10:00 AM-2:00 PM Su 10:00 AM-1:00 PM Web address: www.neilspharm.com Web address: www.sheltonpharmac Ages: 0-99 y.net Ages: 0-99

346

Pharmacy Washington - Thurston Ages: 0-99 The Medicine Shoppe #106 Cvs Pharmacy #16694 Provider ID: 4933227 Costco Pharmacy #740 Provider ID: 4929088 NPI: 1417197567 Provider ID: 4931920 NPI: 1457373144 207 Professional Way NPI: 1700996352 665 Sleater Kinney Rd Se Shelton, WA 98584 1470 Marvin Rd Ne Lacey, WA 98503

(360) 426-4272 Lacey, WA 98516 (360) 486-8927

Languages Spoken: (360) 412-3488 Languages Spoken: Provider: English Languages Spoken: Provider: English M 9:00 AM-6:00 PM Provider: English M-F 9:00 AM-9:00 PM Tu,W,Th,F 9:00 AM-5:30 PM M-F 10:00 AM-8:30 PM Sa,Su 9:00 AM-6:00 PM Sa 9:00 AM-1:00 PM Sa 9:30 AM-6:00 PM Ages: 0-99 Web address: medicineshoppe.com/ Ages: 0-99 Foot & Ankle Surgical Associates 0106 Credena Health Pharmacy Provider ID: 4939356 Ages: 0-99 Olympia NPI: 1790181899 Walmart Pharmacy 10-2121 Provider ID: 4905393 1610 Bishop Rd Sw Ste 101 Provider ID: 4923896 NPI: 1487696787 Tumwater, WA 98512

NPI: 1699793356 413 Lilly Rd Ne (360) 706-2813 100 E Wallace Kneeland Bvld Mail Stop Llh10 Languages Spoken: Shelton, WA 98584 Olympia, WA 98506 Provider: English

(360) 427-0171 E, EB, IB, P, R, (360) 493-7412 Ages: 0-99 S, T Languages Spoken: Fred Meyer Pharmacy Languages Spoken: Provider: English Provider ID: 4929278 Provider: English M-F 8:00 AM-5:30 PM NPI: 1932145471 M-F 9:00 AM-9:00 PM Web address: https://www.cornerdr 555 Trosper Rd Sw Sa 9:00 AM-7:00 PM ugstore.com/?corpid=308200&phar Tumwater, WA 98512 Su 10:00 AM-6:00 PM mid=1999 (360) 753-7933 Cultural Competency: Y Ages: 0-99 M-F 9:00 AM-9:00 PM Ages: 0-99 Cvs Pharmacy #16153 Sa 9:00 AM-7:00 PM Thurston Provider ID: 4930512 Su 11:00 AM-6:00 PM

NPI: 1740202431 Ages: 0-99 Pharmacy 2925 Harrison Ave Nw

Fred Meyer Pharmacy Olympia, WA 98502 Costco Pharmacy #64 Provider ID: 4919796 (360) 570-4617 NPI: 1912071440 Provider ID: 4921169 Languages Spoken: 700 Sleater Kinney Rd Ne NPI: 1871603415 Provider: English Lacey, WA 98503 5500 Littlerock Rd Sw M-F 9:00 AM-9:00 PM (360) 438-6483 Tumwater, WA 98512 Sa,Su 9:00 AM-6:00 PM Languages Spoken: (360) 357-7290 Ages: 0-99 Languages Spoken: Provider: English Provider: English M-F 9:00 AM-9:00 PM M-F 10:00 AM-8:30 PM Sa 9:00 AM-7:00 PM Sa 9:30 AM-6:00 PM Su 11:00 AM-6:00 PM

All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

347

Washington - Thurston Pharmacy Ages: 0-99 Martin's Southgate Drug Nisqually Tribal Pharmacy Haggen Pharmacy #3444 Provider ID: 4920206 Provider ID: 4933645 Provider ID: 4937679 NPI: 1750392254 NPI: 1952623027 NPI: 1972958304 5201 Capitol Blvd Sw 4816 She Nah Num Dr Se 1313 Cooper Pt Rd Tumwater, WA 98501 Olympia, WA 98513

Olympia, WA 98502 (360) 943-4043 (360) 491-9770

(360) 754-1504 EB, IB, P, R, S Languages Spoken: Languages Spoken: Provider: English Provider: English, Spanish, Languages Spoken: M-F 10:00 AM-6:30 PM Chinese Provider: English Sa 10:00 AM-3:00 PM Ages: 0-99 M-F 9:00 AM-8:00 PM Ages: 0-99 Providence Mother Joseph Ccp Sa 9:00 AM-7:00 PM Metmeds Provider ID: 4927262 Su 9:00 AM-6:00 PM Provider ID: 4931209 NPI: 1235271701 Ages: 0-99 NPI: 1730160433 3333 Ensign Rd Ne Hawks Prairie Health Mart 5707 Lacey Blvd Se Olympia, WA 98506

Pharmacy Suite 103 (360) 493-4572 Provider ID: 4935598 Lacey, WA 98503 Languages Spoken:

NPI: 1508292707 (360) 459-5401 EB, IB, P, R, S Provider: English 2539 Marvin Rd Ne Ste E M-F 9:00 AM-5:00 PM Lacey, WA 98516 Languages Spoken: Web address: http://washington.pro (360) 438-3072 Provider: English vidence.org/senior-care/mother-jose Languages Spoken: M-F 9:00 AM-5:00 PM ph-c Provider: English Web address: www.metmeds.com Ages: 0-99 M-F 8:00 AM-6:30 PM Ages: 0-99 Puget Pharmacy Services Sa 9:00 AM-5:00 PM Naturopathic Health Center Provider ID: 4927856 Web address: www.healthmart.com Provider ID: 4936615 NPI: 1255433447 Ages: 0-99 NPI: 1699163048 1751 Circle Ln Se Heddens Pharmacy 2747 Pacific Ave Se Ste B19 Lacey, WA 98503

Provider ID: 4909769 Olympia, WA 98501 (360) 456-5389 NPI: 1588675086 (360) 878-8735 Languages Spoken: 196 Sussex Ave W Languages Spoken: Provider: English Tenino, WA 98589 Provider: English M-F 9:30 AM-7:00 PM (360) 264-2575 M-F 9:00 AM-5:00 PM Ages: 0-99 Languages Spoken: Ages: 0-99 Provider: English M-Sa 9:00 AM-6:00 PM Web address: heddensrx.com Ages: 0-99

348

Pharmacy Washington - Thurston

Qfc Pharmacy Rite Aid Pharmacy # 05279 Rite Aid Pharmacy # 05286 Provider ID: 4926359 Provider ID: 4921638 Provider ID: 4923860 NPI: 1144245788 NPI: 1275642589 NPI: 1124137443 4775 Whitman Lane Se 691 Sleater Kinney Road Southeast 909 East Yelm Avenue Lacey, WA 98513 Lacey, WA 98503 Yelm, WA 98597

(360) 438-6314 (360) 491-4111 EB, IB, P, R (360) 458-9011 EB, IB, P, R Languages Spoken: Provider: English Languages Spoken: Languages Spoken: M-F 9:00 AM-8:00 PM Provider: English Provider: English Sa 9:00 AM-6:00 PM M-F 9:00 AM-9:00 PM M-F 9:00 AM-9:00 PM Su 11:00 AM-6:00 PM Sa 9:00 AM-6:00 PM Sa 9:00 AM-6:00 PM Ages: 0-99 Su 10:00 AM-6:00 PM Su 10:00 AM-6:00 PM Cultural Competency: Y Cultural Competency: Y Ralphs Thriftway Pharmacy Ages: 0-99 Ages: 0-99 Provider ID: 4905254 NPI: 1821182130 Rite Aid Pharmacy # 05280 Safeway Pharmacy #0543 1908 4th Ave E Provider ID: 4919304 Provider ID: 4917728 Olympia, WA 98506 NPI: 1912016221 NPI: 1154350171

(360) 352-4426 8230 Martin Way East 4700 Yelm Hwy Se Languages Spoken: Lacey, WA 98516 Lacey, WA 98503 Provider: English (360) 456-0444 EB, IB, P, R (360) 438-0081 EB, IB, P, R, S M-F 9:00 AM-7:00 PM Sa 9:00 AM-5:30 PM Languages Spoken: Languages Spoken: Ages: 0-99 Provider: English Provider: English M-F 9:00 AM-9:00 PM M-F 9:00 AM-9:00 PM Rite Aid Pharmacy # 05278 Sa 9:00 AM-6:00 PM Sa 9:00 AM-6:00 PM Provider ID: 4921943 Su 10:00 AM-6:00 PM Su 11:00 AM-6:00 PM NPI: 1962511287 Cultural Competency: Y Ages: 0-99 305 Cooper Point Road Northwest Ages: 0-99 Suite 103 Safeway Pharmacy #1173 Olympia, WA 98502 Rite Aid Pharmacy # 05281 Provider ID: 4931780

(360) 754-8014 EB, IB, P, R Provider ID: 4925523 NPI: 1538190343 NPI: 1851400170 1243 Marvin Rd Ne Languages Spoken: 4776 Whitman Lane Southeast Lacey, WA 98516 Provider: English Lacey, WA 98513 (360) 252-2235 EB, IB, P, R, S M-F 8:00 AM-10:00 PM (360) 412-5962 EB, IB, P, R Sa,Su 9:00 AM-6:00 PM Languages Spoken: Cultural Competency: Y Languages Spoken: Provider: English Ages: 0-99 Provider: English M-F 9:00 AM-7:00 PM M-F 9:00 AM-9:00 PM Sa 9:00 AM-6:00 PM Sa 9:00 AM-6:00 PM Su 11:00 AM-6:00 PM Su 10:00 AM-6:00 PM Ages: 0-99 Cultural Competency: Y Ages: 0-99

All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

349

Washington - Thurston Pharmacy

Safeway Pharmacy #1464 Safeway Pharmacy #1952 Sav-On Pharmacy #1407 Provider ID: 4924482 Provider ID: 4929913 Provider ID: 4924622 NPI: 1316983901 NPI: 1134158165 NPI: 1942256458 3215 Harrison Ave Nw 4280 Martin Way E 705 Trosper Rd Sw Olympia, WA 98502 Olympia, WA 98516 Tumwater, WA 98512

(360) 956-3827 EB, IB, P, R, S (360) 456-0709 EB, IB, P, R, S (360) 705-3679 EB, IB, P, R, S Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English Provider: English M-F 9:00 AM-9:00 PM M-F 9:00 AM-8:00 PM M-F 9:00 AM-9:00 PM Sa 9:00 AM-6:00 PM Sa 9:00 AM-5:00 PM Sa 9:00 AM-6:00 PM Su 11:00 AM-6:00 PM Su 10:00 AM-5:00 PM Su 11:00 AM-6:00 PM Ages: 0-99 Ages: 0-99 Ages: 0-99

Safeway Pharmacy #1503 Safeway Pharmacy #1977 Sav-On Pharmacy #3417 Provider ID: 4925636 Provider ID: 4929103 Provider ID: 4937554 NPI: 1619913480 NPI: 1801827613 NPI: 1598110322 520 Cleveland Ave Se 6200 Pacific Ave Se 3520 Pacific Ave Se Tumwater, WA 98501 Lacey, WA 98503 Olympia, WA 98501

(360) 943-7600 EB, IB, P, R, S (360) 486-3401 EB, IB, P, R, S (360) 491-9754 EB, IB, P, R, S Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English Provider: English M-F 9:00 AM-9:00 PM M-F 9:00 AM-8:00 PM M-F 9:00 AM-8:00 PM Sa 9:00 AM-6:00 PM Sa 10:00 AM-6:00 PM Sa 10:00 AM-6:00 PM Su 11:00 AM-6:00 PM Su 10:00 AM-5:00 PM Su 10:00 AM-5:00 PM Ages: 0-99 Ages: 0-99 Ages: 0-99

Safeway Pharmacy #1619 Samy's Drug Store Sea Mar Community Health Provider ID: 4926979 Provider ID: 4935473 Centers NPI: 1508802372 NPI: 1396187613 Provider ID: 4932679 1109 E Yelm Ave 3525 Ensign Rd Ne Ste H NPI: 1114113602 Yelm, WA 98597 Olympia, WA 98506 3030 Limited Lane Nw

(360) 458-8835 EB, IB, P, R, S (360) 878-8174 Olympia, WA 98502

Languages Spoken: (360) 704-7575 Languages Spoken: Provider: English, Hindi, Telugu Languages Spoken: Provider: English M-F 9:00 AM-6:00 PM Provider: Spanish, English M-F 9:00 AM-9:00 PM Sa 9:00 AM-1:00 PM Ages: 0-99 Sa 9:00 AM-6:00 PM Web address: https://stores.healthma Su 11:00 AM-6:00 PM rt.com/samysdrugstore/stores.aspx Ages: 0-99 Ages: 0-99

350

Pharmacy Washington - Thurston

Sound Specialty Pharmacy Walgreens #06917 Walmart Pharmacy 10-3531 Provider ID: 4938619 Provider ID: 4930118 Provider ID: 4929951 NPI: 1861994493 NPI: 1649285628 NPI: 1821015959 3855 Martin Way E 8333 Martin Way East 1401 Galaxy Dr Ne Ste A Lacey, WA 98516 Lacey, WA 98516

Olympia, WA 98506 (360) 455-0029 (360) 456-7862 E, EB, IB, P, R,

(360) 810-3710 Languages Spoken: S, T Languages Spoken: Provider: English Languages Spoken: Provider: English, French M-F 9:00 AM-9:00 PM Provider: English M-F 8:30 AM-5:00 PM Sa,Su 10:00 AM-6:00 PM M-F 9:00 AM-9:00 PM Web address: www.soundspecialtyr Ages: 0-99 Sa 9:00 AM-7:00 PM x.com Su 10:00 AM-6:00 PM Walgreens #12453 Ages: 0-99 Cultural Competency: Y Provider ID: 4934142 Ages: 0-99 Tims Pharmacy And Gift Shop NPI: 1386927028 Provider ID: 4910522 702 Trosper Rd Sw Walmart Pharmacy 10-3705 NPI: 1760475016 Tumwater, WA 98512 Provider ID: 4932415

106 1st. St, S (360) 943-5178 NPI: 1114129392 Yelm, WA 98597 Languages Spoken: 17100 State Route 507 Se

(360) 458-8467 Provider: English Yelm, WA 98597

Languages Spoken: M-F 9:00 AM-9:00 PM (360) 400-8062 E, EB, IB, P, R, Provider: English Sa,Su 10:00 AM-6:00 PM S, T M-F 9:00 AM-7:00 PM Ages: 0-99 Languages Spoken: Sa 9:00 AM-6:00 PM Provider: English Walgreens #5571 Web address: www.timspharmacy.c M-F 9:00 AM-9:00 PM Provider ID: 4927806 om Sa 9:00 AM-7:00 PM NPI: 1104831171 Ages: 0-99 Su 10:00 AM-6:00 PM 1510 Cooper Point Rd Sw Cultural Competency: Y Walgreens #06083 Olympia, WA 98502 Ages: 0-99 Provider ID: 4928606 (360) 570-8008 NPI: 1568477537 Languages Spoken: Walmart Pharmacy 10-3850 4540 Lacey Blvd Se Provider: English Provider ID: 4934015 Lacey, WA 98503 M-F 8:00 AM-10:00 PM NPI: 1639462237

(360) 438-2353 Sa 9:00 AM-6:00 PM 5900 Littlerock Rd Sw Languages Spoken: Su 10:00 AM-6:00 PM Tumwater, WA 98512

Provider: English Ages: 0-99 (360) 350-6030 E, EB, IB, P, R, M-F 9:00 AM-9:00 PM S, T Sa,Su 10:00 AM-6:00 PM Languages Spoken: Ages: 0-99 Provider: English M-F 9:00 AM-9:00 PM Sa 9:00 AM-7:00 PM Su 10:00 AM-6:00 PM Cultural Competency: Y Ages: 0-99

All providers are proficient in English unless otherwise noted. CSWA.15.999.21.9.007

351

Washington - Thurston Pharmacy

Walmart Pharmacy 10-4757 Provider ID: 4936336 NPI: 1275941361 5110 Yelm Hwy Se Lacey, WA 98503

(360) 252-2907 E, EB, IB, P, R, S, T Languages Spoken: Provider: English M-F 9:00 AM-9:00 PM Sa 9:00 AM-7:00 PM Su 10:00 AM-6:00 PM Cultural Competency: Y Ages: 0-99

West Olympia Pharmacy, Pllc Provider ID: 4936855 NPI: 1528441417 400 Yauger Way Sw Ste B Olympia, WA 98502

(360) 742-3340 Languages Spoken: Provider: English M-F 9:00 AM-6:00 PM Sa 9:00 AM-2:00 PM Web address: www.westolympiapha rmacy.com Ages: 0-99

352

Ancillary Providers Washington - Thurston

Ancillary Providers

Washington X-Ray / Radiology Center Olympia Eye Clinic & Laser

Center Mason Tra-Minw Ps Provider ID: 002477239001

Provider ID: 001726766001 NPI: 1780845826 Dialysis Center NPI: 1396814166 215 Lilly Rd Ne

2321 W Dayton Airport Rd Olympia, WA 98506 Belfair Dialysis Shelton, WA 98584 (360) 456-4800 EB, P, R Provider ID: 005518948001 (253) 761-4200 EB, P, R Olympia Eye Clinic & Laser NPI: 1992192611 Web address: www.tranow.com 1930 Olympic Hwy N Center Thurston Shelton, WA 98584 Provider ID: 002477239001

NPI: 1780845826 (360) 275-6348 EB, P, R Ambulatory Surgery Center 724 Columbia St Nw

Rcg Shelton Olympia, WA 98501 Foot And Ankle Surgical Provider ID: 003430521001 (360) 456-4800 EB, P, R NPI: 1083774483 Associates 1872 N 13th Loop Rd Provider ID: 002967198002 Olympia Multi Spec Clinic Asc Shelton, WA 98584 NPI: 1255351714 Provider ID: 002222288001 NPI: 1821101197 (360) 432-2601 EB, P, R 1610 Bishop Rd Sw Ste 101

Tumwater, WA 98512 3920 Capitol Mall Dr Sw Ste 300 Durable Medical Equipment (360) 754-3338 EB, P, R, RE, T Olympia, WA 98502

(360) 754-0278 EB, P, R Saint-Mark Enterprises #106 Provider ID: 003362873001 Foot And Ankle Surgical Olympia Surgery Center Facility NPI: 1417197567 Associates Provider ID: 002189545003 207 Professional Way Provider ID: 002967198002 NPI: 1083785398 Shelton, WA 98584 NPI: 1255351714 1625 Mottman Rd Sw Ste B 201 Tahoma Blvd Unit 208 Tumwater, WA 98512 (360) 426-4272 EB, P, R

Yelm, WA 98597 (360) 528-8567 EB, P, R Skilled Nursing Facility (360) 400-3338 EB, P, R Web address: http://olyortho.com/se

rvices/olympia-sug Gastroenterology Associates End Fir Lane Health & Rehab Ctr Provider ID: 001280965005 Center Olympia Surgery Center Facility NPI: 1831603075 Provider ID: 002078635003 Provider ID: 002189545003 2430 N 13th St NPI: 1548241623 NPI: 1083785398 Shelton, WA 98584 209 Lilly Rd Ne 3901 Capital Mall Dr Sw Ste B Olympia, WA 98506 Olympia, WA 98502 (360) 426-1651 EB, P, R (360) 413-8250 E, EB, IB, P, R, (360) 528-8567 E, EB, IB, P, R, Shelton Health And RE, S, T RE, S, T Rehabilitation Center Web address: olygastro.com Web address: http://olyortho.com/se Provider ID: 002167984001 rvices/olympia-sug NPI: 1427006220 153 Johns Ct Shelton, WA 98584

(360) 427-2575 EB, P, R

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

353

Washington - Thurston Ancillary Providers

Pacific Cataract & Laser Inst Fmc Thurston County National Seating & Mobility Provider ID: 002366094001 Provider ID: 005142081001 Provider ID: 002446667006 NPI: 1467629147 NPI: 1588087233 NPI: 1003213448 115 New View Ct Ne 8770 Tallon Ln Ne 5709 Lacey Blvd Se Ste 200 Olympia, WA 98506 Lacey, WA 98516 Lacey, WA 98503

(360) 252-1642 E, EB, IB, P, R, (360) 491-5076 EB, P, R (844) 601-9462 EB, P, R S, T Olympia Dialysis Center Olympia Respiratory Services

Birthing Center Provider ID: 003200505001 Provider ID: 001969945001

NPI: 1578715710 NPI: 1801828207 Birth House 335 Cooper Point Rd Nw Ste 105 1404 Harrison Ave Nw Provider ID: 003120073001 Olympia, WA 98502 Olympia, WA 98502 NPI: 1336377886 (360) 357-6198 EB, P, R (360) 236-0311 EB, P, R 2117 State Ave Ne Tumwater Dialysis Olympia Respiratory Services Olympia, WA 98506 Provider ID: 005518950001 Provider ID: 001969945001 (360) 459-7222 EB, P, R NPI: 1700265006 NPI: 1801828207 Birth House 855 Trosper Rd Sw Ste 110 3773 Martin Way E Ste C102 Provider ID: 003120073001 Tumwater, WA 98512 Olympia, WA 98506 NPI: 1336377886 (360) 352-7522 EB, P, R (360) 688-7669 EB, P, R 2120 Pacific Ave Performance Modalities Olympia, WA 98506 Durable Medical Equipment

Provider ID: 001374055003 (360) 459-7222 EB, P, R Geneva Woods Health Supplies NPI: 1942251426

Diagnostic Testing Facility Provider ID: 005790407003 703 Lilly Rd Ne Ste 101

NPI: 1942339015 Olympia, WA 98506 Swedish Radia Edmonds 6149 Martin Way E (360) 456-4052 EB, P, R Provider ID: 002607481006 Lacey, WA 98516 Home Health Agency NPI: 1164494373 (360) 456-5475 EB, P, R

3417 Ensign Rd Ne Judys Intimate Apparel Harbor Health Solutions Olympia, WA 98506 Provider ID: 001793316002 Provider ID: 007235466002 (360) 493-4600 EB, P, R NPI: 1669579587 NPI: 1285294819

Dialysis Center 2528 Pacific Ave Se 8120 Freedom Ln Ne Ste 104

Olympia, WA 98501 Lacey, WA 98516 Fkc Olympia (360) 357-8807 EB, P, R (360) 952-5252

Provider ID: 002160460001 Lincare NPI: 1770643868 Provider ID: 001815015437 3406 12th Ave Ne NPI: 1043439201 Olympia, WA 98506 6706 Martin Way E (360) 455-5026 EB, P, R Olympia, WA 98516

(360) 923-1985 EB, P, R

354

Ancillary Providers Washington - Thurston

Providence Soundhomecare And Laboratory Quest Diagnostics

Hospice Provider ID: 000008677019 Provider ID: 001283485001 Cellnetix Labs NPI: 1104016088 NPI: 1063415198 Provider ID: 002571278001 315 Cooper Point Rd Nw Ste 103 3432 S Bay Rd Ne NPI: 1063481570 Olympia, WA 98502 Olympia, WA 98506 3900 Capitol Mall Dr Sw (360) 943-4148 EB, P, R

(800) 869-7062 EB, P, R Olympia, WA 98502 Quest Diagnostics Web address: washington.providenc (866) 236-8296 E, EB, G, IB, P, Provider ID: 000008677019 e.org/ PL, R, RE, S, T NPI: 1104016088 Providence Soundhomecare And Cellnetix Labs 4280 Martin Way E Hospice Provider ID: 002571278001 Olympia, WA 98516 Provider ID: 001283485001 NPI: 1063481570 (360) 459-4360 EB, P, R NPI: 1063415198 413 Lilly Rd Ne 413 Lilly Rd Ne Olympia, WA 98506 Occupational Therapy

Olympia, WA 98506 (866) 236-8296 EB, P, R Amber Kilczewski Otr L (425) 254-5506 EB, P, R Web address: www.celinetix.com Provider ID: 003595293002

Hospice Olympia Radiologists 1717 Fir St Ne

Provider ID: 000707231001 Olympia, WA 98506 Northwest Healthcare Alliance NPI: 1356340970 (360) 259-3620 EB, IB, P, R Hospice 3525 Ensign Rd Ne Ste B Amber Kilczewski Otr L Provider ID: 006232880001 Olympia, WA 98506 Provider ID: 003595293002 NPI: 1154426815 (360) 570-3000 EB, P, R 3231 Willamette Dr Ne Ste A&b 2102 Carriage St Sw Ste H Olympia Radiologists Lacey, WA 98516 Olympia, WA 98502 Provider ID: 000707231001 (360) 259-3620 EB, P, R (360) 352-0711 EB, P, R NPI: 1356340970 Amber Kilczewski Otr L 3900 Capitol Mall Dr Infusion Therapy Provider ID: 003595293002 Olympia, WA 98502 4780 Capitol Blvd Se Providence Infusion & Pharmacy (360) 438-1303 E, EB, G, IB, P, Tumwater, WA 98501 Provider ID: 001060496001 PL, R, RE, S, T (360) 259-3620 EB, P, R NPI: 1285687749 Olympia Radiologists 3333 Ensign Rd Ne Beth Wilder Otr L Provider ID: 000707231001 Olympia, WA 98506 Provider ID: 003510513001 NPI: 1356340970 (360) 483-4900 EB, P, R 4780 Capitol Blvd Se Unit 2 4520 Intelco Loop Se #4e Web address: washington.providenc Tumwater, WA 98501 Lacey, WA 98503 e.org (360) 790-2176 EB, P, R (360) 570-3023 EB, P, R Billie Uhri Otr L Provider ID: 003504598002 4780 Capitol Blvd Se Unit 2 Tumwater, WA 98501

(360) 943-2827 EB, P, R

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

355

Washington - Thurston Ancillary Providers

Billie Uhri Otr L Mindi Knudson Otr L Physical Therapy

Provider ID: 003504598002 Provider ID: 003638749001 7211 Bayview Dr Ne 4780 Capitol Blvd Se Advanced Rehabilitation Olympia, WA 98506 Tumwater, WA 98501 Specialties (360) 943-2827 EB, P, R (316) 841-8528 EB, P, R Provider ID: 002883234001 NPI: 1457531956 Leaps And Bounds Pediatric Schmitz Occupational Therapy 10091 Highway 12 Sw Therapy Wa Services Rochester, WA 98579 Provider ID: 003632295003 Provider ID: 003697029002 (360) 273-4747 EB, P, R NPI: 1770649956 NPI: 1194159244 3231 Willamette Dr Ne Ste A 677 Woodland Square Loop Se Alignment Physical Therapy Lacey, WA 98516 Lacey, WA 98503 Provider ID: 006104806002 (360) 878-8734 EB, P, R (360) 539-8801 RE NPI: 1508249665 Web address: leapsandboundsot.co 208 Lilly Rd Ne Ste A m Orthotics / Prosthetics Olympia, WA 98506

(360) 915-6571 EB, P, R Life Span Occupational Therapy Hanger Prosthetics & Orthotics Services West Alliant Continuum Care Provider ID: 005620323002 Provider ID: 006376259001 Provider ID: 002799523001 1240 Ruddell Rd Se NPI: 1962576850 NPI: 1720106446 Lacey, WA 98503 3508 12th Ave Ne 222 Kenyon St Nw Ste 15 (360) 789-2332 EB, P, R Olympia, WA 98506 Olympia, WA 98502

(360) 459-1099 EB, P, R (253) 572-4611 E, EB, G, IB, P, Life Span Occupational Therapy R, RE, S, T Services Knapp Prosthetics Provider ID: 005620323002 Provider ID: 002499054002 Ati Physical Therapy 3231 Willamette Dr Ne Ste A NPI: 1124082433 Provider ID: 005229140001 Lacey, WA 98516 530 Lilly Rd Se Ste 100 NPI: 1851423271 (425) 395-6006 EB, P, R Olympia, WA 98501 100 Dennis St Sw Ste A

(360) 486-0565 EB, P, R Tumwater, WA 98501 Mindi Knudson Otr L (360) 704-3300 E, EB, G, IB, P, Provider ID: 003638749001 Maughan Prosthetic & Orthotic R, RE, S, T 2401 Bristol Ct Sw Ste A103 Provider ID: 003201361002 Olympia, WA 98502 NPI: 1215168398 Ati Physical Therapy (316) 841-8528 EB, P, R 208 Lilly Rd Ne Ste A Provider ID: 005229140001 Olympia, WA 98506 NPI: 1851423271 Mindi Knudson Otr L (360) 447-0770 EB, P, R 100 W Dennis St Ste A Provider ID: 003638749001 Tumwater, WA 98501 2401 Bristol Ct Sw Ste A104 West Coast Prosthetics & (360) 704-3300 EB, P, R Olympia, WA 98502 Orthotics (316) 841-8528 EB, P, R Provider ID: 002439975001 NPI: 1265590012 2102 Carriage Dr Sw Ste 102 Olympia, WA 98502

(360) 956-3333 EB, P, R

356

Ancillary Providers Washington - Thurston

Ati Physical Therapy Epic Pt Health And Performance Northwest Therapy Resource Provider ID: 005229140001 Provider ID: 003917517011 Provider ID: 006411563001 NPI: 1851423271 NPI: 1407282734 NPI: 1811175268 130 Marvin Rd Se Ste 2013 3000 Limited Ln Nw Ste 100 4780 Capitol Blvd Se Unit 2 Lacey, WA 98503 Olympia, WA 98502 Tumwater, WA 98501

(360) 456-3300 EB, P, R (360) 292-7245 E, EB, G, IB, P, (716) 200-2275 PL, R, RE, S, T Ati Physical Therapy Olympia Orthopaedic Pt Provider ID: 005229140001 Inspire Physical Therapy Wa Provider ID: 003460381001 NPI: 1851423271 Provider ID: 003653042003 NPI: 1558531459 130 Marvin Rd Se Ste 203 NPI: 1427497106 3901 Capital Mall Dr Sw Ste D Lacey, WA 98503 100 Dennis St Sw Ste A Olympia, WA 98502

(630) 296-2223 EB, P, R, RE, T Tumwater, WA 98501 (360) 709-6221 EB, IB, P, R

(360) 819-4335 E, EB, G, IB, P, Olympia Orthopaedic Pt Ati Physical Therapy R, RE, S, T Provider ID: 003460381001 Provider ID: 005229140007 Inspire Physical Therapy Wa NPI: 1558531459 NPI: 1851423271 Provider ID: 003653042004 615 Lilly Rd Ne Ste 100 201 Tahoma Blvd Ste 207 NPI: 1427497106 Olympia, WA 98506 Yelm, WA 98597 100 Dennis St Sw Ste B (360) 491-4211 EB, P, R, RE, T (253) 203-3996 EB, P, R Tumwater, WA 98501

Ati Physical Therapy (360) 819-4335 EB, P, R Olympia Orthopaedic Pt

Provider ID: 005229140002 Inspire Physical Therapy Wa Provider ID: 003460381001 NPI: 1851423271 Provider ID: 003653042003 NPI: 1558531459 3015 Limited Ln Nw Ste B NPI: 1427497106 615 Lilly Rd Ne Ste 240 Olympia, WA 98502 4740 Avery Ln Se Olympia, WA 98506 (360) 709-0700 EB, P, R Lacey, WA 98503 (360) 413-3850 EB, P, R

Ati Physical Therapy (360) 491-1815 E, EB, G, P, R, Providence Centralia Physical Provider ID: 005229140001 RE, S, T Therapy

NPI: 1851423271 Northwest Health Associates Provider ID: 001160324003 5729 Littlerock Rd Sw Ste 109 Provider ID: 003787334001 NPI: 1801989587 Tumwater, WA 98512 NPI: 1396185906 4833 Tumwater Valley Dr #150 (360) 704-3300 EB, P, R 4770 Yelm Hwy Se Olympia, WA 98501

Lacey, WA 98503 (360) 493-4160 EB, P, R Epic Pt Health And Performance Provider ID: 003917517011 (360) 491-6074 EB, P, R Providence Centralia Physical

NPI: 1407282734 Northwest Therapy Resource Therapy 3000 Limited Ln Nw Provider ID: 006411563001 Provider ID: 001160324003 Olympia, WA 98502 NPI: 1811175268 NPI: 1801989587 (360) 352-2037 EB, P, R 3231 Willamette Dr Ne Ste A 4833 Tumwater Valley Dr Se Lacey, WA 98516 Olympia, WA 98501 (360) 493-4160 EB, P, R (716) 200-2275 EB, P, R

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

357

Washington - Thurston Ancillary Providers

Providence Centralia Physical Providence Centralia Physical Providence Physical Therapy Therapy Therapy Provider ID: 003532484001 Provider ID: 001160324003 Provider ID: 001160324003 NPI: 1801989587 NPI: 1801989587 NPI: 1801989587 4833 Turnwater Valley Dr #150 4833 Tumwater Valley Dr Se # 150 Tumwater Valley Dr Ste 150 Olympia, WA 98501

Olympia, WA 98501 Tumwater, WA 98501 (360) 493-4160 EB, P, R

(360) 493-4160 EB, P, R (360) 493-4160 EB, P, R Providence Physical Therapy Providence Centralia Physical Providence Physical Therapy Provider ID: 003532484001 Therapy Provider ID: 003532484001 NPI: 1801989587 Provider ID: 001160324003 NPI: 1801989587 Tumwater Valley Dr Ste 150 NPI: 1801989587 4833 Tumwater Valley Dr #150 Tumwater, WA 98501

4833 Tumwater Valley Dr Se #150 Olympia, WA 98501 (360) 493-4160 EB, P, R

Tumwater, WA 98501 (360) 493-4160 EB, P, R Puget Sound Physical Therapy (360) 493-4160 EB, P, R Providence Physical Therapy Provider ID: 006119244001 Providence Centralia Physical Provider ID: 003532484001 NPI: 1033571989 Therapy NPI: 1801989587 3201 Willamette Dr Ne Ste C Provider ID: 001160324003 4833 Tumwater Valley Dr Se Lacey, WA 98516

NPI: 1801989587 Olympia, WA 98501 (360) 438-4200 EB, P, R

4833 Tumwater Valley Dr Se Ste 1 (360) 493-4160 EB, P, R Puget Sound Physical Therapy Olympia, WA 98501 Providence Physical Therapy Provider ID: 006119244002 (360) 493-4160 EB, P, R Provider ID: 003532484001 NPI: 1033571989 Providence Centralia Physical NPI: 1801989587 3201 Williamette Dr Ne Ste C Therapy 4833 Tumwater Valley Dr Se # 150 Lacey, WA 98516

Provider ID: 001160324004 Olympia, WA 98501 (360) 455-0100 EB, P, R

NPI: 1801989587 (494) 416-4156 EB, P, R Restoration Rehabilitation 4833 Turnwater Valley Dr #150 Providence Physical Therapy Provider ID: 003225384001 Olympia, WA 98501 Provider ID: 003532484001 NPI: 1508196502 (360) 493-4160 EB, P, R NPI: 1801989587 10119 Highway 12 Sw Providence Centralia Physical 4833 Tumwater Valley Dr Se #150 Rochester, WA 98579 Therapy Tumwater, WA 98501 (360) 273-4747

Provider ID: 001160324003 (360) 493-4160 EB, P, R Languages Spoken: NPI: 1801989587 Provider: Spanish Providence Physical Therapy 4841 Tumwater Valley Dr Se Provider ID: 003532484001 Tumwater, WA 98501 Skilled Nursing Facility

NPI: 1801989587 (360) 493-4160 EB, P, R 4833 Tumwater Valley Dr Se Ste 1 Manorcare Health Serv Lacey Olympia, WA 98501 Provider ID: 003526564001 (360) 493-4160 EB, P, R NPI: 1952671505 4524 Intelco Loop Se Lacey, WA 98503

(360) 491-9890 P, RE, T

358

Ancillary Providers Washington - Thurston

Olympia Trans Care & Rehab Sleep Study Center Listenfirst Speech Therapy

Provider ID: 005410603001 Provider ID: 005947205003 NPI: 1740671734 Olympia Sleep Laboratory 655 Golf Club Pl Se Ste A 430 Lilly Rd Ne Provider ID: 003677410001 Lacey, WA 98503 Olympia, WA 98506 NPI: 1629153184 (425) 686-9520 EB, P, R

(360) 491-9700 EB, P, R 3920 Capitol Mall Dr Sw Ste 308 Rebekah Mc Kenzie Olympia, WA 98502 Panorama Provider ID: 006475415001 (360) 754-9559 EB, P, R Provider ID: 000899195001 3231 Willamette Dr Ne Ste A NPI: 1124011499 Olympia Sleep Laboratory Lacey, WA 98516 1600 Sleater Kinney Rd Se Provider ID: 003677410001 (360) 339-0624 EB, P, R Lacey, WA 98503 NPI: 1629153184 Whole Child Therapy Services (360) 438-5000 EB, P, R 3920 Capitol Mall Dr Sw Ste 310 Provider ID: 005205726003 Olympia, WA 98502 Providence Mother Joseph Care NPI: 1285025767 (360) 754-9559 EB, P, R Ct 2620 R W Johnson Blvd Sw Ste 112

Provider ID: 000977439001 Speech Pathology Tumwater, WA 98512

NPI: 1992704126 (360) 350-2220 EB, IB, P, R, T 3333 Ensign Rd Ne Cascade Speech And Language Olympia, WA 98506 Services Web address: www.wholechildthera pyservices.com (360) 493-4900 EB, P, R Provider ID: 003620960001

Web address: www.washington.pro 3525 Ensign Rd Ne Ste M1 X-Ray / Radiology Center

vidence.org Olympia, WA 98506

(360) 870-0291 EB, P, R Diagnostic Imaging Northwest Puget Sound Healthcare Center Provider ID: 000919945004 Christopher Heistand Ccc Slp Inc Provider ID: 002957613005 NPI: 1215441407 Ps NPI: 1215181482 4001 Capitol Mall Dr Sw Provider ID: 002821362004 345 Cooper Point Rd Nw Ste 103 Olympia, WA 98502 NPI: 1891965513 Olympia, WA 98502 (253) 761-4200 EB, P, R (360) 754-9792 EB, P, R 108 22nd Ave Sw Ste 14

Regency Olympia Rehabilitation Olympia, WA 98501 Diagnostic Imaging Northwest (360) 943-1180 EB, P, R Provider ID: 002957613005 And Nursi Provider ID: 000964615001 Kara Beck Slp NPI: 1215181482 NPI: 1093813214 Provider ID: 003829074001 5128 Yelm Hwy Se Ste D 1811 22nd Ave Se 1529 Overhulse Rd Nw Lacey, WA 98503 Olympia, WA 98501 Olympia, WA 98502 (253) 761-4200 EB, P, R

(360) 943-0910 EB, P, R (360) 888-8580 EB, P, R Diagnostic Imaging Northwest

Roo Lan Health & Rehab Kara Beck Slp Provider ID: 002957613005 Provider ID: 002555852002 Provider ID: 003829074002 NPI: 1215181482 NPI: 1346888591 1529 Overhulse Rd Nw Ste B 5128 Yelm Hwy Se Ste F 1505 Carpenter Rd Se Olympia, WA 98502 Lacey, WA 98503 (253) 761-4200 EB, P, R Lacey, WA 98503 (350) 888-8580 EB, P, R (360) 491-1765 EB, P, R

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

359

Washington - Thurston Ancillary Providers

Diagnostic Imaging Northwest Tra-Minw Ps Provider ID: 002957613005 Provider ID: 001726766001 NPI: 1215181482 NPI: 1396814166 704 Trosper Rd Sw Ste 118 5128 Yelm Hwy Se Ste D&f Tumwater, WA 98512 Lacey, WA 98503

(253) 761-4200 EB, P, R (253) 761-4200 EB, P, R Web address: www.tranow.com Tra-Minw Ps Provider ID: 001726766001 Tra-Minw Ps NPI: 1396814166 Provider ID: 001726766001 150 Dennis St Sw NPI: 1396814166 Tumwater, WA 98501 5128 Yelm Hwy Se Ste F

(253) 761-4200 EB, P, R, RE, T Lacey, WA 98503

(253) 761-4200 EB, P, R Web address: www.tranow.com Web address: www.tranow.com

Tra-Minw Ps Tra-Minw Ps Provider ID: 001726766001 Provider ID: 001726766001 NPI: 1396814166 NPI: 1396814166 345 Cooper Point Rd Nw Ste 103 704 Trosper Rd Sw Ste 118 Olympia, WA 98502 Tumwater, WA 98512 (253) 761-4200 EB, P, R (253) 761-4200 EB, P, R Web address: www.tranow.com Web address: www.tranow.com

Tra-Minw Ps Tra-Minw Ps Provider ID: 001726766001 Provider ID: 001726766001 NPI: 1396814166 NPI: 1396814166 3504 12th Ave Ne 7345 Linderson Way Sw Olympia, WA 98506 Tumwater, WA 98501 (253) 761-4200 EB, P, R (253) 761-4200 EB, P, R Web address: www.tranow.com Web address: www.tranow.com

Tra-Minw Ps Provider ID: 001726766001 NPI: 1396814166 500 Lilly Rd Ne Ste 160 Olympia, WA 98506

(253) 761-4200 EB, P, R Web address: www.tranow.com

Tra-Minw Ps Provider ID: 001726766001 NPI: 1396814166 5128 Yelm Hwy Se Ste D Lacey, WA 98503

(253) 761-4200 EB, P, R

360

Highline Medical Service (HMS) Washington - Thurston

Highline Medical Service (HMS)

Washington

Thurston

General Surgery

Feldmann, Timothy F, MD, (M), B Group Name: Capital Med Ctr Specialty Phys Provider ID: 006219785001 NPI: 1073839122 3920 Capitol Mall Dr Sw Ste 201 Olympia, WA 98502

(360) 596-4880 EB, P, R M-F 8:00 AM-4:30 PM Ages: 0-99 Hospital Affiliations: Multicare Capital Medical Center

Unless noted, all providers accept new patients and are proficient in English. CSWA.15.999.21.9.007

361

Washington - Thurston Northwest Physicians Network (NPN)

Northwest Physicians Network (NPN)

Washington Larsen, Dorian, NP, (M)

Group Name: Ideal Option Thurston Provider ID: 005504258038

NPI: 1356489041 Family Practice 205b Lilly Rd Ne Ste B

Olympia, WA 98506

Leibrand, Howard L, MD, (M), B (509) 222-1275 Group Name: Ideal Option Ages: 0-99 Provider ID: 001708759130 Areas of Expertise: E112, E160, NPI: 1710914312 MAT1, THS 205b Lilly Rd Ne Ste B Olympia, WA 98506

(877) 522-1275 Web address: https://idealoption.net/ Ages: 0-99 Hospital Affiliations: Skagit Valley Hospital Areas of Expertise: MAT1

Leibrand, Howard L, MD, (M), B Group Name: Ideal Option Provider ID: 001708759137 NPI: 1710914312 205b Lilly Rd Ne Ste C Olympia, WA 98506

(877) 522-1275 EB, P, R Web address: https://idealoption.net/ Ages: 0-99 Hospital Affiliations: Skagit Valley Hospital Areas of Expertise: MAT1

Nurse Practitioner

Galloway, Flora L, NP, (F) Group Name: Northwest Medical Specialties Provider ID: 006876539004 NPI: 1205330503 3920 Capital Mall Dr Sw Ste 100 Olympia, WA 98502

(360) 754-5168 EB, P, R Ages: 0-99

362

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363

AreasAreas of Expertise Index of Expertise Index

ABUSE (E010) Distefano, Jennifer D, MS ...... 309 Glidden, Edward, MA...... 310 Espinosa, Barbara, BS...... 300, 335 Green, Leeann, BS ...... 300, 335 Alber, Lynette N, MS ...... 283, 284, 335 Flake, Eric, MD...... 324, 337 Hooker, James C, MA...... 311 Campbell, Connie L, MA...... 308 Garcia, Patricia S, PA ...... 239 Horn, Melena, NON...... 300, 335, 336 Christy, Carin L, LPC ...... 308 Glidden, Edward, MA...... 310 Ishihara, Sharon P, MA...... 266, 279 Distefano, Jennifer D, MS ...... 309 Green, Leeann, BS ...... 300, 335 Jahn, Michelle L, MA ...... 312 Farmer, Lauren D, MA ...... 301, 336 Horn, Melena, NON...... 300, 335, 336 Jensen, Cynthia J, MS...... 331 Fogarty, Melissa L, MA...... 310 Jahn, Michelle L, MA ...... 312 Jones, Kelley S, PSY ...... 312, 337 Forno, Celia G, MA ...... 285, 335 Jones, Kelley S, PSY ...... 312, 337 Kaiser, Nathan E, FNP...... 182, 183 Glidden, Edward, MA...... 310 Judah, Liesl, CSW...... 331 Kozlowski, Sandra L, LPC ...... 292 Hoffer, Cynthia, BS ...... 311 Larson, Lisa A, LICSW ...... 331 Kurz, Janet G, MA...... 313 Jones, Kelley S, PSY ...... 312, 337 Miller, Holly, MA...... 300, 336 Larson, Lisa A, LICSW ...... 331 Kurz, Janet G, MA...... 313 Petersen Hobbs, Samantha S, MA ...... 316 Lott, Jami L, MA ...... 293 Larson, Lisa A, LICSW ...... 331 Rear, Jake O, NON ...... 300, 336 Magnuson Whyte, Adrian R, MA...... 277 Magnuson Whyte, Adrian R, MA...... 277 Reynolds, David J, PHD ..... 329, 338, 339 Mathews, Brandon J, MA ...... 293 Mezen, Margaret R, MA...... 277, 334 Rose, Jessica, MA...... 300, 336 Meis, Peter M, MD ...... 324, 325 Retterath, Gordon, MS...... 332 San Roman, Talia K, FNP ...... 288 Mezen, Margaret R, MA...... 277, 334 Schmidt, Carol, MA...... 278 Schroeder, Mary E, MA...... 288 Miller, Holly, MA...... 300, 336 Somppi, Kelsey, MA ...... 302, 318 Somppi, Kelsey, MA ...... 302, 318 Miller, Linda L, MD ...... 325 Staley, Molly J, MA...... 332 Tolliver, Traci N, MA...... 303 Miskimon, Mae M, MS...... 267, 334 Swan, Jennifer, MS...... 319, 337 Washington, Christina, MSW...... 319 Morris, John E, MA ...... 280, 325 Tolliver, Traci N, MA...... 303 Wheeler, Jessica, DNP...... 289 Mortinson, John P, MA...... 294, 295 Wiltse, Tricia, MA ...... 279, 320 Whipple, Angela, NON...... 301, 336 Navarro, Jennifer, MA ...... 315 Yearian, Marilyn R, MA...... 320, 337 Wright, Andrea, MA...... 289 Petersen Hobbs, Samantha S, MA ...... 316 ADOLESCENT CARE (13-18 YEARS) Zaldivar, Maria, MA...... 301, 336 Rear, Jake O, NON ...... 300, 336 (A010) ADOPTION (E015) Retterath, Gordon, MS...... 332 Abegg, Sharon C, MD ...... 322, 337 Reynolds, David J, PHD ..... 329, 338, 339 Campbell, Connie L, MA...... 308 Roberts, Ashley, BA ...... 300, 336 Alber, Lynette N, MS ...... 283, 284, 335 Distefano, Jennifer D, MS ...... 309 Allen, Rebecca E, NP...... 175 Rose, Jessica, MA...... 300, 336 Farmer, Lauren D, MA ...... 301, 336 San Roman, Talia K, FNP ...... 288 Barnes, Melanie H, PHD328, 329, 338, Forno, Celia G, MA ...... 285, 335 339 Schmidt, Carol, MA...... 278 Hoffer, Cynthia, BS ...... 311 Schroeder, Mary E, MA...... 288 Farmer, Lauren D, MA ...... 301, 336 Jones, Kelley S, PSY ...... 312, 337 Flake, Eric, MD...... 324, 337 Sharangpani, Ritawari, MD ...... 326 Mezen, Margaret R, MA...... 277, 334 Somppi, Kelsey, MA ...... 302, 318 Forno, Celia G, MA ...... 285, 335 Song, Joyann J, MA...... 302 Jennings-Vigil, Casilda M, MS... 267, 334 Song, Joyann J, MA...... 303 Swan, Jennifer, MS...... 319, 337 Staley, Molly J, MA...... 332 Jones, Kelley S, PSY ...... 312, 337 Yearian, Marilyn R, MA...... 320, 337 Mezen, Margaret R, MA...... 277, 334 Stocks, Kristin M, MA...... 319 Miskimon, Mae M, MS...... 267, 334 ADULT CARE (18 + YEARS) (P010) Sullivan, Nancy, MSW ...... 333 Powers, Kim M, MA...... 317, 337 Aaro, Kimberly M, MA ...... 273, 334 Tashakkor, Nasim, MA...... 322 Reynolds, David J, PHD ..... 329, 338, 339 Alber, Lynette N, MS ...... 283, 284, 335 Tolliver, Traci N, MA...... 303 Roberts, Ashley, BA ...... 300, 336 Allen, Rebecca E, NP...... 175 Valenzuela Ward, Eleanor A, MA...... 299 Rose, Jessica, MA...... 300, 336 Allgaier, Jeffrey T, MD ...... 282 Wang, Ken S, MD...... 326, 327 Sattar, Anjan K, MD ...... 337 Ambriz, Elisa, NON...... 299, 335 Warner, Jennica K, MS...... 300, 336 Swan, Jennifer, MS...... 319, 337 Bock, Cindy, PT...... 307 Watras, Charles C, MS...... 333 Wheeler, Jessica, DNP...... 289 Warner, Jennica K, MS...... 300, 336 Bray, Heidi J, NP ...... 68 Whipple, Angela, NON...... 301, 336 Yearian, Marilyn R, MA...... 320, 337 Campbell, Connie L, MA...... 308 Wiltse, Tricia, MA ...... 279, 320 Young, Linda, MD280, 326, 327, 334, 338 Casimiro, Magdalena, NON ...... 300, 335 Christy, Carin L, LPC ...... 308 Wright, Andrea, MA...... 289 ADOLESCENT CARE (13-18 YEARS) Clingenpeel, Jennifer A, MA...... 266, 284 Yearian, Marilyn R, MA...... 320, 337 (P080) Delastrada, Jean G, MD...... 309 Zaldivar, Maria, MA...... 301, 336 Aaro, Kimberly M, MA ...... 273, 334 Distefano, Jennifer D, MS ...... 309 ANGER (E017) Ambriz, Elisa, NON...... 299, 335 Espinosa, Barbara, BS...... 300, 335 Alber, Lynette N, MS ...... 283, 284, 335 Bock, Cindy, PT...... 307 Farmer, Lauren D, MA ...... 301, 336 Delastrada, Jean G, MD...... 309 Bray, Heidi J, NP ...... 68 Fogarty, Melissa L, MA...... 310 Farmer, Lauren D, MA ...... 301, 336 Casimiro, Magdalena, NON ...... 300, 335 Fordmeir, Jennifer L, NP ...... 285 Forno, Celia G, MA ...... 285, 335 Christy, Carin L, LPC ...... 308 Forno, Celia G, MA ...... 285, 335 Glidden, Edward, MA...... 310 Delastrada, Jean G, MD...... 309 Garcia, Patricia S, PA ...... 239 Hoffer, Cynthia, BS ...... 311 CSWA.15.999.21.9.007

364

Areas of Expertise Index Areas of Expertise Index

Hooker, James C, MA...... 311 Meis, Peter M, MD ...... 324, 325 Barnes, Melanie H, PHD328, 329, 338, Jahn, Michelle L, MA ...... 312 Mezen, Margaret R, MA...... 277, 334 339 Jensen, Cynthia J, MS...... 331 Miller, Linda L, MD ...... 325 Clingenpeel, Jennifer A, MA...... 266, 284 Kurz, Janet G, MA...... 313 Miskimon, Mae M, MS...... 267, 334 Delastrada, Jean G, MD...... 309 Magnuson Whyte, Adrian R, MA...... 277 Morris, John E, MA ...... 280, 325 Distefano, Jennifer D, MS ...... 309 Mezen, Margaret R, MA...... 277, 334 Navarro, Jennifer, MA ...... 315 Farmer, Lauren D, MA ...... 301, 336 Retterath, Gordon, MS...... 332 Oh, Isabelle, PHD ...... 328, 329 Flake, Eric, MD...... 324, 337 Reynolds, David J, PHD ..... 329, 338, 339 Petersen Hobbs, Samantha S, MA ...... 316 Fogarty, Melissa L, MA...... 310 Schmidt, Carol, MA...... 278 Poole, Donna L, CCC ...... 267 Fordmeir, Jennifer L, NP ...... 285 Schroeder, Mary E, MA...... 288 Presson, Judith, ARNP...... 130, 188, 288 Forno, Celia G, MA ...... 285, 335 Somppi, Kelsey, MA ...... 302, 318 Purses, Jennifer D, DO...... 327 Hoffer, Cynthia, BS ...... 311 Stocks, Kristin M, MA...... 319 Rayls, Katrina R, PHD...... 329, 330 Hooker, James C, MA...... 311 Swan, Jennifer, MS...... 319, 337 Retterath, Gordon, MS...... 332 Jones, Kelley S, PSY ...... 312, 337 Tolliver, Traci N, MA...... 303 Reynolds, David J, PHD ..... 329, 338, 339 Meis, Peter M, MD ...... 324, 325 Washington, Christina, MSW...... 319 Ryan, Mary W, PHD...... 329, 330 Mezen, Margaret R, MA...... 277, 334 Wiltse, Tricia, MA ...... 279, 320 Sattar, Anjan K, MD ...... 337 Miskimon, Mae M, MS...... 267, 334 Wright, Andrea, MA...... 289 Schmidt, Carol, MA...... 278 Reynolds, David J, PHD ..... 329, 338, 339 ANXIETY (E020) Schroeder, Mary E, MA...... 288 Schmidt, Carol, MA...... 278 Sharangpani, Ritawari, MD ...... 326 Somppi, Kelsey, MA ...... 302, 318 Abreu, Daisy, PSY...... 274 Shen, Tong, MD...... 327 Song, Joyann J, MA...... 302 Alber, Lynette N, MS ...... 283, 284, 335 Smith, Manvi V, LP...... 329 Stocks, Kristin M, MA...... 319 Allen, Rebecca E, NP...... 175 Somppi, Kelsey, MA ...... 302, 318 Sullivan, Nancy, MSW ...... 333 Barnes, Melanie H, PHD328, 329, 338, Staley, Molly J, MA...... 332 Swan, Jennifer, MS...... 319, 337 339 Stocks, Kristin M, MA...... 319 Washington, Christina, MSW...... 319 Basnett, Saneer, MD ...... 323 Sullivan, Nancy, MSW ...... 333 Wheeler, Jessica, DNP...... 289 Beilke, Robert L, PHD...... 327, 328, 330 Swan, Jennifer, MS...... 319, 337 Yearian, Marilyn R, MA...... 320, 337 Bock, Cindy, PT...... 307 Tolliver, Traci N, MA...... 303 Young, Linda, MD280, 326, 327, 334, 338 Campbell, Connie L, MA...... 308 Turner, Eric E, MD ...... 326 AUTISM (E147) Chmelik, Mary R, NP ...... 284 Vadixx, Chelsey A, LP ...... 329 Christy, Carin L, LPC ...... 308 Wang, Ken S, MD...... 326, 327 Hooker, James C, MA...... 311 Clingenpeel, Jennifer A, MA...... 266, 284 Washington, Christina, MSW...... 319 AUTISM (E187) Dahmer White, Laura K, PHD...... 328 Wheeler, Jessica, DNP...... 289 Christy, Carin L, LPC ...... 308 Delastrada, Jean G, MD...... 309 Wiltse, Tricia, MA ...... 279, 320 Dewaay, Rebecca J, PSY...... 330 Delastrada, Jean G, MD...... 309 Wright, Andrea, MA...... 289 Distefano, Jennifer D, MS ...... 309 Dewine, David B, LP...... 328 Yearian, Marilyn R, MA...... 320, 337 Distefano, Jennifer D, MS ...... 309 Farmer, Lauren D, MA ...... 301, 336 Young, Linda, MD280, 326, 327, 334, 338 Hoffer, Cynthia, BS ...... 311 Dorsch, Andrea M, PHD..... 218, 303, 328 Young, Nancy A, NP ...... 192, 289 Farmer, Lauren D, MA ...... 301, 336 Jahn, Michelle L, MA ...... 312 Flake, Eric, MD...... 324, 337 APPLIED BEHAVIOR ANALYSIS Jones, Kelley S, PSY ...... 312, 337 Fogarty, Melissa L, MA...... 310 (ABA) (A017) Judah, Liesl, CSW...... 331 Forno, Celia G, MA ...... 285, 335 Aaro, Kimberly M, MA ...... 273, 334 Mezen, Margaret R, MA...... 277, 334 Fredericks, Mary E, NP ...... 180, 285 Ambriz, Elisa, NON...... 299, 335 Somppi, Kelsey, MA ...... 302, 318 Gallardo, Melissa J, ARNP...... 285 Casimiro, Magdalena, NON 299, 300, 335 Song, Joyann J, MA...... 303 Gianutsos, Louis P, MD...... 280 Espinosa, Barbara, BS...... 300, 335 Stocks, Kristin M, MA...... 319 Goueli, Hisam S, MD ...... 324 Green, Leeann, BS ...... 300, 335 Sullivan, Nancy, MSW ...... 333 Hoffer, Cynthia, BS ...... 311 Horn, Melena, NON...... 300, 335 Swan, Jennifer, MS...... 319, 337 Hooker, James C, MA...... 311 Miller, Holly, MA...... 300, 336 Tolliver, Traci N, MA...... 303 Hudson, Gabrielle A, NP ...... 182 Rear, Jake O, NON ...... 300, 336 Yearian, Marilyn R, MA...... 320, 337 Ishihara, Sharon P, MA...... 266, 279 Roberts, Ashley, BA ...... 300, 336 AUTISM SPECTRUM DISORDERS Jahn, Michelle L, MA ...... 312 Rose, Jessica, MA...... 300, 336 (E390) Jennings-Vigil, Casilda M, MS... 267, 334 Whipple, Angela, NON...... 301, 336 Aaro, Kimberly M, MA ...... 273, 334 Jensen, Cynthia J, MS...... 331 Zaldivar, Maria, MA...... 301, 336 Ambriz, Elisa, NON...... 299, 335 Jones, Kelley S, PSY ...... 312, 337 ATTENTION DEFICIT DISORDERS Casimiro, Magdalena, NON ...... 300, 335 Kenny, Angela Y, NP ...... 183, 321 (ADHD) (E025) Delastrada, Jean G, MD...... 309 Kurz, Janet G, MA...... 313 Distefano, Jennifer D, MS ...... 309 Larson, Lisa A, LICSW ...... 331 Alber, Lynette N, MS ...... 283, 284, 335 Allen, Rebecca E, NP...... 175 Espinosa, Barbara, BS...... 300, 335 Magnuson Whyte, Adrian R, MA...... 277 Flake, Eric, MD...... 324, 337 Martin, Vanessa G, NP ...... 70, 127, 287 Forno, Celia G, MA ...... 285, 335 CSWA.15.999.21.9.007

365

AreasAreas of Expertise Index of Expertise Index

Green, Leeann, BS ...... 300, 335 Delastrada, Jean G, MD...... 309 Jones, Kelley S, PSY ...... 312, 337 Horn, Melena, NON...... 300, 335, 336 Distefano, Jennifer D, MS ...... 309 Larson, Lisa A, LICSW ...... 331 Miller, Holly, MA...... 300, 336 Espinosa, Barbara, BS...... 300, 335 Magnuson Whyte, Adrian R, MA...... 277 Rear, Jake O, NON ...... 300, 336 Flake, Eric, MD...... 324, 337 Meis, Peter M, MD ...... 324, 325 Roberts, Ashley, BA ...... 300, 336 Green, Leeann, BS ...... 300, 335 Miller, Linda L, MD ...... 325 Rose, Jessica, MA...... 300, 336 Horn, Melena, NON...... 300, 335, 336 Reynolds, David J, PHD ..... 329, 338, 339 Warner, Jennica K, MS...... 300, 336 Jones, Kelley S, PSY ...... 312, 337 Schmidt, Carol, MA...... 278 Whipple, Angela, NON...... 301, 336 Judah, Liesl, CSW...... 331 Somppi, Kelsey, MA ...... 302, 318 Young, Linda, MD...... 280, 327, 334, 338 Miller, Holly, MA...... 300, 336 Song, Joyann J, MA...... 302, 303 BIPOLAR DISORDER (E042) Petersen Hobbs, Samantha S, MA ...... 316 Staley, Molly J, MA...... 332 Rear, Jake O, NON ...... 300, 336 Stocks, Kristin M, MA...... 319 Delastrada, Jean G, MD...... 309 Rose, Jessica, MA...... 300, 336 Sullivan, Nancy, MSW ...... 333 Hooker, James C, MA...... 311 San Roman, Talia K, FNP ...... 288 Swan, Jennifer, MS...... 319, 337 Jahn, Michelle L, MA ...... 312 Somppi, Kelsey, MA ...... 302, 318 Tolliver, Traci N, MA...... 303 Kurz, Janet G, MA...... 313 Tolliver, Traci N, MA...... 303 Washington, Christina, MSW...... 319 Magnuson Whyte, Adrian R, MA...... 277 Washington, Christina, MSW...... 319 Wiltse, Tricia, MA ...... 279, 320 Miller, Linda L, MD ...... 325 Whipple, Angela, NON...... 301, 336 Wright, Andrea, MA...... 289 Retterath, Gordon, MS...... 332 Wright, Andrea, MA...... 289 Yearian, Marilyn R, MA...... 320, 337 Washington, Christina, MSW...... 319 Zaldivar, Maria, MA...... 301, 336 Wheeler, Jessica, DNP...... 289 COMMUNITY INTEGRATION Wright, Andrea, MA...... 289 CHILD WELFARE SERVICES (E375) COUNSELING (CIC) (E056) Yearian, Marilyn R, MA...... 320, 337 Distefano, Jennifer D, MS ...... 309 Hooker, James C, MA...... 311 CAREGIVER SERVICES (P100) Glidden, Edward, MA...... 310 COMMUNITY PSYCHIATRIC Jones, Kelley S, PSY ...... 312, 337 Hoffer, Cynthia, BS ...... 311 SUPPORT & TREATMENT (CPST) Swan, Jennifer, MS...... 319, 337 (E320) Jones, Kelley S, PSY ...... 312, 337 Washington, Christina, MSW...... 319 Somppi, Kelsey, MA ...... 302, 318 Navarro, Jennifer, MA ...... 315 CHRISTIAN COUNSELING (E050) CASE MANAGEMENT (E043) COMPULSIVE GAMBLING (E060) Jahn, Michelle L, MA ...... 312 Delastrada, Jean G, MD...... 309 Reynolds, David J, PHD ..... 329, 338, 339 Farmer, Lauren D, MA ...... 301, 336 CO-OCCURRING DISORDERS (MENTAL AND SUBSTANCE) (E062) CRISIS DIVERSION (NON-HOSPITAL Hooker, James C, MA...... 311 SERVICES) (E065) Jahn, Michelle L, MA ...... 312 Delastrada, Jean G, MD...... 309 Mezen, Margaret R, MA...... 277, 334 Farmer, Lauren D, MA ...... 301, 336 Magnuson Whyte, Adrian R, MA...... 277 Stocks, Kristin M, MA...... 319 Jones, Kelley S, PSY ...... 312, 337 DEPRESSION (E070) Swan, Jennifer, MS...... 319, 337 Mezen, Margaret R, MA...... 277, 334 Abreu, Daisy, PSY...... 274 Wright, Andrea, MA...... 289 Miskimon, Mae M, MS...... 267, 334 Alber, Lynette N, MS ...... 283, 284, 335 CHILD CARE (6-12 YEARS) (A025) Reynolds, David J, PHD ..... 329, 338, 339 Allen, Rebecca E, NP...... 175 Schmidt, Carol, MA...... 278 Barnes, Melanie H, PHD328, 329, 338, Barnes, Melanie H, PHD328, 329, 338, Song, Joyann J, MA...... 302, 303 339 339 Staley, Molly J, MA...... 332 Farmer, Lauren D, MA ...... 301, 336 Basnett, Saneer, MD ...... 323 Stocks, Kristin M, MA...... 319 Beilke, Robert L, PHD...... 327, 328, 330 Flake, Eric, MD...... 324, 337 Swan, Jennifer, MS...... 319, 337 Forno, Celia G, MA ...... 285, 335 Bock, Cindy, PT...... 307 Jennings-Vigil, Casilda M, MS... 267, 334 COGNITIVE BEHAVIORAL Campbell, Connie L, MA...... 308 Jones, Kelley S, PSY ...... 312, 337 THERAPY (E055) Chmelik, Mary R, NP ...... 284 Miskimon, Mae M, MS...... 267, 334 Barnes, Melanie H, PHD328, 329, 338, Christy, Carin L, LPC ...... 308 Roberts, Ashley, BA ...... 300, 336 339 Clingenpeel, Jennifer A, MA...... 266, 284 Rose, Jessica, MA...... 300, 336 Bock, Cindy, PT...... 307 Dahmer White, Laura K, PHD...... 328 Swan, Jennifer, MS...... 319, 337 Campbell, Connie L, MA...... 308 Delastrada, Jean G, MD...... 309 Warner, Jennica K, MS...... 300, 336 Delastrada, Jean G, MD...... 309 Dewaay, Rebecca J, PSY...... 330 Yearian, Marilyn R, MA...... 320, 337 Distefano, Jennifer D, MS ...... 309 Dewine, David B, LP...... 328 Young, Linda, MD280, 326, 327, 334, 338 Farmer, Lauren D, MA ...... 301, 336 Distefano, Jennifer D, MS ...... 309 Dorsch, Andrea M, PHD..... 218, 303, 328 CHILD CARE (6-12 YEARS) (P013) Fogarty, Melissa L, MA...... 310 Glidden, Edward, MA...... 310 Farmer, Lauren D, MA ...... 301, 336 Aaro, Kimberly M, MA ...... 273, 334 Hooker, James C, MA...... 311 Fogarty, Melissa L, MA...... 310 Ambriz, Elisa, NON...... 299, 335 Ishihara, Sharon P, MA...... 266, 279 Forno, Celia G, MA ...... 285, 335 Casimiro, Magdalena, NON ...... 300, 335 Jahn, Michelle L, MA ...... 312 Fredericks, Mary E, NP ...... 180, 285 Christy, Carin L, LPC ...... 308 Jensen, Cynthia J, MS...... 331 Gallardo, Melissa J, ARNP...... 285 CSWA.15.999.21.9.007

366

Areas of Expertise Index Areas of Expertise Index

Gianutsos, Louis P, MD...... 280 Ishihara, Sharon P, MA...... 266, 279 Jones, Kelley S, PSY ...... 312, 337 Glidden, Edward, MA...... 310 Jahn, Michelle L, MA ...... 312 Petra, Jeffrey R, PHD...... 329 Goueli, Hisam S, MD ...... 324 Kurz, Janet G, MA...... 313 EMPLOYEE ASSISTANCE Hooker, James C, MA...... 311 Meis, Peter M, MD ...... 324, 325 PROFESSIONAL (EAP) (A045) Hudson, Gabrielle A, NP ...... 182 Mezen, Margaret R, MA...... 277, 334 Ishihara, Sharon P, MA...... 266, 279 Powers, Kim M, MA...... 317, 337 Reynolds, David J, PHD ..... 329, 338, 339 Jahn, Michelle L, MA ...... 312 Somppi, Kelsey, MA ...... 302, 318 San Roman, Talia K, FNP ...... 288 Jennings-Vigil, Casilda M, MS... 267, 334 Song, Joyann J, MA...... 303 FAMILY THERAPY (P030) Jensen, Cynthia J, MS...... 331 Stocks, Kristin M, MA...... 319 Barnes, Melanie H, PHD328, 329, 338, Jones, Kelley S, PSY ...... 312, 337 Yearian, Marilyn R, MA...... 320, 337 339 Kenny, Angela Y, NP ...... 183, 321 DETOXIFICATION (SP30) Campbell, Connie L, MA...... 308 Kurz, Janet G, MA...... 313 Royal Life Centers LLC...... 340 Christy, Carin L, LPC ...... 308 Larson, Lisa A, LICSW ...... 331 Delastrada, Jean G, MD...... 309 Magnuson Whyte, Adrian R, MA...... 277 DEVELOPMENTALLY DISABLED Distefano, Jennifer D, MS ...... 309 Martin, Vanessa G, NP .70, 127, 128, 287 (E075) Farmer, Lauren D, MA ...... 301, 336 Meis, Peter M, MD ...... 324, 325 Delastrada, Jean G, MD...... 309 Forno, Celia G, MA ...... 285, 335 Mezen, Margaret R, MA...... 277, 334 Distefano, Jennifer D, MS ...... 309 Jones, Kelley S, PSY ...... 312, 337 Miller, Linda L, MD ...... 325 Forno, Celia G, MA ...... 285, 335 Powers, Kim M, MA...... 317, 337 Miskimon, Mae M, MS...... 267, 334 Hoffer, Cynthia, BS ...... 311 Reynolds, David J, PHD ..... 329, 338, 339 Morris, John E, MA ...... 280, 325 Mezen, Margaret R, MA...... 277, 334 San Roman, Talia K, FNP ...... 288 Navarro, Jennifer, MA ...... 315 Schmidt, Carol, MA...... 278 Schmidt, Carol, MA...... 278 Oh, Isabelle, PHD ...... 328, 329 Stocks, Kristin M, MA...... 319 Schroeder, Mary E, MA...... 288 Petersen Hobbs, Samantha S, MA ...... 316 Sullivan, Nancy, MSW ...... 333 Somppi, Kelsey, MA ...... 302, 318 Presson, Judith, ARNP...... 130, 188, 288 Swan, Jennifer, MS...... 319, 337 Song, Joyann J, MA...... 303 Purses, Jennifer D, DO...... 327 Young, Linda, MD280, 326, 327, 334, 338 Stocks, Kristin M, MA...... 319 Rayls, Katrina R, PHD...... 329, 330 Swan, Jennifer, MS...... 319, 337 Retterath, Gordon, MS...... 332 DIALECTICAL BEHAVIORAL THERAPY (E080) Tolliver, Traci N, MA...... 303 Reynolds, David J, PHD ..... 329, 338, 339 Wang, Ken S, MD...... 326, 327 Ryan, Mary W, PHD...... 329, 330 Allen, Rebecca E, NP...... 175 Yearian, Marilyn R, MA...... 320, 337 Sattar, Anjan K, MD ...... 337 Delastrada, Jean G, MD...... 309 Schmidt, Carol, MA...... 278 Farmer, Lauren D, MA ...... 301, 336 GENERAL THERAPY (E112) Schroeder, Mary E, MA...... 288 Jones, Kelley S, PSY ...... 312, 337 Abegg, Sharon C, MD ...... 322, 337 Sharangpani, Ritawari, MD ...... 326 Larson, Lisa A, LICSW ...... 331 Abreu, Daisy, PSY...... 274 Shen, Tong, MD...... 327 Reynolds, David J, PHD ..... 329, 338, 339 Alber, Lynette N, MS ...... 283, 284, 335 Smith, Manvi V, LP...... 329 Schmidt, Carol, MA...... 278 Allen, Rebecca E, NP...... 175 Somppi, Kelsey, MA ...... 302, 318 Somppi, Kelsey, MA ...... 302, 318 Amyx, Brooke, MA ...... 330 Song, Joyann J, MA...... 302, 303 DISABILITY EVALUATION & Andrus, Vern R, PA...... 236 Staley, Molly J, MA...... 332 MANAGEMENT (E391) Assefa, Bethell G, NP ...... 176 Stocks, Kristin M, MA...... 319 Barbee, Pastora, MA...... 306 Swan, Jennifer, MS...... 319, 337 Miller, Linda L, MD ...... 325 Barnes, Melanie H, PHD328, 329, 338, Tolliver, Traci N, MA...... 303 DOMESTIC VIOLENCE (E090) 339 Turner, Eric E, MD ...... 326 Distefano, Jennifer D, MS ...... 309 Barrera, Francisco, MD...... 306 Vadixx, Chelsey A, LP ...... 329 Fogarty, Melissa L, MA...... 310 Barron, Patricia A, MA...... 307 Wang, Ken S, MD...... 326, 327 Forno, Celia G, MA ...... 285, 335 Basnett, Saneer, MD ...... 323 Washington, Christina, MSW...... 319 Jensen, Cynthia J, MS...... 331 Bechtel, Brianne, MA ...... 307 Wheeler, Jessica, DNP...... 289 Jones, Kelley S, PSY ...... 312, 337 Beilke, Robert L, PHD...... 327, 328, 330 Wiltse, Tricia, MA ...... 279, 320 Magnuson Whyte, Adrian R, MA...... 277 Blum, Stephanie R, FNP...... 140, 284 Wright, Andrea, MA...... 289 Mezen, Margaret R, MA...... 277, 334 Blythe, Bryan L, PA ...... 143, 237 Yearian, Marilyn R, MA...... 320, 337 Schmidt, Carol, MA...... 278 Bolinger, Mered, BA...... 303 Young, Linda, MD280, 326, 327, 334, 338 Somppi, Kelsey, MA ...... 302, 318 Bowdish, Stephanie M, NP...... 176 Young, Nancy A, NP ...... 192, 289 Song, Joyann J, MA...... 302, 303 Campbell, Connie L, MA...... 308 DEPRESSION (E198) Stocks, Kristin M, MA...... 319 Cannady, Angela, NP...... 177 Yearian, Marilyn R, MA...... 320, 337 Case, James R, NP ...... 177 Alber, Lynette N, MS ...... 283, 284, 335 Chmelik, Mary R, NP ...... 284 Christy, Carin L, LPC ...... 308 EATING DISORDERS (E392) Christy, Carin L, LPC ...... 308 Clingenpeel, Jennifer A, MA...... 266, 284 Barnes, Melanie H, PHD328, 329, 338, Clingenpeel, Jennifer A, MA...... 266, 284 Fogarty, Melissa L, MA...... 310 339 Cortez, Neil J, MA...... 268 Fordmeir, Jennifer L, NP ...... 285 Christy, Carin L, LPC ...... 308 Dahmer White, Laura K, PHD...... 328 CSWA.15.999.21.9.007

367

AreasAreas of Expertise Index of Expertise Index

Daughtry, Rebecca L, CSW...... 331 Martin, Jodie B, MA ...... 314 Vadixx, Chelsey A, LP ...... 329 Deusen, Jane M, LPN ...... 303 Martin, Lawrence M, MD...... 324 Vallellanes Santiago, Ivelisse, MA...... 279 Dewaay, Rebecca J, PSY...... 330 Martin, Vanessa G, NP .70, 127, 128, 287 Van Fleet-Green, Jessica M, MD...... 88 Dewine, David B, LP...... 328 Mccloy, Thomas M, MD ...... 83 Vega, Shannon R, MA...... 333 Distefano, Jennifer D, MS ...... 309 Mcdonald Lopez, Michelle, MA...... 314 Wang, Ken S, MD...... 326, 327 Dorsch, Andrea M, PHD..... 218, 303, 328 Meis, Peter M, MD ...... 324, 325 Warner, Jennica K, MS...... 300, 336 Draper, Todd R, NP ...... 179 Mezen, Margaret R, MA...... 277, 334 Watras, Charles C, MS...... 333 Drebis, Sara, RN ...... 320 Miller, Leanne M, NP ...... 186 Williams, Heidi I, MA ...... 319 Duenow, Kristin R, NON...... 291 Miller, Linda L, MD ...... 325 Wiltse, Tricia, MA ...... 279, 320 Ebio, Karol, LPC ...... 301 Miskimon, Mae M, MS...... 267, 334 Woody, Mckenzie, DO ...... 146 Elam, Donna L, PA...... 239 Moore, Patricia, LPC ..267, 270, 287, 294 Wylie, Sherry L, MA ...... 303 Farmer, Lauren D, MA ...... 301, 336 Morley, Courtney R, ARNP ...... 128, 287 Yankey, Mykayla E, MA...... 273, 299 Fletcher, Yvette A, NP...... 180 Morris, John E, MA ...... 280, 325 Yearian, Marilyn R, MA...... 320, 337 Fogarty, Melissa L, MA...... 310 Murayama, Miri, MA...... 332 Young, Linda, MD...... 280, 327, 334, 338 Fordmeir, Jennifer L, NP ...... 285 Muuru, Ruth N, MA...... 315 Young, Nancy A, NP ...... 192, 289 Forno, Celia G, MA ...... 285, 335 Myers, Deborah W, LPC ...... 302, 315 GERIATRIC CARE (65+ YEARS) Fredericks, Mary E, NP ...... 180, 285 Myers, Gregory S, MA ...... 270, 295 (A050) Gallardo, Melissa J, ARNP...... 285 Myette, Whitney B, LPC ...... 283 Gianutsos, Louis P, MD...... 280 Navarro, Jennifer, MA ...... 315 Allen, Rebecca E, NP...... 175 Godfrey, Geoffrey L, NP ...... 181, 286 Oh, Isabelle, PHD ...... 328, 329 Forno, Celia G, MA ...... 285, 335 Goueli, Hisam S, MD ...... 324 Page, Nichole, MA...... 271, 296 Mezen, Margaret R, MA...... 277, 334 Green, Kristabel K, MA...... 275 Papoff, Traci A, MA ...... 316 GERIATRIC CARE (65+ YEARS) Green, Leeann, BS ...... 300, 335 Peters, Lisa M, LPC...... 271, 297 (P035) Grijalva, Athena F, MA ...... 273, 302 Petersen Hobbs, Samantha S, MA ...... 316 Glidden, Edward, MA...... 310 Gullett, Matthew, MA...... 311 Powers, Kim M, MA...... 317, 337 Hoffer, Cynthia, BS ...... 311 Hamel, Megan A, LPC...... 302, 311 Presson, Judith, ARNP...... 130, 188, 288 Hooker, James C, MA...... 311 Harris, Brittney, NP ...... 181 Puri, Kaitlyn B, MA.... 271, 278, 297, 317 Magnuson Whyte, Adrian R, MA...... 277 Havers, Courtenay N, MD ...... 43 Purses, Jennifer D, DO...... 327 Meis, Peter M, MD ...... 324, 325 Heap, Darien, MD...... 146 Purvis, Faith M, NP ...... 188 Petersen Hobbs, Samantha S, MA ...... 316 Himilie, Christine, MA ...... 269 Rae, Benjamin G, NP...... 188 Somppi, Kelsey, MA ...... 302, 318 Holttum, John R, MD ...... 324 Ramos, Ashley J, MA ...... 317 Sullivan, Nancy, MSW ...... 333 Horn, Melena, NON...... 300, 335, 336 Ramos, Michael D, NP ...... 188 Tolliver, Traci N, MA...... 303 Horton, Terry K, MA...... 312 Rayls, Katrina R, PHD...... 329, 330 Hudson, Gabrielle A, NP ...... 182 Reynolds, David J, PHD ..... 329, 338, 339 GRIEF (E115) Hunt, Emily E, NP ...... 182 Riley, Amber C, MA...... 317 Alber, Lynette N, MS ...... 283, 284, 335 Ishihara, Sharon P, MA...... 266, 279 Ritchie, Rebecca S, MD...... 85 Campbell, Connie L, MA...... 308 Jennings-Vigil, Casilda M, MS... 267, 334 Rittmueller, Anna M, MA...... 332 Christy, Carin L, LPC ...... 308 Jensen, Cynthia J, MS...... 331 Robertson, Alanna C, MA ...... 317 Delastrada, Jean G, MD...... 309 Johnson, Cole R, MA...... 312 Robertson, Astrid M, MA ...... 317 Distefano, Jennifer D, MS ...... 309 Johnson, Cris E, MD...... 81 Rouse, Dupre D, MA ...... 302 Farmer, Lauren D, MA ...... 301, 336 Johnson, Jennifer L, MA...... 331 Rundell, Kristina M, MA...... 297 Fogarty, Melissa L, MA...... 310 Jones, Kelley S, PSY ...... 312, 337 Ryan, Mary W, PHD...... 329, 330 Forno, Celia G, MA ...... 285, 335 Jordan, Lisbeth M, MD...... 196 San Roman, Talia K, FNP ...... 288 Glidden, Edward, MA...... 310 Kahler, Stancin L, LPC...... 292 Sattar, Anjan K, MD ...... 337 Hoffer, Cynthia, BS ...... 311 Kang, Min S, MD ...... 203 Scariato, Gina L, MA...... 272, 297 Hooker, James C, MA...... 311 Kenny, Angela Y, NP ...... 183, 321 Schmidt, Carol, MA...... 278 Jensen, Cynthia J, MS...... 331 Kuczynski, John R, MD...... 147, 160 Schroeder, Mary E, MA...... 288 Jones, Kelley S, PSY ...... 312, 337 Kurz, Janet G, MA...... 313 Sharangpani, Ritawari, MD ...... 326 Kurz, Janet G, MA...... 313 Landry, Cheri K, MA270, 276, 292, 293, Shelton, Hailey A, MA272, 278, 298, 318 Magnuson Whyte, Adrian R, MA...... 277 313 Shen, Tong, MD...... 327 Meis, Peter M, MD ...... 324, 325 Larsen, Andrew K, MD ...... 82 Smith, Abigail, MA ...... 278, 318 Mezen, Margaret R, MA...... 277, 334 Larsen, Dorian, NP ...... 183, 361 Smith, Manvi V, LP...... 329 Navarro, Jennifer, MA ...... 315 Larson, Lisa A, LICSW ...... 331 Spencer, Alison J, MD...... 86 Powers, Kim M, MA...... 317, 337 Leisenring, Sarah E, MD ...... 324 Stocks, Kristin M, MA...... 319 Retterath, Gordon, MS...... 332 Linton, Chike M, MD ...... 172, 173 Sullivan, Nancy, MSW ...... 333 Reynolds, David J, PHD ..... 329, 338, 339 Lirio, Beverly Jane V, MD ...... 105 Swan, Jennifer, MS...... 319, 337 Schmidt, Carol, MA...... 278 Magnuson Whyte, Adrian R, MA...... 277 Tolliver, Traci N, MA...... 303 Staley, Molly J, MA...... 332 Mahangel, Zerai, MA...... 321 Turner, Eric E, MD ...... 326 Stocks, Kristin M, MA...... 319 CSWA.15.999.21.9.007

368

Areas of Expertise Index Areas of Expertise Index

Sullivan, Nancy, MSW ...... 333 Bray, Heidi J, NP ...... 68 MEDICAL ILLNESS & DISEASE Swan, Jennifer, MS...... 319, 337 Christy, Carin L, LPC ...... 308 MANAGEMENT (E155) Yearian, Marilyn R, MA...... 320, 337 Farmer, Lauren D, MA ...... 301, 336 Forno, Celia G, MA ...... 285, 335 Forno, Celia G, MA ...... 285, 335 HEARING IMPAIRED Mezen, Margaret R, MA...... 277, 334 POPULATIONS (E120) Garcia, Patricia S, PA ...... 239 Glidden, Edward, MA...... 310 MEDICATION ADMINISTRATION Mezen, Margaret R, MA...... 277, 334 Hoffer, Cynthia, BS ...... 311 (E310) IN-HOME CARE/HOME VISITS Hooker, James C, MA...... 311 Hudson, Gabrielle A, NP ...... 182 (E130) Jones, Kelley S, PSY ...... 312, 337 Larson, Lisa A, LICSW ...... 331 MEDICATION ASSISTED Ambriz, Elisa, NON...... 299, 335 TREATMENT (MAT) (A100) Casimiro, Magdalena, NON 299, 300, 335 Mezen, Margaret R, MA...... 277, 334 Delastrada, Jean G, MD...... 309 Navarro, Jennifer, MA ...... 315 San Roman, Talia K, FNP ...... 288 Espinosa, Barbara, BS...... 300, 335 Somppi, Kelsey, MA ...... 302, 318 Wright, Andrea, MA...... 289 Green, Leeann, BS ...... 300, 335 Stocks, Kristin M, MA...... 319 MEDICATION ASSISTED Hooker, James C, MA...... 311 Swan, Jennifer, MS...... 319, 337 TREATMENT (MAT) - Horn, Melena, NON...... 300, 335, 336 Tolliver, Traci N, MA...... 303 BUPRENORPHINE (MAT1) Magnuson Whyte, Adrian R, MA...... 277 Washington, Christina, MSW...... 319 Yearian, Marilyn R, MA...... 320, 337 Agustsson, Thordur S, MD ...... 157 Miller, Holly, MA...... 300, 336 Allgaier, Jeffrey T, MD ...... 282 Rear, Jake O, NON ...... 300, 336 LESBIAN, GAY, BISEXUAL, Ammons, Jade, FNP ...... 175 Roberts, Ashley, BA ...... 300, 336 TRANSGENDER, & QUEER (LGBTQ) Andrews, Shawn M, MD ...... 77 Rose, Jessica, MA...... 300, 336 CARE (E110) Atabeygi, Amir A, MD ...... 143 Warner, Jennica K, MS...... 300, 336 Christy, Carin L, LPC ...... 308 Baird, Sara A, MD ...... 114, 143 Whipple, Angela, NON...... 301, 336 Hoffer, Cynthia, BS ...... 311 Barnett, Lindsey M, NP ...... 176 Zaldivar, Maria, MA...... 301, 336 Hooker, James C, MA...... 311 Bhatraju, Elenore P, MD...... 158, 323 INDIVIDUALLY QUALIFIED Navarro, Jennifer, MA ...... 315 Blaisdell, Megan J, DO...... 77 MEDICAL EXAMINER (E140) Tolliver, Traci N, MA...... 303 Blythe, Bryan L, PA ...... 143, 237 Miller, Linda L, MD ...... 325 LESBIAN, GAY, BISEXUAL, Bongar, Debbierey P, MD ...... 158, 282 Bowdish, Stephanie M, NP...... 176 INFANT CARE (0-3 YEARS) (A099) TRANSGENDER, & QUEER (LGBTQ) CARE (E385) Bray, Heidi J, NP ...... 68, 69, 94 Swan, Jennifer, MS...... 319, 337 Brownell, Kirk H, MD...... 282 Warner, Jennica K, MS...... 300, 336 Hoffer, Cynthia, BS ...... 311 Bruce, Ann B, MD...... 40, 266 Young, Linda, MD280, 326, 327, 334, 338 Hooker, James C, MA...... 311 Byrd, Daniel M, MD...... 121, 202 Jones, Kelley S, PSY ...... 312, 337 INFERTILITY (E145) Case, James R, NP ...... 177 Somppi, Kelsey, MA ...... 302, 318 Chisholm, Shawna A, NP ...... 177 Mezen, Margaret R, MA...... 277, 334 Stocks, Kristin M, MA...... 319 Comstock, Calista D, PA ...... 238 Yearian, Marilyn R, MA...... 320, 337 Swan, Jennifer, MS...... 319, 337 Cornwall, Nathan K, PA ...... 107 LEARNING DISABILITIES (E150) Yearian, Marilyn R, MA...... 320, 337 Dawson, Brian J, MD...... 282 Delastrada, Jean G, MD...... 309 LONG-ACTING ANTIPSYCHOTIC Dean, Kathryn A, MD...... 79 Flake, Eric, MD...... 324, 337 INJECTIONS (E381) Dixon, Galina S, NP...... 178 Forno, Celia G, MA ...... 285, 335 Wright, Andrea, MA...... 289 Duarte, Ryan P, PA...... 239 Hoffer, Cynthia, BS ...... 311 Dubek, Martin, MD...... 143 MARRIAGE & COUPLE'S THERAPY Dwyer, Elizabeth H, NP...... 179 Mezen, Margaret R, MA...... 277, 334 (P020) Reynolds, David J, PHD ..... 329, 338, 339 Eaton, Jeremy J, DO ...... 80 Song, Joyann J, MA...... 302, 303 Bock, Cindy, PT...... 307 Eberle, Corlene A, NP ...... 179 Sullivan, Nancy, MSW ...... 333 Campbell, Connie L, MA...... 308 Failoni, Ann, NP ...... 95 Swan, Jennifer, MS...... 319, 337 Jahn, Michelle L, MA ...... 312 Fisher, Lauren W, MD...... 305 Flament, Jennifer M, MD...... 144 Warner, Jennica K, MS...... 300, 336 Jones, Kelley S, PSY ...... 312, 337 Flynn, Erin, MD...... 80 Young, Linda, MD...... 280, 327, 334, 338 Miskimon, Mae M, MS...... 267, 334 Powers, Kim M, MA...... 317, 337 Fox, Eric, NP...... 180, 285 LEARNING DISABILITIES (E218) Reynolds, David J, PHD ..... 329, 338, 339 Fredericks, Mary E, NP ...... 180, 285 Delastrada, Jean G, MD...... 309 Schmidt, Carol, MA...... 278 Garcia, Patricia S, PA ...... 239 Farmer, Lauren D, MA ...... 301, 336 Somppi, Kelsey, MA ...... 302, 318 Gauthier, Amber L, NP...... 73, 96 Swan, Jennifer, MS...... 319, 337 Song, Joyann J, MA...... 303 Gianutsos, Louis P, MD...... 280 LESBIAN, GAY, BISEXUAL, Staley, Molly J, MA...... 332 Glaser, Evening R, PA...... 239 TRANSGENDER, & QUEER (LGBTQ) Stocks, Kristin M, MA...... 319 Godfrey, Geoffrey L, NP ...... 181, 286 Hamilton, Julia L, DO...... 80 CARE (E105) Tolliver, Traci N, MA...... 303 Wright, Andrea, MA...... 289 Hamilton, Michelle D, DO...... 43 CSWA.15.999.21.9.007

369

AreasAreas of Expertise Index of Expertise Index

Harshman, Kathryn E, NP ...... 70, 96 Damron, Robert L, MA...... 308 Basnett, Saneer, MD ...... 323 Henderson, Erin J, NP...... 181 Draper, Todd R, NP ...... 179 Beilke, Robert L, PHD...... 327, 328, 330 Kondo, Yo, MD ...... 81 Drebis, Sara, RN ...... 320 Bock, Cindy, PT...... 307 Kubiniec, Robert H, PA...... 242 Elam, Donna L, PA...... 239 Campbell, Connie L, MA...... 308 Kwon, Andrew O, MD...... 44 Fletcher, Yvette A, NP...... 180 Chmelik, Mary R, NP ...... 284 Lambrecht, Rein H, MD ...... 82 Fordmeir, Jennifer L, NP ...... 285 Christy, Carin L, LPC ...... 308 Larsen, Dorian, NP ...... 183, 361 Forno, Celia G, MA ...... 285, 335 Clingenpeel, Jennifer A, MA...... 266, 284 Leibrand, Howard L, MD ... 145, 283, 361 Gallardo, Melissa J, ARNP...... 285 Dahmer White, Laura K, PHD...... 328 Lyon-Loftus, Anthony E, PA...... 65 Garcia, Patricia S, PA ...... 239 Delastrada, Jean G, MD...... 309 Mattis, Richard N, MD ...... 145, 283 Gianutsos, Louis P, MD...... 280 Dewaay, Rebecca J, PSY...... 330 Matyac, Carrie A, NP...... 98 Godfrey, Geoffrey L, NP ...... 181, 286 Dewine, David B, LP...... 328 Murari, Vivek J, MD...... 162 Goueli, Hisam S, MD ...... 324 Dorsch, Andrea M, PHD..... 218, 303, 328 Muraywid, Mohammed M, MD...... 162 Harriage, Scott R, MD ...... 159, 324 Farmer, Lauren D, MA ...... 301, 336 Nakai, Kimberley Y, NP...... 98, 99, 287 Heap, Darien, MD...... 146 Flake, Eric, MD...... 324, 337 Nguyen, Tuyet T, PA...... 245 Hunt, Emily E, NP ...... 182 Fogarty, Melissa L, MA...... 310 Nye, Larry W, PA ...... 245 Irvin, Shicara B, MA...... 286 Forno, Celia G, MA ...... 285, 335 Ott, Carl R, MD ...... 163 Ishihara, Sharon P, MA...... 266, 279 Fredericks, Mary E, NP ...... 180, 285 Patel, Andrew P, MD...... 83, 84 Jennings-Vigil, Casilda M, MS... 267, 334 Gallardo, Melissa J, ARNP...... 285 Peay, James R, NP ...... 187 Kang, Min S, MD ...... 203 Gianutsos, Louis P, MD...... 280 Pedersen, Sarah E, PA ...... 246 Kenny, Angela Y, NP ...... 183, 321 Goueli, Hisam S, MD ...... 324 Porter, Lindsay C, MD...... 85 Kenworthy, Jennifer T, MA...... 312 Hoffer, Cynthia, BS ...... 311 Porter, Trisha-Leigh C, NP ...... 188 Kuczynski, John R, MD...... 147, 160 Hooker, James C, MA...... 311 Pulido, Bernard J, MD ...... 85 Larsen, Andrew K, MD ...... 82 Hudson, Gabrielle A, NP ...... 182 Rice, Julie M, NP...... 71, 100 Larsen, Dorian, NP ...... 183, 361 Ishihara, Sharon P, MA...... 266, 279 Rigg, Brian A, PA...... 66 Larson, Lisa A, LICSW ...... 331 Jahn, Michelle L, MA ...... 312 Robinson, Nicole L, NP...... 188 Linton, Chike M, MD ...... 172, 173 Jennings-Vigil, Casilda M, MS... 267, 334 Rodriguez, Julian, PA ...... 247 Martin, Vanessa G, NP .70, 127, 128, 287 Jensen, Cynthia J, MS...... 331 Rueda, Kristine Grace P, MD ..... 145, 283 Meis, Peter M, MD ...... 324, 325 Jones, Kelley S, PSY ...... 312, 337 Ruiz, Brittany N, PA...... 109 Miller, Leanne M, NP ...... 186 Kenny, Angela Y, NP ...... 183, 321 Ryan, David M, DO...... 145, 333 Miller, Linda L, MD ...... 325 Kurz, Janet G, MA...... 313 Sattar, Anjan K, MD ...... 326, 337 Miskimon, Mae M, MS...... 267, 334 Larson, Lisa A, LICSW ...... 331 Sawyer, Devin R, MD...... 86 Morris, John E, MA ...... 280, 325 Magnuson Whyte, Adrian R, MA...... 277 Sullivan, Corey R, MD ...... 87 Purvis, Faith M, NP ...... 188 Martin, Vanessa G, NP .70, 127, 128, 287 Sveen, Jane L, PA ...... 248 Ramos, Michael D, NP ...... 188 Meis, Peter M, MD ...... 324, 325 Taseva, Adriana, MD...... 48 San Roman, Talia K, FNP ...... 288 Miller, Linda L, MD ...... 325 Tran, Deion, PA ...... 248, 249 Sandhu, Jagjit S, MA ...... 322 Miskimon, Mae M, MS...... 267, 334 Unruh, Chelsea D, MD ...... 88 Schroeder, Mary E, MA...... 288 Morris, John E, MA ...... 280, 325 Valenzuela, Kristoffer, MD ...... 49 Sharangpani, Ritawari, MD ...... 326 Navarro, Jennifer, MA ...... 315 Wade, Ronda A, FNP...... 142, 289 Shen, Tong, MD...... 327 Oh, Isabelle, PHD ...... 329 Wahba, Marianne H, PA...... 250 Solise, Lindsay B, MA...... 322 Petersen Hobbs, Samantha S, MA ...... 316 Wang, Ken S, MD...... 326, 327 Spencer, Alison J, MD...... 86 Presson, Judith, ARNP...... 130, 188, 288 Weissenberger, Thomas J, PA .... 251, 306 Turner, Eric E, MD ...... 326 Purses, Jennifer D, DO...... 327 Whiteside, Elizabeth A, DNP ...... 267 Wheeler, Jessica, DNP...... 289 Rayls, Katrina R, PHD...... 329, 330 MEDICATION MANAGEMENT (E160) Woody, Mckenzie, DO ...... 146 Reynolds, David J, PHD ..... 329, 338, 339 Wright, Andrea, MA...... 289 Ryan, Mary W, PHD...... 329, 330 Abegg, Sharon C, MD ...... 322, 337 Young, Linda, MD...... 280, 327, 334, 338 Sattar, Anjan K, MD ...... 337 Alber, Lynette N, MS ...... 283, 284, 335 Schmidt, Carol, MA...... 278 Allen, Rebecca E, NP...... 175 MENTAL HEALTH FORENSICS FOR AT RISK OFFENDERS (E100) Schroeder, Mary E, MA...... 288 Andrus, Vern R, PA...... 236 Sharangpani, Ritawari, MD ...... 326 Assefa, Bethell G, NP ...... 176 Hooker, James C, MA...... 311 Shen, Tong, MD...... 327 Basnett, Saneer, MD ...... 323 Jensen, Cynthia J, MS...... 331 Smith, Manvi V, LP...... 329 Blum, Stephanie R, FNP...... 140, 284 MOOD DISORDERS (E165) Song, Joyann J, MA...... 303 Bowdish, Stephanie M, NP...... 176 Abreu, Daisy, PSY...... 274 Staley, Molly J, MA...... 332 Bray, Heidi J, NP ...... 68 Stocks, Kristin M, MA...... 319 Byrd, Monica M, MA ...... 307 Alber, Lynette N, MS ...... 283, 284, 335 Allen, Rebecca E, NP...... 175 Swan, Jennifer, MS...... 319, 337 Cannady, Angela, NP...... 177 Turner, Eric E, MD ...... 326 Chmelik, Mary R, NP ...... 284 Barnes, Melanie H, PHD328, 329, 338, 339 Vadixx, Chelsey A, LP ...... 329 Clingenpeel, Jennifer A, MA...... 266, 284 Wang, Ken S, MD...... 326, 327 CSWA.15.999.21.9.007

370

Areas of Expertise Index Areas of Expertise Index

Warner, Jennica K, MS...... 300, 336 Wright, Andrea, MA...... 289 Delastrada, Jean G, MD...... 309 Washington, Christina, MSW...... 319 Yearian, Marilyn R, MA...... 320, 337 Hooker, James C, MA...... 311 Wiltse, Tricia, MA ...... 279, 320 Young, Linda, MD...... 280, 327, 334, 338 Stocks, Kristin M, MA...... 319 Wright, Andrea, MA...... 289 PAIN MANAGEMENT (E180) Swan, Jennifer, MS...... 319, 337 Yearian, Marilyn R, MA...... 320, 337 Barnes, Melanie H, PHD328, 329, 338, POST TRAUMATIC STRESS Young, Linda, MD...... 280, 327, 334, 338 DISORDER (PTSD) (E085) Young, Nancy A, NP ...... 192, 289 339 Fogarty, Melissa L, MA...... 310 Clingenpeel, Jennifer A, MA...... 266, 284 NEUROPSYCHOLOGICAL TESTING Kurz, Janet G, MA...... 313 Glidden, Edward, MA...... 310 (A055) Mezen, Margaret R, MA...... 277, 334 Kurz, Janet G, MA...... 313 Flake, Eric, MD...... 324, 337 Sullivan, Nancy, MSW ...... 333 Miskimon, Mae M, MS...... 267, 334 NURSE WITH PRESCRIPTIVE PAIN MANAGEMENT (E235) Song, Joyann J, MA...... 302, 303 PRIVILEGES (A060) Stocks, Kristin M, MA...... 319 Kurz, Janet G, MA...... 313 Warner, Jennica K, MS...... 300, 336 Alber, Lynette N, MS ...... 283, 284, 335 Stocks, Kristin M, MA...... 319 Washington, Christina, MSW...... 319 Allen, Rebecca E, NP...... 175 PERSONALITY DISORDERS (E185) Chmelik, Mary R, NP ...... 284 POST TRAUMATIC STRESS Clingenpeel, Jennifer A, MA...... 266, 284 Alber, Lynette N, MS ...... 283, 284, 335 DISORDER (PTSD) (E200) Community Youth Services...... 340 Bock, Cindy, PT...... 307 Alber, Lynette N, MS ...... 283, 284, 335 Fordmeir, Jennifer L, NP ...... 285 Clingenpeel, Jennifer A, MA...... 266, 284 Barnes, Melanie H, PHD328, 329, 338, Forno, Celia G, MA ...... 285, 335 Farmer, Lauren D, MA ...... 301, 336 339 Gallardo, Melissa J, ARNP...... 285 Fordmeir, Jennifer L, NP ...... 285 Bock, Cindy, PT...... 307 Hudson, Gabrielle A, NP ...... 182 Ishihara, Sharon P, MA...... 266, 279 Campbell, Connie L, MA...... 308 Irvin, Shicara B, MA...... 286 Jensen, Cynthia J, MS...... 331 Clingenpeel, Jennifer A, MA...... 266, 284 Ishihara, Sharon P, MA...... 266, 279 Jones, Kelley S, PSY ...... 312, 337 Delastrada, Jean G, MD...... 309 Jennings-Vigil, Casilda M, MS... 267, 334 Meis, Peter M, MD ...... 324, 325 Distefano, Jennifer D, MS ...... 309 Kenny, Angela Y, NP ...... 183, 321 Mezen, Margaret R, MA...... 277, 334 Farmer, Lauren D, MA ...... 301, 336 Martin, Vanessa G, NP ...... 70, 127, 287 Powers, Kim M, MA...... 317, 337 Fogarty, Melissa L, MA...... 310 Miskimon, Mae M, MS...... 267, 334 Song, Joyann J, MA...... 303 Fordmeir, Jennifer L, NP ...... 285 San Roman, Talia K, FNP ...... 288 Stocks, Kristin M, MA...... 319 Forno, Celia G, MA ...... 285, 335 Wheeler, Jessica, DNP...... 289 Swan, Jennifer, MS...... 319, 337 Glidden, Edward, MA...... 310 Wright, Andrea, MA...... 289 Washington, Christina, MSW...... 319 Hooker, James C, MA...... 311 Wright, Andrea, MA...... 289 NURSING HOME VISITS (E168) Ishihara, Sharon P, MA...... 266, 279 PERSONALIZED RECOVERY Jensen, Cynthia J, MS...... 331 Hooker, James C, MA...... 311 ORIENTED SERVICES (PROS) (E186) Jones, Kelley S, PSY ...... 312, 337 OBSESSIVE COMPULSIVE Navarro, Jennifer, MA ...... 315 Kurz, Janet G, MA...... 313 DISORDER (OCD) (E170) Watras, Charles C, MS...... 333 Magnuson Whyte, Adrian R, MA...... 277 Meis, Peter M, MD ...... 324, 325 Alber, Lynette N, MS ...... 283, 284, 335 PHOBIAS (E190) Clingenpeel, Jennifer A, MA...... 266, 284 Mezen, Margaret R, MA...... 277, 334 Delastrada, Jean G, MD...... 309 Alber, Lynette N, MS ...... 283, 284, 335 Retterath, Gordon, MS...... 332 Flake, Eric, MD...... 324, 337 Campbell, Connie L, MA...... 308 Reynolds, David J, PHD ..... 329, 338, 339 Fordmeir, Jennifer L, NP ...... 285 Jones, Kelley S, PSY ...... 312, 337 Schmidt, Carol, MA...... 278 Forno, Celia G, MA ...... 285, 335 Morris, John E, MA ...... 280, 325 Somppi, Kelsey, MA ...... 302, 318 Ishihara, Sharon P, MA...... 266, 279 Reynolds, David J, PHD ..... 329, 338, 339 Song, Joyann J, MA...... 303 Judah, Liesl, CSW...... 331 Somppi, Kelsey, MA ...... 302, 318 Staley, Molly J, MA...... 332 Kurz, Janet G, MA...... 313 Song, Joyann J, MA...... 303 Stocks, Kristin M, MA...... 319 Meis, Peter M, MD ...... 324, 325 Staley, Molly J, MA...... 332 Sullivan, Nancy, MSW ...... 333 Mezen, Margaret R, MA...... 277, 334 Stocks, Kristin M, MA...... 319 Swan, Jennifer, MS...... 319, 337 Miller, Linda L, MD ...... 325 Sullivan, Nancy, MSW ...... 333 Tolliver, Traci N, MA...... 303 Miskimon, Mae M, MS...... 267, 334 Swan, Jennifer, MS...... 319, 337 Washington, Christina, MSW...... 319 Morris, John E, MA ...... 280, 325 Tolliver, Traci N, MA...... 303 Wiltse, Tricia, MA ...... 279, 320 Reynolds, David J, PHD ..... 329, 338, 339 Yearian, Marilyn R, MA...... 320, 337 Wright, Andrea, MA...... 289 Song, Joyann J, MA...... 303 PHYSICAL & MENTAL Yearian, Marilyn R, MA...... 320, 337 Staley, Molly J, MA...... 332 DISABILITIES (E373) Young, Linda, MD...... 280, 327, 334, 338 Stocks, Kristin M, MA...... 319 Delastrada, Jean G, MD...... 309 PRESCHOOL AGE CARE (0-5 Sullivan, Nancy, MSW ...... 333 Swan, Jennifer, MS...... 319, 337 YEARS) (A070) Swan, Jennifer, MS...... 319, 337 PHYSICAL DISABILITIES (E376) Aaro, Kimberly M, MA ...... 273, 334 Tolliver, Traci N, MA...... 303 Ambriz, Elisa, NON...... 299, 335 CSWA.15.999.21.9.007

371

AreasAreas of Expertise Index of Expertise Index

Barnes, Melanie H, PHD328, 329, 338, Magnuson Whyte, Adrian R, MA...... 277 Cruz, Raul Manuel B, MD...... 257 339 Navarro, Jennifer, MA ...... 315 Currie, Diana M, MD...... 195 Casimiro, Magdalena, NON 299, 300, 335 Stocks, Kristin M, MA...... 319 Curry, Thomas K, MD...... 265 Espinosa, Barbara, BS...... 300, 335 SEXUAL DYSFUNCTION (E225) Davidson, Bruce L, MD...... 159, 257 Farmer, Lauren D, MA ...... 301, 336 De Yao, Jocelyn T, MD ...... 121, 202 Flake, Eric, MD...... 324, 337 Mezen, Margaret R, MA...... 277, 334 Dean, Kathryn A, MD...... 79 Green, Leeann, BS ...... 300, 335 SLEEP DISORDERS (E230) Diaz, Amy M, NP ...... 178 Horn, Melena, NON...... 300, 335 Alber, Lynette N, MS ...... 283, 284, 335 Dotson, Tamara A, PA...... 239 Jennings-Vigil, Casilda M, MS... 267, 334 Clingenpeel, Jennifer A, MA...... 266, 284 Draper, Todd R, NP ...... 179 Jones, Kelley S, PSY ...... 312, 337 Flake, Eric, MD...... 324, 337 Duarte, Ryan P, PA...... 239 Miller, Holly, MA...... 300, 336 Forno, Celia G, MA ...... 285, 335 Dubek, Martin, MD...... 143 Rear, Jake O, NON ...... 300, 336 Miller, Linda L, MD ...... 325 Duffie, Meghan R, MD...... 80 Roberts, Ashley, BA ...... 300, 336 Miskimon, Mae M, MS...... 267, 334 Duggan, Theresa E, NP...... 95 Rose, Jessica, MA...... 300, 336 Sullivan, Nancy, MSW ...... 333 Eberle, Corlene A, NP ...... 179 Swan, Jennifer, MS...... 319, 337 Wheeler, Jessica, DNP...... 289 Egli, Kenneth J, MD ...143, 144, 282, 283 Warner, Jennica K, MS...... 300, 336 Young, Linda, MD...... 280, 327, 334, 338 Ellingson-Miller, Robin G, NP ...... 180 Whipple, Angela, NON...... 301, 336 Elliott, Kimberly A, DO ...... 80 SUBSTANCE USE DISORDER (A021) Yearian, Marilyn R, MA...... 320, 337 Fiedler, Tamara S, PT ...... 227 Young, Linda, MD280, 326, 327, 334, 338 Campbell, Connie L, MA...... 308 Fordmeir, Jennifer L, NP ...... 285 Zaldivar, Maria, MA...... 301, 336 Community Youth Services...... 340 Furrer, Sharon C, RD...... 193 Jones, Kelley S, PSY ...... 312, 337 Geng, Yan, MD...... 89 PROVIDER LED INTEGRATED Reynolds, David J, PHD ..... 329, 338, 339 Gentzler, Denise L, PT...... 227 CARE COORDINATION (PLIC) San Roman, Talia K, FNP ...... 288 Gilbert, Joyce A, MD...... 222, 223 San Roman, Talia K, FNP ...... 288 SUBSTANCE USE DISORDER (E285) Glaser, Evening R, PA...... 239 PSYCHOLOGICAL EVALUATIONS Gomez, Bradford, PT...... 227 Kaiser, Nathan E, FNP...... 182, 183 Goodblatt, Michael M, MD ...... 144 FOR BARIATRIC/GASTRIC Mezen, Margaret R, MA...... 277, 334 SURGERY (E030) Groner, Mordechai Z, MD...... 156 Reynolds, David J, PHD ..... 329, 338, 339 Hague, Elizabeth J, NP ...... 70 Mezen, Margaret R, MA...... 277, 334 Stocks, Kristin M, MA...... 319 Hand, Dwight E, MD...... 262 Reynolds, David J, PHD ..... 329, 338, 339 Swan, Jennifer, MS...... 319, 337 Hang, Nhu T, MD ...... 81 Wright, Andrea, MA...... 289 TARGETED CASE MANAGEMENT Harris, Brittney, NP ...... 181 RESIDENTIAL TREATMENT & (E287) Hendrickson, Rachael R, PT...... 228 RECOVERY OF SUBSTANCE USE Mezen, Margaret R, MA...... 277, 334 Henricksen, Kelli A, PT...... 228 (SP80) Hinson, William S, PT...... 228 TELEMEDICINE (THS) Northwest Resources Ii...... 340 Hogg, Katherine M, MD...... 257 Royal Life Centers LLC...... 340 Allgaier, Jeffrey T, MD ...... 282 Horn, Claire E, PT ...... 229 Ammons, Jade, FNP ...... 175 Hudson, Gabrielle A, NP ...... 182 SCHIZOPHRENIA (E210) Andrus, Vern R, PA...... 236 Jansen, Edward L, MD...... 91 Alber, Lynette N, MS ...... 283, 284, 335 Bagley, Sheri L, NP ...... 176 Kadyrova, Elvira V, MD...... 81 Clingenpeel, Jennifer A, MA...... 266, 284 Barnett, Lindsey M, NP ...... 176 Kaiser, Nathan E, FNP...... 182, 183 Delastrada, Jean G, MD...... 309 Barnett, Michael D, PT ...... 224 Karlson, Tracee J, PT...... 229 Fordmeir, Jennifer L, NP ...... 285 Berndt, Marina V, MD...... 77 Kelly, Timothy P, PT...... 229, 230 Hooker, James C, MA...... 311 Blythe, Bryan L, PA ...... 143, 237 Kennedy, Richard P, MD...... 136 Ishihara, Sharon P, MA...... 266, 279 Bongar, Debbierey P, MD ...... 158, 282 Khadduri, Lucie M, PT ...... 230 Jensen, Cynthia J, MS...... 331 Bowdish, Stephanie M, NP...... 176 Kohler Krava, Ellen K, NP ...... 183 Magnuson Whyte, Adrian R, MA...... 277 Byrd, Daniel M, MD...... 121, 202 Kooser, Kenneth W, MD ...... 82 Meis, Peter M, MD ...... 324, 325 Canali, Laura M, PT...... 225 Larsen, Dorian, NP ...... 183, 361 Miller, Linda L, MD ...... 325 Carlson, Sheli M, OTR ...... 199 Laursen, Shawna L, MD ...... 144, 283 Miskimon, Mae M, MS...... 267, 334 Carrier, Erin, PT...... 225 Law, Yuk M, MD...... 214 Morris, John E, MA ...... 280, 325 Case, James R, NP ...... 177 Len, Mary K, MD ...... 218, 223 Stocks, Kristin M, MA...... 319 Caserta, Kevin T, MD...... 304 Li, Qiang, MD...... 137, 161 Washington, Christina, MSW...... 319 Chase, Melissa A, PT...... 226 Loyer, Sandra, PA...... 108 Wright, Andrea, MA...... 289 Cheng, Marina, MD ...... 263 Lynam, Michael A, MD...... 83 Young, Linda, MD...... 280, 327, 334, 338 Chisholm, Shawna A, NP ...... 177 Marin, Ryan T, PT ...... 231 SERIOUS MENTAL ILLNESS (E377) Christenson, Jeffrey C, MD ...... 257 Mattis, Richard N, MD ...... 145, 283 Cirone-Hornickel, Theresa D, NP...... 90 Mccloy, Thomas M, MD ...... 83 Delastrada, Jean G, MD...... 309 Clements, Holly C, NP ...... 118, 177 Mcclure, George B, MD ...... 196 Hooker, James C, MA...... 311 Comstock, Calista D, PA ...... 238 Mcclymonds, Robin L, PT...... 231 CSWA.15.999.21.9.007

372

Areas of Expertise Index Areas of Expertise Index

Mckey, Brenda H, OTR...... 200 Teng, Yue, MD ...... 87 Stocks, Kristin M, MA...... 319 Mcleod, Heather S, NP ...... 185 Thach, Thavi T, NP...... 130, 190 Thomas, Andrew C, MA...... 298 Miller, Brady G, MD ...... 121, 203 Thalhamer, Stella S, MD ...... 92 Turner, Eric E, MD ...... 326 Morss, Jessica A, PT...... 231 Usefara, Alyson N, PT...... 234 Washington, Christina, MSW...... 319 Murphy, Jill L, PT...... 232 Vaughn, Natalya A, NP ...... 130 Wheeler, Jessica, DNP...... 289 Mvundura, Elisha, MD ...... 197 Vranna, James A, PT ...... 234 Wright, Andrea, MA...... 289 Myklak, Rina, NP ...... 186 Waggoner, John W, MD ...... 166 Yearian, Marilyn R, MA...... 320, 337 Newell, Kimberly A, NP...... 75, 99 Wahba, Marianne H, PA...... 250 Young, Nancy A, NP ...... 192, 289 Newell-Eggert, Margo K, MD...... 305 Walz, Michelle L, PT...... 235 TRANSCRANIAL MAGNETIC Nguh, Florence, NP...... 186 Wang, Hui, MD...... 116, 122, 165, 205 STIMULATION (A102) Nguyen, Madeline T, MD...... 174 Ward, David M, MD...... 264 Nourse, Lindsay L, PA...... 108 Wark, Robert S, MD ...... 112, 133 Penner, David E, PHD ...... 325 Novoa, Emily M, PT...... 232 Wasilenko, Sara J, DO...... 149, 265 TRANSGENDER CARE (E240) Novoa, Leslie B, PT...... 232 Webb, Melanie S, NP...... 131, 192 Christy, Carin L, LPC ...... 308 O'boyle, Amy L, MD ...... 197 Welty, Carrie B, NP...... 88, 102 Hoffer, Cynthia, BS ...... 311 Ottesen, Brian D, NP ...... 70 Werden, Scott D, DO...... 113, 138 Hooker, James C, MA...... 311 Paragin, Lindsay, NP ...... 187 Williams, Stephen M, PT...... 235 Jones, Kelley S, PSY ...... 312, 337 Peay, James R, NP ...... 187 Wing, Bruce A, PA ...... 110, 111 Mezen, Margaret R, MA...... 277, 334 Pedersen, Sarah E, PA ...... 246 Wingate, Jonathan T, MD...... 264 Somppi, Kelsey, MA ...... 302, 318 Perry, Chadwick J, PA...... 246 TELEMENTAL HEALTH Stocks, Kristin M, MA...... 319 Peterson, Rachelle M, OTR ...... 200 CAPABILITY (A101) Swan, Jennifer, MS...... 319, 337 Playstead, Jennifer A, MD...... 84 Yearian, Marilyn R, MA...... 320, 337 Pletz, Anna Maria A, MD...... 85 Abegg, Sharon C, MD ...... 322, 337 Porter, Trisha-Leigh C, NP ...... 188 Basnett, Saneer, MD ...... 323 TRAUMA (E215) Prado, Kelley K, PA ...... 246 Beall, Stephanie L, MA ...... 307 Campbell, Connie L, MA...... 308 Presson, Judith, ARNP...... 130, 188, 288 Benavente, Danilynn C, MA...... 290 Christy, Carin L, LPC ...... 308 Pulido, Bernard J, MD ...... 85 Bock, Cindy, PT...... 307 Fogarty, Melissa L, MA...... 310 Purvis, Faith M, NP ...... 188 Casebolt, Jeffrey A, LMHC...... 308 Jensen, Cynthia J, MS...... 331 Raastad, Larisa G, MD...... 85 Dahmer White, Laura K, PHD...... 328 Jones, Kelley S, PSY ...... 312, 337 Redman, Richard C, MD ...... 258 Davis, Morgan A, MA ...... 291 Kurz, Janet G, MA...... 313 Renner, Matthew S, PA ...... 246 Dean, Gina J, MA ...... 309 Mezen, Margaret R, MA...... 277, 334 Rennie, Gordon F, MD ...... 92 Distefano, Jennifer D, MS ...... 309 Somppi, Kelsey, MA ...... 302, 318 Robertson, Paul A, MD...... 122, 204 Duenow, Kristin R, NON...... 291 Staley, Molly J, MA...... 332 Robinson, Karen E, MD...... 198 Flake, Eric, MD...... 324, 337 Swan, Jennifer, MS...... 319, 337 Rogers, Chad N, PT ...... 233 Fogarty, Melissa L, MA...... 310 Wiltse, Tricia, MA ...... 279, 320 Rogers, Kelley R, OTR...... 200 Fredericks, Mary E, NP ...... 180, 285 Yearian, Marilyn R, MA...... 320, 337 Gallardo, Melissa J, ARNP...... 285 Rossow, Charles F, MD...... 137 TRAUMA (E374) Rueda, Kristine Grace P, MD ..... 145, 283 Glidden, Edward, MA...... 310 Ryan, David M, DO...... 145, 333 Goueli, Hisam S, MD ...... 324 Bock, Cindy, PT...... 307 San Roman, Talia K, FNP ...... 288 Harris, Virginia K, MA...... 292 Campbell, Connie L, MA...... 308 Santamarina, Luis F, MD...... 262 Hudson, Gabrielle A, NP ...... 182 Christy, Carin L, LPC ...... 308 Schier, Anamaria, PA ...... 248 Kurz, Janet G, MA...... 313 Glidden, Edward, MA...... 310 Schnell, Kenneth E, PT...... 233 Lanning, John P, MA...... 293 Kurz, Janet G, MA...... 313 Schwartz, Lisa A, OTR...... 200 Loyal, Geri A, MA...... 293 Magnuson Whyte, Adrian R, MA...... 277 Semien, Monique C, MD...... 204 Mcclinton, Brandee L, MA...... 314 Reynolds, David J, PHD ..... 329, 338, 339 Skerrett, Gregory R, MD ...... 265 Newman, Karen L, MA ...... 295, 296 Somppi, Kelsey, MA ...... 302, 318 Smitherman, Jay S, MD...... 92 Olszewski, Leigh A, MA ...... 316 Staley, Molly J, MA...... 332 Smitherman, Sheila M, MD...... 171 Patrick, Robert T, MA ...... 296 Stocks, Kristin M, MA...... 319 Snyder, Rachael A, FNP ...... 142, 189 Presson, Judith, ARNP...... 130, 188, 288 Swan, Jennifer, MS...... 319, 337 Standaert, Steven M, MD...... 157 Putman, Ladonna J, MA ...... 297 Tolliver, Traci N, MA...... 303 Sui, Xingwei D, MD116, 122, 154, 155, San Roman, Talia K, FNP ...... 288 Yearian, Marilyn R, MA...... 320, 337 204 Sattar, Anjan K, MD ...... 337 TREATMENT FOR SEXUAL Sullivan, Michelle M, NP ...... 101 Schroeder, Mary E, MA...... 288 OFFENDERS (E220) Sharangpani, Ritawari, MD ...... 326 Sunil, Bhuvana, MD ...... 217 Watras, Charles C, MS...... 333 Sveen, Jane L, PA ...... 248 Smith, Manvi V, LP...... 329 Swadener, Amy B, NP...... 101 Somppi, Kelsey, MA ...... 302, 318 Swan, Jimmy Z, MD...... 138, 166 Stanley, Sophia P, MA...... 298 Tarney, Christopher M, MD ...... 198 Steinbrenner, Sheila Y, MS ...... 288 CSWA.15.999.21.9.007 Index 373

Index

A Ankeney, Geoffrey, MD...... 77 Behymer, Laura B, PT...... 224 Aaro, Kimberly M, MA...... 273, 334 Annoh, Naa Afadua, NP...... 175 Beilke, Robert L, PHD. 327, 328, 329, 330 Aaseby, Jenni R, OD...... 341, 342 Archer, Joshua R, MA...... 274 Belfair Dialysis...... 352 Abadullah, Ahmad, MD...... 157 Archer, Scott L, NP...... 175 Belko, Amy Z, MD...... 103 Abbott, Kristyn O, LPC...... 306 Armstrong, Michelle A, MA...... 289, 290 Bell, Darrel J, MD...... 194 Abbott, Ronald T, MD...... 142, 143 Armstrong, Nancy, NP...... 93 Bell, Gregory D, MD...... 171 Abbott, Zachary I, DO...... 212, 213, 304 Arocho, Milagros, MD...... 194 Benavente, Danilynn C, MA...... 290 Abegg, Sharon C, MD...... 322, 337 Arora, Natasha P, MD...... 157 Bender, Chad, MD...... 209 Abel, Jordan M, MD...... 76 Arpin, Diane M, NP...... 126 Bengtson, Audrey J, MA...... 290 Abraham, Susan, MD...... 157 Arreymbi, Susan, FNP...... 72 Bennett, John F, NP...... 176 Abraham, Waleed, MD...... 157 Arreymbi, Susan, NP...... 68, 72 Bents, Kaitlin A, SLP...... 259 Abreu, Daisy, PSY...... 273, 274 Aschtgen, Chad D, ND...... 169 Berdan, Elizabeth A, MD...... 221 Acierno, Stephanie P, MD...... 220, 221 Ashley, Bobbi J, MA...... 306 Berger, Matthew S, DO...... 135 Acklin, Agata, MA...... 299 Assefa, Bethell G, NP...... 175, 176 Bernard, Jessie A, FNP...... 140 Adams, Archie, MD...... 199 Atabeygi, Amir A, MD...... 143 Berndt, Marina V, MD...... 77 Adams, Arlene J, MA...... 320 Ati Physical Therapy...... 355, 356 Berrett, Gerald R, PA...... 236, 237 Adams, Jenni N, DO...... 76 Atri, Prashant S, MD...... 135 Beth Wilder Otr L...... 354 Adams, Sarahann, MA...... 306 Aurand, Kim A, MA...... 290 Beverly, Erin R, NP...... 126 Advanced Rehabilitation Specialties.... 355 B Bhatraju, Elenore P, MD...... 158, 323 Agustsson, Thordur S, MD...... 157 Bachelet, Nicole E, PT...... 224 Bhattacharya, Pratik D, MD...... 171 Ahmed, Safia A, MA...... 274 Bagley, Sheri L, NP...... 176 Bhullar, Puneet, MD...... 194, 195 Aibak, Haneen, MD...... 157 Bagniewski, Abe, DPM...... 125, 252 Bigler, Robert, MD...... 153 Aijian, Angela R, PT...... 224 Bailey, Ashley L, OD...... 342 Billie Uhri Otr L...... 354, 355 Al-Mateen, Majeed, MD...... 218 Bailey, Jenna Kathryn, ND...... 169 Birchard, Keith R, MD...... 209 Albano, Jordan A, PA...... 61 Bailey, Joseph, PA...... 236 Birth House...... 353 Alber, Lynette N, MS...... 283, 284, 335 Bailey, Patricia L, MA...... 290 Bittner, Nathan H, MD...... 258 Alcala Calderon, Ana T, MA...... 274 Bailey, Sara J, MA...... 273, 301 Blair Brown, Jasmine L, MA...... 274 Ali, Omair M, MD...... 125 Baird, Sara A, MD...... 114, 143 Blaisdell, Megan J, DO...... 77 Alignment Physical Therapy...... 355 Baker, Rachel A, NP...... 68, 93, 94, 284 Blanchard, David P, PT...... 224, 225 Alinea, Mario G, MD...... 199 Ball, Roger L, PA...... 236 Blanco, Vivian L, MD...... 77, 78 Allen, Gregory W, MD...... 258 Banda, Himanshu K, MD...... 206 Blau, Sibel K, MD...... 154, 202 Allen, Jennie M, MD...... 222 Banipal, Jatinder S, MD...... 157, 158 Blomberg, Karen A, MA...... 330 Allen, Jillanna M, PA...... 235 Barbee, Pastora, MA...... 306 Blum, Stephanie R, FNP...... 140, 284 Allen, Patricia A, ND...... 93 Barer, Lisa Marie S, MD...... 103 Blythe, Bryan L, PA...... 143, 237 Allen, Paul J, MD...... 304 Barfield, Walt A, MA...... 306 Bock, Cindy, PT...... 307 Allen, Rebecca E, NP...... 175 Barker, Brandon W, PA...... 107 Boehmer, Christina B, PT...... 225 Allen-Kissick, Hillary B, MD...... 76 Barlow, Hannah M, PA...... 107 Boldt, Adam H, DO...... 103 Allgaier, Jeffrey T, MD...... 281, 282 Barlow, Meade P, MD...... 221 Bolinger, Mered, BA...... 303 Alliant Continuum Care...... 355 Barnes, Melanie H, PHD.327, 328, 329, Bongar, Debbierey P, MD...... 158, 282 Alphonse, Frantz, PA...... 235, 236 338, 339 Borden, Diane K, MA...... 307 Altimari, Jennifer M, OTR...... 199 Barnett, Dawn M, MA...... 290 Borders, Leila T, MD...... 158 Alyas, Laura A, PT...... 224 Barnett, Lindsey M, NP...... 176 Boschma, Shana M, MA...... 274, 275 Amato, Chiante R, DO...... 76 Barnett, Michael D, PT...... 224 Botnaru, Ion, MD...... 133, 135 Amber Kilczewski Otr L...... 354 Barrera, Francisco, MD...... 306 Bouchard, Marc A, MD...... 323 Ambriz, Elisa, NON...... 299, 335 Barrett, David, PT...... 224 Boudreau, Lucinda T, PA...... 61, 62 Amin, Karen C, NP...... 52 Barrett, Timothy, MA...... 330 Bowdish, Stephanie M, NP...... 176 Ammons, Jade, FNP...... 175 Barrington, Sade, NP...... 118 Bowles, Casey R, DPM...... 252 Amundson, Catherine W, FNP...... 72 Barron, Patricia A, MA...... 306, 307 Boyd, Adam, PA...... 62 Amyx, Brooke, MA...... 330 Barten, Pamela D, NP...... 118, 176 Boyd, Leah Rae, PA...... 62 An, Sarah H, NP...... 93 Basnett, Saneer, MD...... 322, 323 Boyle-Connelly, Sharon E, MSW.330, 333 Anderegg, Charles W, PA...... 123, 124 Bassale, Karima R, ND...... 93 Bozich, Lindsey J, PT...... 225 Anderson, Catherine A, MA...... 320 Batangan, Eric Kei, PA...... 236 Bradshaw, Kristin A, PT...... 225, 237 Anderson, David E, MD...... 50, 51 Bauer, Jacob H, MD...... 139 Braun, Kevin E, MD...... 78 Anderson, Erin T, NP...... 52 Bazzetta, Nicole A, NP...... 126 Braun, Marissa L, MA...... 330, 331 Andrade, W Pierre, MD...... 131 Beall, Stephanie L, MA...... 307 Bray, Heidi J, NP...... 68, 69, 94 Andrews, Shawn M, MD...... 76, 77 Beardsley, Steven J, NP...... 72 Brennan, William P, MD.112, 116, 117, Andrews, Tina M, MA...... 289 Bechtel, Brianne, MA...... 307 133, 135, 136, 158, 165 Andrus, Vern R, PA...... 236 Beck, Kara L, SLP...... 259 Bresolin, Brad, LPC...... 267, 275 CSWA.15.999.21.9.007 Index 374

Index

Brown, Daniel M, MD...... 262, 263 Chan, Roger S, MD...... 133, 134, 136 Cuevas, Darren M, DO...... 41, 42 Brown, James S, MD...... 131 Chao, Tamara T, MD...... 166 Cuevas, Megan E, NP...... 102, 103 Brown, Linda L, MD...... 90, 158 Chapel, Susan P, SLP...... 259, 260 Culbertson, Jolene, MS...... 118, 266 Brownell, Kirk H, MD...... 282 Chapman, Ann Marie, SLP...... 260 Cumings, Mark D, MD...... 146 Bruce, Ann B, MD...... 40, 266 Charles, Shana, NP...... 94 Cummings, Thomas C, NP...... 53, 54, 178 Buchanan, Tiffany R, BA...... 290, 307 Chase, Melissa A, PT...... 225, 226 Cundiff, Dave R, MD...... 78, 79 Bucknam, Justine M, NP...... 176 Chaves, Jorge M, MD...... 154 Cunningham, Eve S, MD...... 195 Budiselic, Zackary J, NP...... 52, 53 Chen, Peter Y, MD...... 136 Currie, Diana M, MD...... 195 Buechel, Kelly M, MA...... 267, 268 Chen, Zachary H, MD...... 90 Curry, Thomas K, MD...... 265 Bundt, Elizabeth W, NP...... 176, 177 Cheng, Marina, MD...... 263 Cvs Pharmacy #16153...... 346 Bunn, Tamara L, MD...... 78 Chern, Sandra, MD...... 206 Cvs Pharmacy #16694...... 346 Burghardt, Thomas M, DPM...... 252, 253 Cheung, Lai K, MS...... 284 D Burkey, Adam R, MD...... 171, 172, 213 Chi-Lee, Sothyry, CNM...... 139, 167 Dahmer White, Laura K, PHD...... 328 Burnham, Paige, MA...... 275 Chisholm, Shawna A, NP...... 177 Dale, Charles R, OD...... 341 Burris, Daniel J, MD...... 40, 41 Chmelik, Mary R, NP...... 284 Damron, Robert L, MA...... 308 Burtner, Christopher, MD...... 169 Chowdhary, Abhineet, MD...... 170 Dang, Huy D, DPM...... 253 Buser, Charles N, MD...... 158 Christenson, Jeffrey C, MD...... 256, 257 Danner, Katharine E, MA...... 280, 323 Bushman, Steven, MA...... 290 Christopher Heistand Ccc Slp Inc Ps.... 358 Daughtry, Rebecca L, CSW...... 331 Byrd, Daniel M, MD...... 121, 202 Christy, Carin L, LPC...... 308 Davidson, Bruce L, MD...... 158, 159, 257 Byrd, Gregory D, MD...... 209 Chung, Paul Y, MD...... 206 Davidson, Chi Mi Yi, MA...... 290 Byrd, Monica M, MA...... 307 Cigliola, Andrea, PA...... 237 Davies, Robyn K, MD...... 79 C Cirone-Hornickel, Theresa D, NP...... 90 Davis Lesh, Kristin J, RD...... 193 Cabush, Carrie G, MA...... 280 Clark, Sarah J, PA...... 237, 238 Davis, Illyana Jameica M, MA...... 308 Calderwood, Linda J, NP...... 177 Clark-Neitzel, Charlotte B, MD...... 78 Davis, James M, MA...... 320 Caldwell, Daniel F, MA...... 275, 307 Clauson, Amanda N, CNM...... 167 Davis, Morgan A, MA...... 291 Callaghan, Stacey L, CNM...... 139, 167 Clements, Holly C, NP...... 118, 177 Dawida, Mariana, PT...... 226 Callely, Natalie C, MA...... 307 Click, Nathan J, MA...... 308 Dawson, Brian J, MD...... 282 Calvert, Sarah T, MD...... 195 Clingenpeel, Jennifer A, MA...... 266, 284 De Groot, Michaela J, PT...... 226 Campbell, Amber M, NP...... 94 Coates, Lisha N, MA...... 290 De Rose, Kathryn E, FNP...... 73 Campbell, Connie L, MA...... 307, 308 Coburn, Mary K, SLP...... 260 De Yao, Jocelyn T, MD...... 121, 202 Canali, Laura M, PT...... 225 Cochrane, Christopher, DO...... 304 Dean, Elisabeth R, PA...... 62 Cannady, Angela, NP...... 177 Cochrane, Rochelle D, MD...... 206 Dean, Gina J, MA...... 308, 309 Cannon, Virginia R, MD...... 90 Coffman, Annella M, NP...... 118, 177 Dean, Kathryn A, MD...... 79 Canonizado, Leo M, PA...... 62 Cole, Jennifer W, DO...... 131 Deitz, David M, MD...... 147 Cantwell, Maureen E, MS...... 150 Collins, Jason W, PA...... 238 Delastrada, Jean G, MD...... 309 Caple, Christy, PA...... 237 Collins-Vazquez Atecas, Leigh A, NP. .. 53 Dell, Lisa C, PA...... 62, 63 Cardenas, Genaro, PA...... 62 Community Youth Services...... 340 Demars, Michala C, AUD...... 132 Carey, Brian J, MD...... 206 Comstock, Calista D, PA...... 238 Demartino, Dilma L, MA...... 291 Carlson, Karen M, FNP...... 72, 73 Cook, Jenna L, MA...... 290 Denison, Cheryl C, MA...... 320 Carlson, Sheli M, OTR...... 199 Cook, Jonathon R, MA...... 290 Denman, Britta L, DO...... 156 Carpenter, Clyde T, MD...... 209 Cook, Rachael, CNM...... 167 Dennehy, Erica M, LICSW...... 331 Carrier, Erin, PT...... 225 Cooper, Robert L, MD...... 304 Deusen, Jane M, LPN...... 303 Casanova, Winona A, MA...... 308 Coots, David B, NP...... 40, 53 Dewaay, Rebecca J, PSY...... 330 Cascade Speech And Language Services. Cornwall, Nathan K, PA...... 107 Dewine, David B, LP...... 328 ...... 358 Corpuz, Alma E, PA...... 62 Dewitt, Kathryn D, PT...... 226 Case, James R, NP...... 177 Cortez, Neil J, MA...... 268 Dhondup, Tsering, MD...... 169 Casebolt, Jeffrey A, LMHC...... 308 Costco Pharmacy #64...... 346 Diagnostic Imaging Northwest.....358, 359 Caserta, Jennifer J, MD...... 103 Costco Pharmacy #740...... 346 Diaz, Amy M, NP...... 178 Caserta, Kevin T, MD...... 304 Coughlin, Sarah R, NP...... 177 Dibble, Carlos M, MD...... 120 Casimiro, Magdalena, NON...... 299, 335 Coupe, Cristina M, MA...... 308 Dibble, Raquel L, CNM...... 117 Cassady, Jessica A, FNP...... 69 Cowan, Kristen J, MA...... 308 Dicarlo, Mary C, MD...... 159 Castillo, Noel M, MD...... 206 Cowell, Marnie L, NP...... 39, 53 Dickason, Laurel, MD...... 195, 196 Catausan, Michael T, MD...... 41, 78 Cox, June M, NP...... 94, 95 Dickerson, Christopher L, PT...... 226 Cates, Edward, MD...... 78 Credena Health Pharmacy Olympia. .... 346 Dicks, Zachary J, PT...... 226 Cavanagh, Sasha C, MD...... 139 Cronin, Lauren A, PT...... 226 Digman, Barbara E, PHD...... 328 Cellnetix Labs...... 354 Crosetto, Rebecca C, MS...... 150 Dilk, Walter S, MA...... 309 Chadwick, Chancelor, PT...... 225 Cruz, Al Jerome C, NP...... 177, 178 Distefano, Jennifer D, MS...... 309 Chan, Kayee Clara, MD...... 218 Cruz, Raul Manuel B, MD...... 257 Dixon, Galina S, NP...... 178 CSWA.15.999.21.9.007 Index 375

Index

Dominguiano, Raul P, MD...... 42 Espinosa, Barbara, BS...... 300, 335 G Donahue, Kelly C, MS...... 150 Evans, Joshua D, PA...... 63 Gagnon, Jamie L, MA...... 310 Donohue, Brendan P, PT...... 226, 227 F Gale, Julianne, MA...... 310 Dorhauer, Cheri M, MD...... 79 Failoni, Ann, NP...... 95 Gallardo, Melissa J, ARNP...... 285 Dorsch, Andrea M, PHD...... 218, 303, 328 Falk, Gavin A, MD...... 221 Gallardo-Zamora, Juliette, MA...... 269 Dorsey, Susan M, OTR...... 199 Farmer, Lauren D, MA...... 301, 336 Galloway, Flora L, NP...... 180, 361 Dotson, Tamara A, PA...... 238, 239 Farooq, Muhammad U, MD...... 172, 264 Galvez, Dawn E, NP...... 54 Dougan, Kim E, MD...... 79 Faust, James M, MA...... 301, 309 Gambee, Carden K, DO...... 43 Doughly, Najla M, MD...... 79 Feldman, Dmitry P, DO...... 159 Gandara, Maria S, NP...... 95 Doyle, Kristen R, MA...... 280, 281 Feldmann, Timothy F, MD...... 147, 360 Gano, David L, MD...... 207 Draper, Todd R, NP...... 178, 179 Felling, Megan, CM...... 139, 167, 168 Garcia, Patricia S, PA...... 239 Drebis, Sara, RN...... 320 Femiano, Dominic, MD...... 260, 261 Garibay Vazquez, Esperanza I, MA. .... 275 Dropp, Lisa S, MD...... 42, 43, 49, 50 Fenwick, Steven M, LMHC...... 309 Garrison, Teresa I, NP...... 69, 95, 126, 180 Dsouza, Rakesh R, MD...... 213, 214 Ferris, Alicia L, MA...... 275, 309 Gastroenterology Associates End Center. Duarte, Derek A, MS...... 268 Fick, Roger N, MS...... 150 ...... 352 Duarte, Ryan P, PA...... 239 Fiedler, Tamara S, PT...... 227 Gauthier, Amber L, NP...... 73, 95, 96 Dubek, Martin, MD...... 143 Finley, Melissa, SLP...... 260 Gavin, William A, MD...... 117, 165 Duenow, Kristin R, NON...... 291 Fir Lane Health & Rehab Ctr...... 352 Geissler, Francis T, MD...... 207, 342 Duerden, Brittney L, MS...... 150 Fisher, Lauren W, MD...... 305 Geist, Marles J, NP...... 180 Duffie, Meghan R, MD...... 79, 80 Fix, Dina, MA...... 309, 310 Geneva Woods Health Supplies...... 353 Duggan, Theresa E, NP...... 95 Fkc Olympia...... 353 Geng, Yan, MD...... 89 Duke, Kaila, MA...... 301 Flake, Eric, MD...... 222, 323, 324, 337 Gentzler, Denise L, PT...... 227 Durham, Michelle R, OD...... 341, 342 Flament, Jennifer M, MD...... 144 Georgia, Celina M, NP...... 180 Dwyer, Elizabeth H, NP...... 179 Flanigan, Megan C, MD...... 304 Geraci, Jane M, MD...... 90, 91 Dybbro, Julie, NP...... 95 Fletcher, Yvette A, NP...... 180 German, Donna J, MA...... 320, 321 E Flood Nichols, Shannon K, DO...... 166 Ghali, Gabriella N, MD...... 159 Eaton, Jeremy J, DO...... 80 Flood, Maribeth E, MS...... 284 Gianutsos, Louis P, MD...... 280 Ebalo, Evelyn E, MD...... 103 Flores, Cynthia M, MA...... 268 Giebel, Arthur W, MD...... 207 Eberle, Corlene A, NP...... 179 Flynn, Erin, MD...... 80 Gilbert, Joyce A, MD...... 222, 223 Ebio, Karol, LPC...... 301 Fmc Thurston County...... 353 Gill, Stacey L, PT...... 227 Eckroth, Kim P, OD...... 342 Fogarty, Melissa L, MA...... 310 Gillam, Amanda M, MA...... 292 Edgington, Bryan D, MD...... 206, 207 Foot & Ankle Surgical Associates...... 346 Gillespie, Megan M, NP...... 96 Edwards, Christopher, LPC...... 291 Foot & Ankle Surgical Assocs. ....253, 254 Gilley, Rebecca, MA...... 331 Edwards, Jennifer F, PT...... 227 Foot And Ankle Surgical Associates.... 352 Gillroy-Gill, Kelley A, DPM...... 254 Egan, Brett C, MA...... 291 Ford, Robert M, MD...... 207 Glandon, Joseph W, OD...... 342 Eggers, Christopher D, PT...... 209 Ford, Robert O, MD...... 207 Glaser, Evening R, PA...... 239 Egli, Kenneth J, MD.....143, 144, 282, 283 Fordmeir, Jennifer L, NP...... 284, 285 Glidden, Edward, MA...... 310 Ehrlander, Wyatt C, MD...... 159 Forester, Vicki L, NP...... 95 Godfrey, Geoffrey L, NP.180, 181, 285, Elam, Donna L, PA...... 239 Forno, Celia G, MA...... 285, 335 286 Electrodiagnosis & Musculoskeletal Assoc. Fowler, Amber D, MD...... 113 Goetz, Silva J, MA...... 310 ...... 304, 305 Fox, Eric, NP...... 180, 285 Goldmann, Mary E, PA...... 63, 239, 240 Eller, Beaver E, FNP...... 140, 141, 179 Frank, Trina, RD...... 193 Gomez, Bradford, PT...... 227 Ellingson-Miller, Robin G, NP.....179, 180 Franzen, Cody J, MD...... 261 Gonzalez Vielma, Maira, MA...... 269 Elliott, Kimberly A, DO...... 80 Frazer, Thomas A, MD...... 114 Gonzalez, Omar J, PA...... 240 Ellsworth, Sara M, MA...... 275, 309 Frazier, Britney G, MD...... 216, 217 Goodblatt, Michael M, MD...... 144 Elm, Michael K, MD...... 139, 140 Fred Meyer Pharmacy...... 345, 346 Goodface, Craig F, MA...... 310 Elmendorf, Yvonne C, MA...... 268 Fredericks, Mary E, NP...... 180, 285 Goodson, Tonya R, NP...... 181 Elsey, Amy M, MA...... 309 Freeburg, Joseph D, MD...... 172, 264 Gordon, Anthony L, PA...... 63 Eng, Whitney A, NP...... 180 Freeman, Rebecca A, MD...... 147, 148 Gosciewski, Susan, MA...... 310, 311 Engelken, Dustin T, MD...... 257 Freer, Rachel E, MA.....268, 269, 291, 292 Goueli, Hisam S, MD...... 324 Epic Pt Health And Performance...... 356 Frevert, Eric, PA...... 107, 108 Goulette, Daniel L, PA...... 240 Erickson, Juliette K, MD...... 144, 155, 257 Frickleton, Rachel, MA...... 310 Graff, Allison, MA...... 273, 301 Erickson, Mark S, NP...... 40 Frost, Nathan L, MD...... 209, 210, 220 Gramling, Joseph D, MD...... 217 Erlien, Janna B, PA...... 239 Fukui, Karen K, MD...... 103, 104 Granda, Marquita A, FNP...... 73 Escobar, Mary, MA...... 275 Fulkerson, Ashley M, PT...... 227 Grande, Lucinda A, MD...... 80 Escobar, Mauricio A, MD...... 221 Furiasse, Nicholas M, MD...... 126 Grant, Debra F, NP...... 181 Escoz, Angela S, MA...... 268 Furrer, Sharon C, RD...... 193 Gravatt, Andrea R, MD...... 223 Espinosa Morales, Aixa D, MD...... 172 Furry, Kaylin J, MA...... 310 Graver, Adam J, MD...... 152, 153, 210 CSWA.15.999.21.9.007 Index 376

Index

Graves, Jill E, NP...... 181 Harshman, Kathryn E, NP...... 70, 96 Hooker, James C, MA...... 311 Gray, Deetta M, MD...... 113 Hart, Brianna E, PA...... 108 Hoopes, Derek G, PA...... 241 Green, Kristabel K, MA...... 275 Hart, Elaine, NON...... 300 Hopkins, Lyssa J, MA...... 311 Green, Leeann, BS...... 300, 335 Hartford, Lawrence Buck D, PA...... 241 Horcasitas Ruiz, Denisse A, MA...... 276 Greenlee, Cynthia Leah L, NP...... 54 Harvey, Beth E, MD...... 104 Horn, Claire E, PT...... 228, 229 Greenspahn, Scott V, MD...... 91 Harvey, Brian W, NP...... 96, 97 Horn, Melena, NON...... 300, 335 Griffith, Chris N, MD...... 148 Harvey, Ingrid R, BA...... 276 Horton, John D, MD...... 221, 222 Grijalva, Athena F, MA...... 273, 301, 302 Harvey, Sheree L, NP...... 97 Horton, Terry K, MA...... 311, 312 Grimes, James H, OD...... 341, 342, 343 Harvison, Sara M, FNP...... 40 Howard, Kenneth D, NP...... 119 Grippo, Michelle L, PT...... 227 Haskins, Camille M, PT...... 228 Hrivnak, Jacqueline A, MD...... 218, 219 Groner, Mordechai Z, MD...... 156 Hastings, Paul S, PA...... 64 Huang, Kenneth Y, NP...... 182 Gropper-Baum, Lynne, OTR...... 199 Hausman, Peter, MA...... 321 Huang, Maria C, MD...... 104 Gross, Debra J, NP...... 73 Havers, Courtenay N, MD...... 43 Hudson Miles, Shelli, MA...... 321 Grosshans, Terri L, PA...... 63, 64, 240 Hawkins, Christopher, MD...... 261 Hudson, Gabrielle A, NP...... 182 Grossman, Melissa L, MA...... 311 Hawks Prairie Health Mart Pharmacy.. 347 Huebner, David B, DPM...... 254, 255 Grymes Chapman, Grace C, FNP..... 73, 74 Hays, David S, OD...... 343 Hunt, Emily E, NP...... 182 Guercio, Lindsey A, PA...... 240 Heap, Darien, MD...... 146 Huntington, Sarah C, NP...... 141, 182 Guerra, Daniel R, MD...... 136 Heath, Jonni, MA...... 311 I Gullett, Matthew, MA...... 311 Heddens Pharmacy...... 347 Ibarra, John I, MD...... 159 Gundelfinger, Elisabeth N, FNP...... 74 Hedum, Heather R, MA...... 269 Ideal Option...... 340 Gupta, Rohit, MD...... 217 Heiges, Tiffany, CNM...... 168 Igbalode, Kenneth Y, MD...... 136 Gurdian, Silvio J, MD...... 207, 208, 342 Hein, Ursula G, NP...... 118, 119 Ilg, Ron C, MD...... 169 Guy, Sara J, MA...... 275, 276 Heinitz, David, PT...... 228 In, Heung, DO...... 43, 44 Guzek, James P, MD...... 208 Hellenkamp, Colette C, MA...... 281 Inspire Physical Therapy Wa...... 356 Gwerder, Laurie J, NP...... 181 Heller, Jody, MA...... 292 Inui, Tazo S, MD...... 265 H Henderson, Christopher J, PT...... 228 Iregui, Manuel G, MD. .159, 160, 257, 258 Habashi, Noha, MS...... 286, 321 Henderson, Erin J, NP...... 181 Irvin, Shicara B, MA...... 286 Hagen, David, LPC...... 292 Henderson, Margaret M, PA...... 64 Ishihara, Sharon P, MA...... 266, 279 Hagerman, Rodney S, DO...... 43 Hendrickson, Rachael R, PT...... 228 J Haggen Pharmacy #3444...... 347 Henricksen, Kelli A, PT...... 228 Jacob, Shalini M, MD...... 160 Hague, Elizabeth J, NP...... 69, 70 Henry, Michael P, MD...... 122, 123 Jacobs, Carley A, PA...... 124 Hall, Carolee A, CM...... 139 Hepp, Leila R, FNP...... 74 Jacobs, Jeffrey M, MD...... 213 Hall, Debra, FNP...... 74 Hermiz, James T, OTR...... 199, 200 Jacobson, Laurie G, MD...... 113, 140 Hall, Kathryn R, RD...... 193, 194 Hernandez, Roland A, MD...138, 139, 262 Jahn, Michelle L, MA...... 312 Halpin, Ryan J, MD.117, 118, 148, 170, Herzog, Shanti E, NP...... 286 Jansen, Edward L, MD...... 91 171 Hess, Terrence E, DPM...... 254 Jarman, Kirk W, PA...... 241, 242 Hamblet, Samantha, OD...... 343 Hesson, Jessica E, AUD...... 132 Jarvis, Chloe, MA...... 276, 312 Hamel, Megan A, LPC...... 302, 311 Hill, Alaina M, PT...... 228 Java, Cristal, MA...... 312 Hamilton, Julia L, DO...... 80 Hill, Darlene M, MA...... 276 Jemison, Stefanie, PT...... 229 Hamilton, Michelle D, DO...... 43 Hill, Medori S, NP...... 97 Jenkins, Melissa M, NP...... 182 Hamza, Allison E, PA...... 240 Hill, Ryan J, PT...... 228 Jennings-Vigil, Casilda M, MS.266, 267, Hand, Dwight E, MD...... 262 Himilie, Christine, MA...... 269 334 Hang, Nhu T, MD...... 80, 81 Himmel, Andrzej T, MD...... 159 Jensen, Cynthia J, MS...... 331 Hanger Prosthetics & Orthotics West... 355 Hinckley, Bonnie L, NP...... 97 Jensen, Ray E, MD...... 153, 211 Hanisch, Ellen M, NP...... 126 Hinson, William S, PT...... 228 Jiang, Lin, MD...... 104 Hanks, Laura R, MD...... 196 Hinz, Sharon A, NP...... 181, 182 Joe, Rodney W, MD...... 146 Hannan, Elhami N, MD...... 170 Hirano, Kendall, PA...... 306 John, Pamala, MA...... 321 Hannigan, Jessica, PA...... 240, 241 Ho, Jeffrey, MD...... 132, 133 Johns, Gordon E, MD...... 342 Hansen, Kendra, PA...... 241 Hodges, Khamsaengphet, NP...... 119, 182 Johns, Steven W, PA...... 242 Hansen, Thomas M, NP...... 39, 43, 54 Hoffer, Cynthia, BS...... 311 Johnson, Angela D, MA...... 281 Harbor Health Solutions...... 353 Hogg, Katherine M, MD...... 257 Johnson, Brittany K, PA...... 242 Harmon, Kirk T, MD...... 199 Hoiland, Resa, MS...... 311 Johnson, Christine Q, PT...... 229 Harold, Angela, PA...... 241 Holcombe, Philip, PHD...... 328 Johnson, Christopher, PA...... 108 Harrell, Katelyn, PT...... 227, 228 Holland, Randall M, MD...... 221 Johnson, Cole R, MA...... 312 Harriage, Scott R, MD...... 159, 324 Holland, Sundy R, MD...... 91 Johnson, Cris E, MD...... 81 Harris, Brittney, NP...... 181 Holmstrom, Margaret, RN...... 321 Johnson, Debra A, MD...... 196 Harris, Virginia K, MA...... 292 Holt-Knox, Sara P, NP...... 54 Johnson, Jennifer L, MA...... 331 Harris-Moulton, Melinda A, NP...... 96 Holttum, John R, MD...... 324 Johnson, Kimberly A, MD...... 140, 223 CSWA.15.999.21.9.007 Index 377

Index

Johnson, Michelle, LPC...... 312 Knapp Prosthetics...... 355 Lem, Gloria N, NP...... 127, 183 Johnson, Tera L, NP...... 126 Knutz, Bernadine, MA...... 269, 292 Len, Mary K, MD...... 217, 218, 223 Johnson, Traci, MS...... 286 Ko, Pin-Yi, MD...... 219 Leng, Jason W, MD...... 208 Johnston-Coleman, Jenny L, NP...... 54, 55 Kochhar, Molina, DPM...... 255 Leonard, Jennifer, MA...... 313 Jones, Edith D, NP...... 126, 127 Kohler Krava, Ellen K, NP...... 183 Leonard, Lucas, MD...... 147 Jones, Garret D, MA...... 331 Kondo, Yo, MD...... 81 Leoncavallo, Gianna C, MA...... 313 Jones, Jackielyn T, MA...... 269 Kooser, Kenneth W, MD...... 81, 82 Leone, Daniel J, FNP...... 74, 97 Jones, Keaton, MD...... 146 Korol, Vera A, MD...... 219 Lester, Robert B, MD...... 104 Jones, Kelley S, PSY...... 312, 336, 337 Kovacevich, Lynn C, DPM...... 255 Lev, Val A, MD...... 136, 137 Jordan, Lisbeth M, MD...... 196 Kozlowski, Sandra L, LPC...... 292 Levin, Dahlia M, NP...... 119, 183, 184 Jouflas, Susan, PA...... 242 Krabill, Kimberly A, MD...... 214, 223 Li, Qiang, MD...... 137, 161 Jove, Jonathan P, PT...... 229 Kraiger, Anneliese, LPC...... 267, 286 Life Span Occupational Therapy Services. Judah, Liesl, CSW...... 331 Kranz, Heather, MA...... 312, 313 ...... 355 Judys Intimate Apparel...... 353 Krug, Richard T, MD...... 148 Lincare...... 353 Julin, James Gregg, MD...... 134, 165 Kubiniec, Robert H, PA...... 242 Lind, Kevin D, DPM...... 255, 256 Jung, Matthew, MD...... 211, 212 Kuczynski, John R, MD...... 146, 160 Lindeke, Aliscia R, CNM.113, 117, 139, K Kuhlman, Preeta, ND...... 169 168 Kadyrova, Elvira V, MD...... 81 Kummerfeldt, Jennifer L, NP...... 55, 56 Lindgren, Carl A, MD...... 105 Kahler, Stancin L, LPC...... 292 Kunwar, Shristi, MD...... 160, 161 Linton, Chike M, MD...... 172 Kaiser, Nathan E, FNP...... 182, 183 Kurz, Janet G, MA...... 313 Lirio, Beverly Jane V, MD...... 105 Kalilimoku, Allison, MA...... 331 Kwan, Trevor S, DO...... 44 Listenfirst Speech Therapy...... 358 Kamilche Pharmacy...... 345 Kwon, Andrew O, MD...... 44 Lopez, George A, MD...... 173 Kang, Daniel G, MD...... 210 L Lopez, Jacqueline A, MA...... 302 Kang, Min S, MD...... 202 La, Steven, OD...... 341 Lorich, Michael F, DO...... 82 Kanwar, Shruti, MD...... 160 Lacanlale, Samantha M, NP...... 97 Lott, Jami L, MA...... 293 Kara Beck Slp...... 358 Laguana, Dione Marie I, MA...... 313 Loyal, Geri A, MA...... 293 Karlson, Tracee J, PT...... 229 Lakin, Huong T, DO...... 82 Loyer, Sandra, PA...... 108 Karpel, John T, MD...... 104 Lambrecht, Rein H, MD...... 82 Lund, Richard O, MA...... 293 Kats, Alexander I, MD...... 160, 261, 262 Lamour, Richard J, MD...... 123, 210 Lundborg, Michael A, DPM...... 256 Katz, Daniel M, DO...... 81 Lampert, Austin C, MD...... 161, 259 Ly, Van B, OD...... 343 Kaushal, Rajit, MD...... 144 Landry, Cheri K, MA.269, 270, 276, 292, Lykins, Stephen D, MD...... 324 Kearney, Joseph A, PT...... 229 293, 313 Lynam, Michael A, MD...... 82, 83 Kehl, Marian K, NP...... 39 Landry, Donna M, MD...... 108 Lynch, Patricia D, NP...... 184 Kelly, Ashley N, NP...... 70 Langford, Kara, PT...... 230 Lyneta, White C, LPC...... 313 Kelly, Kaitlin M, PA...... 64 Langhofer, Rachelle C, PHD...... 328 Lyon-Loftus, Anthony E, PA...... 64, 65 Kelly, Michael C, NP...... 183 Lanning, John P, MA...... 293 Lyons, Darby N, PT...... 230 Kelly, Timothy P, PT...... 229, 230 Larsen, Andrew K, MD...... 82 M Kendall, Kristey, NP...... 70 Larsen, Dorian, NP...... 183, 361 Macdonald, Tonya F, NP...... 184 Kennedy, Richard P, MD...... 136 Larson, Amanda C, MD...... 220 Madrigal, Michelle, CNM...... 168 Kennedy, Sharon S, NP...... 70 Larson, Lawrence A, DO...... 213 Magana, Wendy N, NP...... 74, 75 Kenny, Angela Y, NP...... 183, 321 Larson, Lisa A, LICSW...... 331 Magill, Eileen V, NP...... 97, 98 Kenworthy, Jennifer T, MA...... 312 Lasater, David J, OD...... 341 Magnuson Whyte, Adrian R, MA...... 276 Khadduri, Lucie M, PT...... 230 Lasley, Tracey, LPC...... 313 Mahangel, Zerai, MA...... 321 Khan Sheirwani, Muhammad B, MD... 160 Laticevschi, Valentin, MD...... 172 Majkut, Devin, MA...... 331, 332 Kice, Michelle E, NP...... 127 Lauilefue, Tui, MD...... 91 Makari, George S, MD...... 219 Kim, Jessica, PT...... 230 Laursen, Shawna L, MD...... 144, 283 Malakar, Shrijana, MA...... 313, 314 Kim, Sung-Won, MD...... 212 Law, Yuk M, MD...... 214 Malhotra, Vinay, MD...... 134, 137 Kim, Yi Soo R, MD...... 265 Le, Nha T, MD...... 161 Malit, Iris, MD...... 59, 60 Kim-Aguilar, Ivy, NP...... 144 Leaps And Bounds Pediatric Therapy Wa. Malone, Pattie J, MD...... 83 King, Jessica J, PA...... 124 ...... 355 Mamiya, Reid I, OD...... 343 King-Hill, Eve, MA...... 276 Ledford, Machel, MA...... 276 Mammoser, Anita, MA...... 321 Kinney, Andrea K, NP...... 183, 286 Lee, Lisa A, MD...... 104 Manges, Matthew S, PT...... 230, 231 Kinney, Kurt G, MD...... 134 Lee, Tobias T, MD...... 134, 136 Manlapaz, Eller C, MD...... 161 Kinread Sinclair, Nicole A, MA...... 269 Legan, Jason E, PA...... 242, 243 Manorcare Health Serv Lacey...... 357 Klein, Christina R, MD...... 305 Legaspi, Ronillo M, MD...... 144, 145 Marasigan, Sandra, MA...... 321 Klein, Eric J, MD...... 91 Lehr, Eric J, MD...... 262 March, Rebecca J, DO...... 91 Kleist, Sarah, NP...... 127 Leibrand, Howard L, MD.....145, 283, 361 Marchand, Margaret, NP...... 98 Kletter, Gad B, MD...... 217 Leisenring, Sarah E, MD...... 324 Marcus, Deborah R, NP...... 184 CSWA.15.999.21.9.007 Index 378

Index

Marin, Ryan T, PT...... 231 Mckinney, Elizabeth T, MD. 166, 167, 196 Moua, Ka, NP...... 186 Markle Price, Danielle, MD...... 152, 196 Mckinney, Kristi K, MD...... 131, 132 Mower, Amie E, DO...... 45, 46 Marquez, Amanda N, MA...... 281 Mckinney, Michael J, OD...... 341 Moyer, Walter E, MA...... 295 Marquez, Michelle, MA...... 281 Mckittrick, Austin G, MS...... 150 Muenchrath, John K, MD...... 263 Marsh, Susan B, NP...... 141, 184 Mclemore, James R, MA...... 321 Muller, Stacy, MA...... 270, 295 Marshall, Matthew, PA...... 243 Mcleod, Heather S, NP...... 185 Mulligan, Maria L, MA...... 315 Martens, Carey R, DO...... 120, 121 Mcpeak, Erin C, PA...... 243 Multicare Capital Medical Center...... 38 Martin's Southgate Drug...... 347 Mecum, David E, MA...... 293, 294, 314 Munro, Stacie M, MA...... 295 Martin, Andrea N, MD...... 121 Medeiros, Patrick A, MA...... 294 Murari, Vivek J, MD...... 162 Martin, Jodie B, MA...... 314 Mehta, Vanessa J, PA...... 243 Murayama, Miri, MA...... 332 Martin, Kenyon T, MA...... 270, 293 Meis, Peter M, MD...... 324, 325 Muraywid, Mohammed M, MD...... 162 Martin, Lawrence M, MD...... 324 Meka, Srinivasa R, MD...... 83 Murphy, Jamie L, MD...... 223, 224 Martin, Ludmila K, MD...... 203 Mercer, Kevin, MA.270, 277, 294, 314, Murphy, Jill L, PT...... 231, 232 Martin, Shanailah J, MA...... 303 315 Muuru, Ruth N, MA...... 315 Martin, Theresa K, PA...... 243 Merrifield, Sarah B, MD...... 155, 162 Mvundura, Elisha, MD...... 197 Martin, Vanessa G, NP...70, 127, 286, 287 Metmeds...... 347 Myers, Deborah W, LPC...... 302, 315 Martinez, Sara C, MD...... 137, 161 Mettler, Joanne M, NP...... 128, 185, 186 Myers, Gregory S, MA...... 270, 295 Marvi, Michael M, MD...... 173 Meyer, Joshua S, PA.....124, 125, 243, 244 Myette, Whitney B, LPC...... 283 Masini, Brendan D, MD...... 210, 211 Mezen, Margaret R, MA...... 277, 334 Myklak, Rina, NP...... 186 Maskell, Catherine S, NP...... 128 Mgh Family Health Ankle And Foot.67, 68 N Mason General Hospital...... 38 Mgh Hoodsport Family Clinic...... 68 Nachtigal, Mary C, NP...... 128, 129, 186 Mason Health-Mason Clinic...... 67 Mgh Mountain View Womens Health.... 68 Nakai, Kimberley Y, NP...... 98, 99, 287 Mason, Melinda T, PT...... 231 Mgh Olympic Physicians...... 68 Namburi, Swathi, MD...... 154, 162, 163 Massaquoi, Albert, PA...... 65 Micali, Iliana D, MD...... 92 National Seating & Mobility...... 353 Massry, Wafic A, MD...... 151 Millar, Samantha, PA...... 244 Naturopathic Health Center...... 347 Masters, Amy A, MA...... 332 Millard, Allen L, MD...... 44, 45 Navarro, Jennifer, MA...... 315 Mathews, Brandon J, MA...... 293 Miller, Brady G, MD...... 121, 203 Nayes, April, MA...... 315, 316 Matthews, Benjamin C, NP...... 119, 184 Miller, Holly, MA...... 300, 336 Neal, Dennis, CSW...... 295 Matthews, Elisa, MA...... 270 Miller, Leanne M, NP...... 186 Neal, Meghan L, FNP...... 75, 99 Mattis, Richard N, MD...... 145, 283 Miller, Linda L, MD...... 325 Neff, Chelsea N, MA....270, 277, 295, 316 Mattson, Jeffrey W, OD...... 343 Miller, Michelle A, MA...... 315 Neff, Kara L, CPM...... 168 Matyac, Carrie A, NP...... 98 Mills, Jason, MA...... 315 Neils Pharmacy...... 345 Maughan Prosthetic & Orthotic...... 355 Mills, Kelly A, MA...... 270, 294 Nelson, Jennifer A, NP...... 56, 57 Mayer, Jodi R, NP...... 56 Mindi Knudson Otr L...... 355 Nestor, Bryan J, MD...... 211 Mayer, Katherine, OTR...... 200 Minton, Kelsey A, MA...... 332 New Day Wifery...... 139 Mayes, Joshua B, PA...... 243 Miranda, Richard, MA...... 270, 294 Newcomb, Chad C, MA...... 316 Mayeux, Carrie H, MA...... 277, 314 Miskimon, Mae M, MS...... 267, 334 Newell, Kimberly A, NP...... 75, 99 Mc Donough, Michael J, MD...... 258 Mitby, Cynthia J, OTR...... 200 Newell-Eggert, Margo K, MD...... 305 Mc Kenzie, Rebekah J, SLP...... 260 Mitchell, Katharine T, FNP...... 75, 98 Newlove, Tanya M, NP...... 186 Mc Master, Steven L, PA...... 65 Mitchell, Susan M, NP...... 186 Newman, Jennifer A, MD...... 51 Mccabe, Marshall E, MD. ....147, 161, 162 Molina, Loren P, MD...... 167, 196, 197 Newman, Karen L, MA...... 295 Mccabe, Marshall, DO...... 147 Mollohan, Jacquelin L, NP...... 128 Newton, David L, MD...... 163 Mcclenathan, Bethany M, MD...... 173 Momah, Kingson I, MD...... 134, 137 Ngo, Dean T, NP...... 129 Mcclinton, Brandee L, MA...... 314 Montaperto, Christopher J, MS.287, 321, Nguh, Florence, NP...... 186 Mccloskey, John P, MD...... 214, 215 322 Nguyen, Madeline T, MD...... 173, 174 Mccloy, Thomas M, MD...... 83 Montes, Anthony C, PA...... 244 Nguyen, Maria, MD...... 46 Mcclure, George B, MD...... 196 Montgomery, Gary D, PA...... 108 Nguyen, Tuyet T, PA...... 245 Mcclymonds, Robin L, PT...... 231 Moore, Douglas B, PA...... 125, 244, 245 Nguyen, Vo D, MD...... 163, 170 Mcconnell, Kristina, OTR...... 200 Moore, Patricia, LPC....267, 270, 287, 294 Nhan, Tuyen T, DO...... 46 Mccord, Mercy P, MA...... 281 Moore, Sarah E, MA...... 294 Nichols, Austin J, PT...... 232 Mccormick, Mary K, PA...... 124 Morales-Bronner, Sylvia, MD...... 105 Nichols, Chloe, NP...... 186, 187 Mccroskey, Robert D, MD...... 154, 203 Morley, Courtney R, ARNP...... 128, 287 Nicolazzi, Sharon A, MD...... 113, 114 Mccullough, Giovanna, MA...... 277 Morris, Jessica L, MA...... 315 Nisqually Tribal Clinic...... 89, 90 Mcdonald Lopez, Michelle, MA...... 314 Morris, John E, MA...... 280, 325 Nisqually Tribal Pharmacy...... 347 Mcfadden, Linda S, MA...... 314 Morss, Jessica A, PT...... 231 Noel, Brianne S, PA...... 245 Mcgee, Laurie A, NP....141, 142, 184, 185 Mortinson, John P, MA...... 294, 295 Nooney, Robert R, DO...... 145, 262 Mcginley, Michelle, NP...... 185 Moruzzi, James F, MD...... 197 Northwest Health Associates...... 356 Mckey, Brenda H, OTR...... 200 Mott, Jared D, DO...... 219 CSWA.15.999.21.9.007 Index 379

Index

Northwest Healthcare Alliance Hospice. Peace, Eli, MA...... 271, 277, 296, 316 Poudel, Manju L, NP...... 129 ...... 354 Pearce, Sandra, RD...... 194 Powers, Kim M, MA...... 317, 337 Northwest Pediatric Center...... 111 Pearson, Francesca, MA...... 316 Prado, Kelley K, PA...... 246 Northwest Resources Ii...... 340 Peash, Rachel B, DO...... 84 Presson, Judith, ARNP. 129, 130, 188, 288 Northwest Therapy Resource...... 356 Peay, James R, NP...... 187 Prieskorn, Thomas R, PA...... 65 Nourse, Lindsay L, PA...... 108 Pedersen, Sarah E, PA...... 245, 246 Proudfoot, Jacqueline J, MD...... 46 Novak, Heather D, NP...... 99 Peet, Andrew C, MD...... 116 Providence Centralia Physical Therapy. Novoa, Emily M, PT...... 232 Peet, Lauren A, MA...... 271, 296, 297 ...... 356, 357 Novoa, Leslie B, PT...... 232 Peltz, Edward, MA...... 316 Providence Infusion & Pharmacy...... 354 Nunez Michel, Maria G, MA...... 270, 271 Pendle, Gregory J, PA...... 109, 246 Providence Mother Joseph Care Ct...... 358 Nye, Larry W, PA...... 245 Peninsula Community Health Services. . 49 Providence Mother Joseph Ccp...... 347 O Peninsula Community Health Services Providence Physical Therapy...... 357 O'boyle, Amy L, MD...... 197 Phar...... 345 Providence Soundhomecare And Hospice. O'boyle, John D, MD...... 115, 151, 152 Penn, William J, MD...... 84 ...... 353, 354 O'mahony, Lila N, MD...... 224 Penner, David E, PHD...... 325 Providence St Peter Hospital...... 38 Obeng, Kwame, PA...... 83, 108, 109 Penoyar, Christopher W, DO...... 46 Pugeda, Jaime G, MD...... 137 Oh, Isabelle, PHD...... 328 Penoyar, Jonathan B, MD...... 145 Puget Pharmacy Services...... 347 Okon, Nicholas J, DO...... 174 Pepperdine, Lisa, NP...... 187 Puget Sound Healthcare Center...... 358 Olsovsky, Paul J, OD...... 343 Perez, Romelia, MA...... 280 Puget Sound Physical Therapy...... 357 Olszewski, Leigh A, MA...... 316 Performance Modalities...... 353 Pulido, Bernard J, MD...... 85 Olympia Dialysis Center...... 353 Perrenod, Scott W, FNP...... 57 Puri, Kaitlyn B, MA.271, 277, 278, 297, Olympia Eye Clinic & Laser Center..... 352 Perretta, Cammie M, MA...... 332 317 Olympia Multi Spec Clinic Asc...... 352 Perry, Benjamin M, DO...... 140 Purses, Jennifer D, DO...... 327 Olympia Orthopaedic Pt...... 356 Perry, Chadwick J, PA...... 246 Purvis, Faith M, NP...... 188 Olympia Radiologists...... 354 Perry, Damon D, NP...... 99 Putman, Ladonna J, MA...... 297 Olympia Respiratory Services...... 353 Perryman, Cindy L, MA...... 302 Q Olympia Sleep Laboratory...... 358 Peterman, James, MA...... 271, 297 Qfc Pharmacy...... 347, 348 Olympia Surgery Center Facility...... 352 Peters, Lisa M, LPC...... 271, 297 Qfc Pharmacy #101...... 345 Olympia Trans Care & Rehab...... 357, 358 Petersen Hobbs, Samantha S, MA...... 316 Quest Diagnostics...... 354 Ong, Anna Rae B, MD...... 163 Petersen, Dana M, MD...... 105 R Osborn, Dustan C, MD...... 153, 154, 203 Petersen, Iris, MD...... 105 Raastad, Larisa G, MD...... 85 Ott, Carl R, MD...... 163 Peterson, Rachelle M, OTR...... 200 Rae, Benjamin G, NP...... 188 Ottesen, Brian D, NP...... 70 Petra, Jeffrey R, PHD...... 329 Rafeh, Zaher A, DO...... 163 Ottey, Peggy A, NP...... 187 Petralia, Maria I, MA...... 277 Raff, Michael L, MD...... 151 Owen, Cullen N, DO...... 92 Petrin, Katelin M, NP...... 99 Raguveer, Vishaka, MD...... 85 Owens, David A, MD...... 147 Petrukitas, Peter A, NP...... 187 Raj, Sanjay S, MD...... 105, 106 P Pham, Jessica V, MA...... 316, 317 Rajacich, Nicholas, MD...... 220 Pacific Cataract & Laser Inst...... 352, 353 Pham, Ngoc-Tam T, NP...... 187 Ralphs Thriftway Pharmacy...... 348 Page, Nichole, MA...... 271, 296 Phan, Quoc T, MD...... 84 Ramos Miranda, Annette J, MA...... 278 Paladichuk, Demery, NP...... 57 Phasouk, Ryan K, MD...... 114 Ramos, Ashley J, MA...... 317 Palmer, Cristina J, DO...... 263 Phillips, Bryce, AUD...... 132 Ramos, Michael D, NP...... 188 Palomarez, Jeanette, MA...... 296 Phillips, Steven A, MD...... 219, 220 Ramsey, Cynthia A, FNP...... 75 Panorama...... 358 Phitwong, Ame, NP...... 112 Rana, Dipty, FNP...... 75 Papasian, Zoe A, MA...... 296, 332 Phung, Angela, NP...... 70, 99 Randhawa, Devinderpal S, MD.121, 122, Papoff, Traci A, MA...... 316 Pierce, Aaron, DO...... 92 203, 204 Paragin, Lindsay, NP...... 187 Pine, Nicole A, PA...... 246 Rayls, Katrina R, PHD...... 329, 330 Park, Edward, DO...... 163 Piranio, Aron, OD...... 343 Raymond, James F, MD...... 259 Park, Matthew V, MD...... 215, 216 Pittier, Ann C, MD...... 258, 259 Rayos, Rose Ann V, MD...... 60 Park, Yoojin, MD...... 46 Pittman, Kristina J, PT...... 232 Rcg Shelton...... 352 Patel, Andrew P, MD...... 83, 84 Pizanti, Therese, NP...... 57 Reagan, Krista M, MD...... 152, 197, 263 Patel, Pooja M, MD...... 84 Playstead, Jennifer A, MD...... 84 Rear, Jake O, NON...... 300, 336 Patrick, Jill L, MA...... 296 Pletz, Anna Maria A, MD...... 84, 85 Rebekah Mc Kenzie...... 358 Patrick, Robert T, MA...... 296 Plewa, Jaime M, NP...... 99, 105 Redman, Richard C, MD...... 258 Patterson, Anne M, MS...... 267, 287, 288 Plummer, Cathryn J, NP.....70, 71, 99, 100 Reed, David C, MD...... 263, 264 Patterson, Rosemary A, MA...... 277, 316 Polley, Jennifer P, MD...... 105 Reese, Samantha R, NP...... 100 Paturi, Deepti, DO...... 84 Poole, Donna L, CCC...... 267 Regency Olympia Rehabilitation And Paull, Nathaniel B, MD...... 148, 149 Porter, Lindsay C, MD...... 85 Nursi...... 358 Pavich, Deborah, NP...... 39, 40 Porter, Trisha-Leigh C, NP...... 187, 188 Reimer, Jennifer N, OTR...... 200 CSWA.15.999.21.9.007 Index 380

Index

Renaud, Joseph J, OD...... 341, 343 Rubel, Alexandra Z, NP...... 100 Schmitz, Theresa A, OTR...... 200 Rendleman, Katherine S, SLP...... 260 Rubio-Reyes, Carlos, MD...... 46, 47 Schneidmiller, Abigail N, NP...... 130 Renn, Rebecca J, MD...... 280, 325, 326 Rueda, Kristine Grace P, MD...... 145, 283 Schnell, Kenneth E, PT...... 233 Renner, Matthew S, PA...... 246 Ruiz, Brittany N, PA...... 109 Schroeder, Mary E, MA...... 288 Renner, Nadia, PT...... 232 Rundell, Kristina M, MA...... 297 Schwartz, Christopher, DO...... 86 Rennie, Gordon F, MD...... 92 Russell, Deborah L, MS...... 317 Schwartz, Lisa A, OTR...... 200 Restoration Rehabilitation...... 357 Russo, Monica Lynn D, MA...... 332 Schwartz, Paul C, PA...... 248 Retterath, Gordon, MS...... 332 Rutzer, Christopher, MA...... 278 Schwarz, Anisha C, MD...... 174, 219 Reusch, Kevin J, PT...... 232 Ryan, David M, DO...... 145, 333 Scott, Cory A, AUD...... 132 Reynolds, Courtney J, MA...... 317 Ryan, Jessica D, NP...... 71, 100, 101 Sea - Mar Community Health Center..... 89 Reynolds, David J, PHD...... 329, 338 Ryan, Mary W, PHD...... 329, 330 Sea Mar Community Health Centers.... 349 Riano, Kimberly E, NP...... 130 S Seattle Children's Hospital...... 38 Rice, Julie M, NP...... 71, 100 Sabon, Sylvia, MA...... 271, 272 Sebesta, James A, MD...... 149 Richards, Julia, MD...... 152, 197 Sacken, Jodi, PA...... 247 Sedra, Heidi L, NP...... 101, 189 Richards, Latoya N, PA...... 246 Saeed, Mohammad A, MD...... 305, 306 Seery, Loren S, MD...... 208 Richards, Nathaniel T, MA...... 278, 317 Safeway Pharmacy #0543...... 348 Semien, Monique C, MD...... 204 Richardson, Timothy S, PA...... 246, 247 Safeway Pharmacy #0585...... 345 Senecal, Francis M, MD...... 154 Richert, Shauna M, MD...... 140 Safeway Pharmacy #1173...... 348 Severson, Margaret A, MA...... 288 Ricker, David H, MD...... 220 Safeway Pharmacy #1464...... 348, 349 Shaffer, Barbara, NP...... 189 Rigg, Brian A, PA...... 65, 66 Safeway Pharmacy #1503...... 349 Shah, Fatima, DO...... 86 Riley, Amber C, MA...... 317 Safeway Pharmacy #1571...... 345 Shah, Javeed A, MD...... 156, 163, 164 Riskedahl, Amy L, OD...... 344 Safeway Pharmacy #1619...... 349 Shaheen, Sabrina, MD...... 137, 138 Ritchie, Rebecca S, MD...... 85 Safeway Pharmacy #1952...... 349 Shaner, Resa L, PA...... 66 Rite Aid Pharmacy # 05278...... 348 Safeway Pharmacy #1977...... 349 Shannon, Tim P, ND...... 93 Rite Aid Pharmacy # 05279...... 348 Saint-Mark Enterprises #106...... 352 Sharangpani, Ritawari, MD...... 326 Rite Aid Pharmacy # 05280...... 348 Salveson, Roberta L, NP...... 189 Shelton Health And Rehabilitation Center. Rite Aid Pharmacy # 05281...... 348 Sampert, Catherine M, DO...... 218 ...... 352 Rite Aid Pharmacy # 05286...... 348 Samples, John R, MD...... 208 Shelton Pharmacy...... 345 Rite Aid Pharmacy 06544...... 345 Samy's Drug Store...... 349 Shelton, Hailey A, MA.272, 278, 297, Ritter, Teresa M, NP...... 119 San Juan, Zinnia T, MD...... 114 298, 317, 318 Rittmueller, Anna M, MA...... 332 San Roman, Talia K, FNP...... 288 Shelton, Lalani R, PT...... 233 Roach, Steven, PT...... 232, 233 San, Wesley J, MD...... 306 Shelton, Samuel E, MA...... 272, 298 Roberts, Andrea, NP...... 188 Sandeep, Nefthi, MD...... 216 Shen, Tong, MD...... 327 Roberts, Ashley, BA...... 300, 336 Sanders, Kasin M, PA...... 247 Sheng, Jessica S, MD...... 167 Robertson, Alanna C, MA...... 317 Sanderson, Katherine B, CNM...... 139 Shepherd, Dana M, NP...... 101 Robertson, Astrid M, MA...... 317 Sandhu, Jagjit S, MA...... 322 Shepherd, Tess K, NP...... 119, 189 Robertson, Paul A, MD...... 122, 204 Sandine, Kurt R, MD...... 85, 86 Sheppard, Keara K, MA...... 318 Robinson, Karen E, MD...... 197, 198 Sandle, Laarni, MA...... 273 Sherman, Jennifer R, MS...... 322 Robinson, Kevin D, MD...... 149 Sands Sako, Yvonne T, NP...... 101 Shin, Yoon, MD...... 106 Robinson, Nicole L, NP...... 188 Santamarina, Luis F, MD...... 262 Shogreen, Misty A, MA...... 272, 298 Rodgers, Jason A, PA...... 247 Sataur, Aneesa, MD...... 86 Shrestha, Arsen, PA...... 109 Rodriguez, Jocelyn, MA...... 271 Sattar, Anjan K, MD...... 326, 337 Simon, Julie M, MS...... 114, 115, 150, 151 Rodriguez, Julian, PA...... 247 Saulitis, Mara V, MD...... 47, 48 Sims, Allie, AUD...... 132 Rogers, Chad N, PT...... 233 Sauri, Marco A, MA...... 272 Singh, Arvanbir, OTR...... 200, 201 Rogers, Kelley R, OTR...... 200 Sautter, Nathan, MD...... 212 Singh, Parminder, MD...... 48 Romascan, Christine, DO...... 46 Sav-On Pharmacy #1407...... 349 Singh, Raminder, MD...... 164 Rome, Michael P, MD...... 133 Sav-On Pharmacy #3417...... 349 Singh, Tarvinder P, MD...... 174 Roo Lan Health & Rehab...... 358 Sawyer, Devin R, MD...... 86 Sipe, Sean S, PT...... 233 Rood, Joseph A, PA...... 247 Sawyer, Jessica K, PA...... 247, 248 Sipher, Bridget K, MD...... 106 Rosales, Matthew R, MA...... 322 Scariato, Gina L, MA...... 272, 297 Sisco, Kate E, OTR...... 201 Rosas Rodriguez, Nancy, LPC...... 271 Schefstrom, Marci, MA...... 322 Sivakumar, Niranjan, MD...... 164 Rose, Jessica, MA...... 300, 336 Scheuffele, Lisa, PT...... 233 Skale, David M, MD...... 208, 209 Rosinbum, Savahn A, ND...... 93 Schier, Anamaria, PA...... 248 Skerrett, Gregory R, MD...... 265 Ross, Margaret F, NP...... 119, 188, 189 Schlauderaff, Mark L, MD...... 51 Skoblar, Eric, MD...... 48 Rossow, Charles F, MD...... 137 Schmelzer, Benjamin A, NP...... 189 Skokomish Health Clinic...... 50 Roth, Bernard J, MD...... 258 Schmidt, Carol, MA...... 278 Slim, Ahmad M, MD...... 134, 138 Rouse, Dupre D, MA...... 302 Schmitz Occupational Therapy Services. Sloan, Jacob A, MA...... 318 Royal Life Centers LLC...... 340 ...... 355 Slyvester, Kristen, NP...... 57, 58 CSWA.15.999.21.9.007 Index 381

Index

Smetak, Jody R, MA...... 278, 318 Sullivan, Michelle M, NP...... 101 Tsao Wu, George, MD...... 106 Smith, Abigail, MA...... 278, 318 Sullivan, Nancy, MSW...... 333 Tsesliukevich, Natallia F, MD...... 92 Smith, Manvi V, LP...... 329 Sunil, Bhuvana, MD...... 217 Tucker, Jamee S, MA...... 279, 280, 322 Smith-Grady, Jennifer F, FNP...... 75, 76 Suszko, Justin W, MD...... 259 Tuladhar, Binod, MD...... 60, 61 Smitherman, Jay S, MD...... 92 Sutliffe, Eirawen B, FNP...... 76 Tumwater Dialysis...... 353 Smitherman, Sheila M, MD...... 171 Sveen, Jane L, PA...... 248 Turner, Eric E, MD...... 326 Snyder, Rachael A, FNP...... 142, 189 Swadener, Amy B, NP...... 101 U Sobie, Timothy J, PT...... 233 Swan, Jacob G, PA...... 109, 110 Uhri, Billie E, OTR...... 201 Social Treatment Opportunity Prgms... 340 Swan, Jennifer, MS...... 319, 337 Umbel, Hope H, MSN...... 101, 102 Sokoloff, Julia L, MD...... 86 Swan, Jimmy Z, MD.....134, 135, 138, 166 Underwood, Margot H, PA...... 66, 67 Solack, Erin M, PT...... 233 Swedish Radia Edmonds...... 353 Unruh, Chelsea D, MD...... 88 Solise, Lindsay B, MA...... 322 Sweet, Bethany M, MD...... 87 Urbon, Richard L, MD...... 164 Soloy, Jan A, NP...... 189, 190, 288 Swift, Karen E, CNM...... 168 Usefara, Alyson N, PT...... 234 Somppi, Kelsey, MA...... 302, 318 Swint, Brittany, PT...... 234 V Song, Joyann J, MA...... 302 T Vadixx, Chelsey A, LP...... 329 Song, Taiil T, DO...... 132 Taggart, Sharon L, NP...... 190 Valenzuela Ward, Eleanor A, MA...... 298 Sons, Glenn L, PA...... 66 Tan, Lynne A, MD...... 87 Valenzuela, Kristoffer, MD...... 48, 49 Sorenson, Laurie T, MD...... 198 Tarney, Christopher M, MD...... 198 Vallellanes Santiago, Ivelisse, MA...... 279 Sound Specialty Pharmacy...... 349, 350 Tarr, Leanne, PA...... 110 Valley View Health Center...... 89 Souri, Bina C, MD...... 152, 198 Taseva, Adriana, MD...... 48 Van Bourgondien, Dolores I, NP...... 190 South Sound Behavioral Hospital...... 340 Tashakkor, Nasim, MA...... 322 Van Dam, Ryan P, PA...... 249 Sowers, Robyn M, MA...... 303 Taylor, Kimberly H, CNM...... 168 Van Fleet-Green, Jessica M, MD...... 88 Spencer, Alison J, MD...... 86, 145 Tebay, Molly S, MA...... 319 Van Gerpen, Royce F, MD...... 199 Spencer, Brittany L, LPC.272, 278, 298, Tedder, Craig M, PT...... 234 Van Houten, Shannan L, PA...... 249 318, 319 Teng, Yue, MD...... 87 Van Neil, Kristina, PA...... 67 Spieker, Michael R, MD...... 48 Terrenzi, Kristy, PA...... 248 Vandekieft, Gregg K, MD...... 155, 156 Spikes, Christopher, PA...... 248 Terrones, Roberto, MA...... 272 Vander Linden, Nancy, RD...... 194 Squaxin Island Health Clinic...... 50 Terry, Nicole H, NP...... 142, 190 Vashchenko, Sarra, PA...... 249, 250 Srur, Stephanie R, DO...... 106 Tesfahun, Berhane, NP...... 59 Vasquez, Kaitlan N, MA...... 319 St Michael Medical Center...... 38 Thach, Thavi T, NP...... 130, 190 Vaughan, Lesley F, OTR...... 201 Staley, Molly J, MA...... 332 Thaler, Seth M, MD...... 170 Vaughn, Natalya A, NP...... 130 Stallings, Molly G, MA...... 332, 333 Thalhamer, Stella S, MD...... 92 Veatch, Andrea, MD.155, 164, 165, 204, Standaert, Steven M, MD. ....156, 157, 164 Than, Duong T, MD...... 198 205 Stanley & Utterback...... 256 The Medicine Shoppe #106...... 345, 346 Vega, Shannon R, MA...... 333 Stanley, Jerod, DPM...... 256 Thomas, Andrew C, MA...... 298 Vela, Nicole E, MA...... 299 Stanley, Sophia P, MA...... 298 Thompson, Barbara R, MD...... 217, 224 Velikova, Diana E, MD...... 92, 93 Stanton, Kristopher T, MD...... 283 Thompson, Michelle B, DO...... 147 Velsher Hurd, Melissa, OTR...... 201 Starke, Bergen S, MA...... 278, 279 Thueson, Lindsay E, PT...... 234 Verboomen, Jessica D, MA...... 272, 299 Stauffer, James A, PA...... 66 Tiangson, Julius Cesar, MA...... 322 Villacian, Eugene D, NP...... 130, 190 Steffan, Lukas, PA...... 109 Tibbits, Scott J, MD...... 164 Vispo Cuba, Teresa, MA...... 273 Steinbrenner, Sheila Y, MS...... 288 Timm, Deanne C, NP...... 190 Visser, Cathy, RD...... 194 Stenchever, Douglas A, MA...... 298 Tims Pharmacy And Gift Shop...... 350 Volk, Amber K, MS...... 151 Stephens, Bradford D, MD...... 106 Todd, Emily C, MD...... 87, 88 Vora, Devendra K, MD...... 138 Stevens, Katherine E, MA...... 279, 319 Tody, Kristina R, MA...... 298 Vranna, James A, PT...... 234 Stocks, Kristin M, MA...... 319 Tollefson, David, MD...... 149 Vu, Giang V, PA...... 110 Stoker, Allyson M, NP...... 190 Tollefson, Katelyn, MA...... 333 Vuong, Monica B, MD...... 341 Stonerock, Kimberly, NP...... 101 Tolliver, Traci N, MA...... 303 W Storby, Lindsay I, PA...... 248 Tomaro, Linsey N, PA...... 66 Wade, Ronda A, FNP...... 142, 288, 289 Straus, Derek R, PT...... 233, 234 Tornquist, Lori A, MA...... 319 Wages, Sheri L, PA...... 250 Streeter, Alexandra H, SLP...... 260 Tra-Minw Ps...... 352, 359 Waggoner, John W, MD...... 166 Strickland, Yelena A, MA...... 279 Tran, Deion, PA...... 248, 249 Wagner, Kathryne, MD...... 147 Stringer, Katrina M, NP...... 58, 59 Tran, Kathy, DO...... 106 Wahba, Marianne H, PA...... 250 Strong, Allison, SLP...... 260 Treat, Ruth T, DO...... 174 Wahl, Lisa G, NP...... 190, 289 Sui, Xingwei D, MD.115, 116, 122, 154, Trenhaile, Marie E, PA...... 249 Waitkevich, Cheryl J, NP. ....142, 190, 191 155, 204 Truesdale, Kelly A, DO...... 48 Walen, Anna M, NP...... 130, 131, 191 Sullivan, Corey R, MD...... 86, 87 Truxal, Anthony R, MD...... 209 Walen, Kari A, PA...... 250 Sullivan, George Blake, NP...... 59 Tsai, Kevin J, MD...... 264 Walgreens #06083...... 350 Sullivan, Icel R, NP...... 101 Tsang, Joan C, MD...... 60 Walgreens #06917...... 350 CSWA.15.999.21.9.007 Index 382

Index

Walgreens #12453...... 350 Will, Ryan E, MD...... 211 Zimmerman, Margaret D, NP...... 193 Walgreens #5571...... 350 Williams, Heidi I, MA...... 319 Zorich, Bridgette N, NP...... 131 Walker, Christie L, MD...... 167 Williams, Patrick C, PA...... 251 Zurcher, Levi A, OD...... 344 Walker, Kym, MD...... 198 Williams, Stephen M, PT...... 235 Wallace, Helen T, PT...... 234 Williamson, Nila N, RD...... 194 Walmart Pharmacy 10-2121...... 346 Wilson, Annalee, NP...... 192 Walmart Pharmacy 10-3531...... 350 Wilson, Cynthia A, DO...... 88 Walmart Pharmacy 10-3705...... 350 Wilson, Zebedee R, MA...... 319, 320 Walmart Pharmacy 10-3850...... 350 Wiltse, Tricia, MA...... 279, 320 Walmart Pharmacy 10-4757...... 350, 351 Wing, Bruce A, PA...... 110, 111 Waltman, Richard E, MD...... 88 Wingate, Jonathan T, MD...... 264 Walz, Michelle L, PT...... 234, 235 Winn, Peter, PT...... 235 Wang, Hanbing, MD...... 174, 175 Wint, Nicole A, MA...... 281 Wang, Herbert L, MD...... 259 Winter, Dione F, MA...... 303, 304 Wang, Hui, MD...... 116, 122, 165, 205 Winter, Jennifer E, PA...... 251, 252 Wang, Ken S, MD...... 326, 327 Wise, Jannette, CNM...... 168, 169 Ward, David M, MD...... 264 Witte, Hillary L, MA...... 333 Wark, Robert S, MD...... 112, 133 Wohlfert, Ki-Deuk, NP...... 71, 72 Warner, Jennica K, MS...... 300, 336 Wolfe, Christopher L, MD...... 135, 138 Warner, Michelle, NP...... 102 Wolfe, Holly, RD...... 119, 120 Warnken, Luke M, PA...... 250 Wolfe-Haas, Cheri, AUD...... 132 Warren, Linda S, MD...... 61 Woltman, Todd, MD...... 149 Washington, Christina, MSW...... 319 Wong, Carrie C, MD...... 198, 199 Wasilenko, Sara J, DO...... 149, 265 Wong, Rochelle, AUD...... 132 Watras, Charles C, MS...... 333 Woodruff, Brianna T, FNP...... 76 Watson, Danielle L, OTR...... 201 Woody, Mckenzie, DO...... 145, 146 Waxwing, Lauren R, MA...... 273, 303 Works, Jessica M, NP...... 131 Weaver, Brandon S, PA...... 250 Wright, Andrea, MA...... 289 Webb, Melanie S, NP...... 131, 191, 192 Wright, Dawn E, MA...... 272, 273, 299 Wedinger, Lucerito R, MA...... 279 Wright, Jacqueline J, NP...... 192 Weed, Jesse C, MA...... 272 Wright, James A, DPM...... 125 Wehrli, Craig J, MD...... 112, 113 Wylie, Sherry L, MA...... 303 Weiler, Tracy D, PA...... 250, 251 Wynn, Michael L, DO...... 175 Weissenberger, Thomas J, PA...... 251, 306 X Welsh, Chelsea, MD...... 106, 107 Xuan, Linli, MD...... 122, 205 Welty, Carrie B, NP...... 88, 102 Y Werden, Scott D, DO...... 113, 138 Yamasaki, Mae S, NP...... 102 Werner, Haleigh A, MD...... 259 Yang, Jeewon, NP...... 102, 192 Wesson, Jimmy R, MD...... 51, 52 Yankey, Mykayla E, MA...... 273, 299 West Coast Prosthetics & Orthotics. .... 355 Ye, Joseph Z, MD...... 122, 205, 206 West Olympia Pharmacy, Pllc...... 351 Yearian, Marilyn R, MA...... 320, 337 Western Washington Foot/Ankle...... 256 Yee, Jacqueline M, MA...... 273, 299 Wheeler, Ashley Marie, NP...... 102 Yoon, Eden, MD...... 342 Wheeler, Jessica, DNP...... 289 Young, Linda, MD.280, 326, 327, 334, Whipple, Angela, NON...... 300, 301, 336 337, 338 White, Bethanie R, MD...... 149 Young, Monica T, MD...... 149, 150 White, Jillian, MA...... 299 Young, Nancy A, NP...... 192, 289 White, Lillian M, NP...... 59 Yu, Wing Nga, NP...... 192, 193 White, Noelle E, PT...... 235 Yuen, Amy L, MD...... 151, 218 Whiteaker, Diana L, PA...... 251 Yujuico, Christopher S, PA...... 252 Whitemarsh, David B, OD...... 341 Z Whitesell, Rebecca C, MD...... 211, 220 Zahn, Erin J, PT...... 235 Whiteside, Elizabeth A, DNP...... 267 Zahour, Kathryn L, NP...... 193 Whole Child Therapy Services...... 358 Zaldivar, Maria, MA...... 301, 336 Whorton, Jeffrey C, PA...... 251 Zampona, Anna, MD...... 146 Wilder, Beth A, OTR...... 201 Zentner, Morgan L, CNM...... 169 Wiley, Joseph W, MD...... 107 Zerby, Brandy, PA...... 252 Wilhelm, Monica A, MD...... 88 Zhang, Li, MD...... 155 CSWA.15.999.21.9.007

383 Notes ______

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______CSWA.15.999.21.9.007