2018-19 health professional loan repayment … · peninsula community health services - port...

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SITE NAME CITY Eligibility Adams Co. PHD - Ritzville Medical Clinic Ritzville Both Astria Health Center - Lincoln Ave Sunnyside Both Astria Health Center - Grandview Grandview Both Astria Health Center - Pediatrics Sunnyside Both Columbia Basin Health Association - Othello Clinic Othello Both Columbia Valley Community Health - Chelan Clinic Chelan Both Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee Both Columbia Wellness - 14th Ave Clinic Longview Both Columbia Wellness - Child & Family Clinic Longview Both Community Health Association of Spokane - Cheney Health Center Cheney Both Community Health Association of Spokane - Denny Murphy Clinic Spokane Both Community Health Association of Spokane - Maple Street Clinic Spokane Both Community Health Association of Spokane - Market Street Clinic Spokane Both Community Health Association of Spokane - North County Clinic Spokane Both Community Health Association of Spokane - Perry Street Clinic Spokane Both Community Health Association of Spokane - Valley Clinic Spokane Both Community Health Care - Eastside/Milgard Clinic Tacoma Both Community Health Care - Hilltop Family Medical Center Tacoma Both Community Health Care - Lakewood Clinic Lakewood Both Community Health Care - Parkland Behavioral Health Tacoma Both Community Health Center of Snohomish County - Edmonds Clinic Edmonds Both Community Health Center of Snohomish County - Everett North Clinic Everett Both Community Health Center of Snohomish County - Everett South Clinic Everett Both Community Health Center of Snohomish County - Lynnwood Clinic Lynnwood Both Community Health of Central Washington - Ellensburg Clinic Ellensburg Both Community Health of Central Washington - Central WA Family Medicine Yakima Both Community Health of Central Washington - Highland Clinic Tieton Both Community Health of Central Washington - Yakima Pediatric Associates Yakima Both Community Services Northwest - Fourth Plain Blvd Vancouver Both 2018-19 HEALTH PROFESSIONAL LOAN REPAYMENT PROGRAM APPROVED ELIGIBLE SITE LIST Eligibility indicates whether the site/profession is eligible for HPLRP or FSLRP or both APC - NURSE PRACTITIONER or PHYSICIAN ASSISTANT Page 1 of 39

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SITE NAME CITY Eligibility

Adams Co. PHD - Ritzville Medical Clinic Ritzville Both

Astria Health Center - Lincoln Ave Sunnyside Both

Astria Health Center - Grandview Grandview Both

Astria Health Center - Pediatrics Sunnyside Both

Columbia Basin Health Association - Othello Clinic Othello Both

Columbia Valley Community Health - Chelan Clinic Chelan Both

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee Both

Columbia Wellness - 14th Ave Clinic Longview Both

Columbia Wellness - Child & Family Clinic Longview Both

Community Health Association of Spokane - Cheney Health Center Cheney Both

Community Health Association of Spokane - Denny Murphy Clinic Spokane Both

Community Health Association of Spokane - Maple Street Clinic Spokane Both

Community Health Association of Spokane - Market Street Clinic Spokane Both

Community Health Association of Spokane - North County Clinic Spokane Both

Community Health Association of Spokane - Perry Street Clinic Spokane Both

Community Health Association of Spokane - Valley Clinic Spokane Both

Community Health Care - Eastside/Milgard Clinic Tacoma Both

Community Health Care - Hilltop Family Medical Center Tacoma Both

Community Health Care - Lakewood Clinic Lakewood Both

Community Health Care - Parkland Behavioral Health Tacoma Both

Community Health Center of Snohomish County - Edmonds Clinic Edmonds Both

Community Health Center of Snohomish County - Everett North Clinic Everett Both

Community Health Center of Snohomish County - Everett South Clinic Everett Both

Community Health Center of Snohomish County - Lynnwood Clinic Lynnwood Both

Community Health of Central Washington - Ellensburg Clinic Ellensburg Both

Community Health of Central Washington - Central WA Family Medicine Yakima Both

Community Health of Central Washington - Highland Clinic Tieton Both

Community Health of Central Washington - Yakima Pediatric Associates Yakima Both

Community Services Northwest - Fourth Plain Blvd Vancouver Both

2018-19 HEALTH PROFESSIONAL LOAN REPAYMENT PROGRAM APPROVED ELIGIBLE SITE LIST

Eligibility indicates whether the site/profession is eligible for HPLRP or FSLRP or both

APC - NURSE PRACTITIONER or PHYSICIAN ASSISTANT

Page 1 of 39

SITE NAME CITY Eligibility

Confluence Health - Brewster Clinic Brewster HPLRP Only

Confluence Health - Cashmere Clinic Cashmere HPLRP Only

Confluence Health - CWH - Family Physicians Wenatchee HPLRP Only

Confluence Health - East Wenatchee Clinic East Wenatchee HPLRP Only

Confluence Health - Mares Building Wenatchee HPLRP Only

Confluence Health - Professional Building Wenatchee HPLRP Only

Confluence Health - Royal City Clinic Royal City HPLRP Only

Confluence Health - Tonasket Family Medicine Tonasket HPLRP Only

Confluence Health - WVH - Behavioral Medicine Wenatchee HPLRP Only

Confluence Health - WVH - Pediatrics Wenatchee HPLRP Only

Confluence Health - WVH-C - Moses Lake Clinic Moses Lake HPLRP Only

Confluence Health - WVH-C - Omak Clinic - Family Medicine Omak HPLRP Only

Confluence Health - WVMG - Mares Building Wenatchee HPLRP Only

Coulee City Medical Center Coulee City Both

Coulee Family Medicine Grand Coulee Both

Country Doctor CHC - Country Doctor Community Clinic Seattle Both

Cowlitz Family Health Center - 14th Ave Clinic Longview Both

Cowlitz Family Health Center - Castle Rock Medical Clinic Castle Rock Both

Cowlitz Family Health Center - Kelso Medical Kelso Both

Cowlitz Family Health Center - Longview Clinic Longview Both

Cowlitz Family Health Center - North Beach Clinic Ocean Park Both

Deer Park Family Care Clinic Deer Park HPLRP Only

DOC - Airway Heights Correction Center Airway Heights Both

DOC - Cedar Creek Corrections Center Littlerock HPLRP Only

DOC - Clallam Bay Corrections Center Clallam Bay Both

DOC - Coyote Ridge Corrections Center Connell Both

DOC - Larch Corrections Center Yacolt HPLRP Only

DOC - Monroe Correctional Complex Snohomish Both

DOC - Olympic Corrections Center Clallam HPLRP Only

DOC - Stafford Creek Corrections Center Grays Harbor Both

DOC - Washington Corrections Center Shelton Both

DOC - Washington Corrections Center for Women Pierce Both

DOC - Washington State Penitentiary Walla Walla Both

APC - NURSE PRACTITIONER or PHYSICIAN ASSISTANT (Continued)

Page 2 of 39

SITE NAME CITY Eligibility

Family Care Network, PLLC - Ferndale Family Medical Center Ferndale HPLRP Only

Family Care Network, PLLC - Lynden Family Medicine Lynden HPLRP Only

Family Health Centers - Brewster Clinic Brewster Both

Family Health Centers - Brewster Indian Ave Medical Clinic Brewster Both

Family Health Centers - Bridgeport Clinic Bridgeport Both

Family Health Centers - Newport Newport Both

Family Health Centers - Omak Medical Clinic Omak Both

Family Health Centers - Tonasket Clinic Tonasket Both

Family Health Centers - Twisp Clinic Twisp Both

Ferry County Public Hospital - Republic Medical Center Republic HPLRP Only

Forks Community Hospital - Bogachiel Clinic Forks Both

Forks Community Hospital - Clallam Bay Medical Clinic Clallam Bay Both

Franciscan Medical Clinic - Bonney Lake Bonney Lake HPLRP Only

Franciscan Medical Clinic - Burien Burien HPLRP Only

Franciscan Medical Clinic - Canyon Road Puyallup HPLRP Only

Franciscan Medical Clinic - Enumclaw Enumclaw HPLRP Only

Franciscan Medical Clinic - Lakewood Lakewood HPLRP Only

Franciscan Medical Clinic - Port Orchard Port Orchard HPLRP Only

Franciscan Medical Clinic - Poulsbo Poulsbo HPLRP Only

Franciscan Medical Clinic - Spanaway Spanaway HPLRP Only

Franciscan Medical Clinic - St. Joseph Medical Office Building Tacoma HPLRP Only

Grant County Hospital District - Samaritan Clinic Moses Lake HPLRP Only

Grays Harbor Community Hospital - HMG - Highland Pediatrics Aberdeen Both

Grays Harbor Community Hospital - HMG - Internal & Family Medicine Aberdeen Both

HealthPoint - Auburn Center Auburn Both

HealthPoint - Auburn North Center Auburn Both

HealthPoint - Bothell Center Kenmore Both

HealthPoint - Federal Way Center Federal Way Both

HealthPoint - Kent Center Kent Both

HealthPoint - Midway Center Des Moines Both

HealthPoint - Redmond Center Redmond Both

HealthPoint - Renton Center Renton Both

HealthPoint - SeaTac Center SeaTac Both

APC - NURSE PRACTITIONER or PHYSICIAN ASSISTANT (Continued)

Page 3 of 39

SITE NAME CITY Eligibility

HealthPoint - Tukwila Center Tukwila Both

International Community Health Services - Bellevue Clinic Bellevue Both

International Community Health Services - Holly Park Clinic Seattle Both

International Community Health Services - International District Seattle Both

International Community Health Services - Shoreline Clinic Shoreline Both

Jefferson Healthcare - Family Medicine Port Townsend Both

Jefferson Healthcare - Internal Medicine, Pediatrics & Primary Care Port Townsend Both

King County Public Health Department - Auburn Public Health Center Auburn Both

King County Public Health Department - Federal Way Public Health Center Federal Way Both

King County Public Health Department -Kent Public Health - East Hill Kent Both

Kittitas Valley Healthcare - Cle Elum Cle Elum Both

Kittitas Valley Healthcare - Internal Medicine Ellensburg Both

Kittitas Valley Healthcare - The Valley Clinic Ellensburg Both

Kittitas Valley Healthcare - Women's Health Ellensburg Both

Klickitat Valley Hospital - Family Medicine Clinic Goldendale Both

Lincoln Hospital District - North Basin Medical Clinic Davenport Both

Lower Elwha Klallam Tribe - Lower Elwha Health Clinic Port Angeles Both

Lummi Tribal Health Clinic Bellingham Both

Memorial Physicians, PLLC - Memorial Cornerstone Medicine Yakima HPLRP Only

Mid Valley Hospital - Medical Clinic Omak HPLRP Only

Mid-Valley Community Clinic Sunnyside HPLRP Only

Morton General Hospital - Randle Clinic Randle Both

Morton General Hospital - Riffe Medical Center Mossyrock Both

NATIVE Health Clinic of Spokane Spokane Both

NE WA Health Programs - Chewelah CHC Chewelah Both

NE WA Health Programs - Colville CHC Primary Care Clinic Colville Both

NE WA Health Programs - Kettle River CHC Orient Both

NE WA Health Programs - Lake Spokane CHC Nine Mile Falls Both

NE WA Health Programs - Loon Lake CHC Loon Lake Both

NE WA Health Programs - Northport CHC Northport Both

NE WA Health Programs - Springdale CHC Springdale Both

NeighborCare Health - 45th Street Clinic Seattle Both

NeighborCare Health - Ballard Clinic Ballard Both

APC - NURSE PRACTITIONER or PHYSICIAN ASSISTANT (Continued)

Page 4 of 39

SITE NAME CITY Eligibility

NeighborCare Health - Columbia City Clinic Seattle Both

NeighborCare Health - High Point Clinic Seattle Both

NeighborCare Health - Lake City Medical Clinic Seattle Both

NeighborCare Health - Meridian Clinic Seattle Both

NeighborCare Health - Pike Market Clinic Seattle Both

NeighborCare Health - Rainier Beach Clinic Seattle Both

NeighborCare Health - Vashon Clinic Vashon Island Both

North Olympic Healthcare Network Port Angeles Both

NorthShore Medical Group - Stevenson Stevenson HPLRP Only

NorthShore Medical Group - White Salmon White Salmon HPLRP Only

Northwest Pediatric Center Chehalis HPLRP Only

Northwest Pediatric Clinic - Centralia Clinic Centralia HPLRP Only

Northwest Pediatric Center - Rochester Clinic Rochester HPLRP Only

Ocean Beach Hospital Illwaco HPLRP Only

Ocean Beach Hospital - Medical Clinic Illwaco HPLRP Only

Odessa Memorial Healthcare Center - Odessa Clinic Odessa Both

Palouse Medical Pullman HPLRP Only

Pediatric Associates of Whidbey Island Oak Harbor HPLRP Only

Peninsula Community Health Services - 6th Street Clinic Bremerton Both

Peninsula Community Health Services - Port Orchard Clinic Port Orchard Both

Peninsula Community Health Services - Poulsbo Clinic Poulsbo Both

Peninsula Community Health Services - Wheaton Clinic Bremerton Both

Prosser Public Hospital - PMH Family Medicine - Benton City Clinic Benton Both

Providence - Rochester Family Medicine Rochester Both

Providence NEWMG - Chewelah Clinic Chewelah Both

Providence NEWMG - Colville Clinic Colville Both

Providence NEWMG - Garden Homes Clinic Colville Both

Providence NEWMG - Kettle Falls Clinic Kettle Falls Both

Palouse Medical - Pullman ReadyCare Pullman HPLRP Only

Sea Mar Community Health Center - Aberdeen Aberdeen Both

Sea Mar Community Health Center - Battle Ground Battle Ground Both

Sea Mar Community Health Center - Bellevue Medical Bellevue Both

Sea Mar Community Health Center - Bellingham Bellingham Both

APC - NURSE PRACTITIONER or PHYSICIAN ASSISTANT (Continued)

Page 5 of 39

SITE NAME CITY Eligibility

Sea Mar Community Health Center - Burien Burien Both

Sea Mar Community Health Center - Concrete Concrete Both

Sea Mar Community Health Center - Des Moines Des Moines Both

Sea Mar Community Health Center - East Vancouver Vancouver Both

Sea Mar Community Health Center - Elma Medical Elma Both

Sea Mar Community Health Center - Everett Everett Both

Sea Mar Community Health Center - Everson Everson Both

Sea Mar Community Health Center - Kent Kent Both

Sea Mar Community Health Center - Lacey Lacey Both

Sea Mar Community Health Center - Marysville Marysville Both

Sea Mar Community Health Center - Monroe Monroe Both

Sea Mar Community Health Center - Mt. Vernon Mt Vernon Both

Sea Mar Community Health Center - Ocean Shores Ocean Shores Both

Sea Mar Community Health Center - Olympia Olympia Both

Sea Mar Community Health Center - Puyallup Puyallup Both

Sea Mar Community Health Center - Salmon Creek Vancouver Both

Sea Mar Community Health Center - Seattle Seattle Both

Sea Mar Community Health Center - Tacoma Tacoma Both

Sea Mar Community Health Center - Vancouver Fourth Plain Medical Vancouver Both

Sea Mar Community Health Center - Vancouver Medical (Delaware) Vancouver Both

Sea Mar Community Health Center - White Center Seattle Both

Sea Mar Community Health Center - Yelm Yelm Both

Skagit Family Health Clinic Mount Vernon HPLRP Only

Summit Pacific Medical Center - Elma Clinic Elma Both

Summit Pacific Medical Center - Healthcare Clinic Elma Both

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary Both

Sunnyside Family Medicine Sunnyside HPLRP Only

Swofford & Halma Clinic Sunnyside HPLRP Only

Tri Cities Community Health - Richland 915 Goethals Dr Richland Both

Tri-Cities Community Health - Kennewick Kennewick Both

Tri-Cities Community Health - Pasco Pasco Both

Tri-Cities Community Health - Richland Medical Clinic Richland Both

Tri-State Memorial Hospital - Family Practice Clinic Clarkston Both

APC - NURSE PRACTITIONER or PHYSICIAN ASSISTANT (Continued)

Page 6 of 39

SITE NAME CITY Eligibility

Unity Care NW - Bellingham Unity Street Clinic Bellingham Both

Valley Cities Counseling and Consultation - Federal Way Federal Way HPLRP Only

Valley Cities Counseling and Consultation - Meridian Center - Northgate Seattle HPLRP Only

Valley Cities Counseling and Consultation - Rainier Beach Seattle HPLRP Only

Valley Cities Counseling and Consultation - Renton Renton HPLRP Only

Valley View Health Center - Centralia Centralia Both

Valley View Health Center - Centralia Pediatric Clinic Centralia Both

Valley View Health Center - Chehalis Chehalis Both

Valley View Health Center - Onalaska Onalaska Both

Valley View Health Center - Pe Ell Clinic Pe Ell Both

Valley View Health Center - Raymond Raymond Both

Valley View Health Center - Toledo Clinic Toledo Both

Valley View Health Center - Winlock Winlock Both

Whidbey Health Medical Center - Whidbey Health Primary Care - Clinton Clinton Both

Whidbey Health Medical Center - Whidbey Health Primary Care - Goldie Oak Harbor Both

Whole Family Health Care Burien HPLRP Only

Yakama Indian Health Center Toppenish HPLRP Only

Yakima Medical Clinic Yakima HPLRP Only

Yakima Neighborhood Health Services - Granger Medical Clinic Granger Both

Yakima Neighborhood Health Services - Henry Beauchamp Community Center Yakima Both

Yakima Valley Farm Workers Clinic - Children's Village Yakima Both

Yakima Valley Farm Workers Clinic - Family Medical Center - Walla Walla Walla Walla Both

Yakima Valley Farm Workers Clinic - Grandview Medical-Dental Clinic Grandview Both

Yakima Valley Farm Workers Clinic - Lincoln Avenue Center Yakima Both

Yakima Valley Farm Workers Clinic - Miramar Health Center Pasco Both

Yakima Valley Farm Workers Clinic - Toppenish Medical - Dental Clinic Toppenish Both

Yakima Valley Farm Workers Clinic - Unify CH - Mission Ave Spokane Both

Yakima Valley Farm Workers Clinic - Unify CH - West Central CC Spokane Both

Yakima Valley Farm Workers Clinic - Unify CH NE Community Center Spokane Both

Yakima Valley Farm Workers Clinic - Valley Vista Medical Group Prosser Both

Yakima Valley Farm Workers Clinic - Wapato - Mid Valley Family Medicine Wapato Both

Yakima Valley Farm Workers Clinic - Yakima Medical-Dental Clinic Yakima Both

APC - NURSE PRACTITIONER or PHYSICIAN ASSISTANT (Continued)

Page 7 of 39

SITE NAME CITY Eligibility

Cascade Mental Health Care - Centralia Centralia HPLRP Only

Columbia Valley Community Health - Chelan Clinic Chelan HPLRP Only

Columbia Valley Community Health - East Wenatchee Behavioral Health Wenatchee HPLRP Only

Columbia Valley Community Health - Wenatchee Easy St Behavioral Health Wenatchee HPLRP Only

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee HPLRP Only

Columbia Wellness - 14th Ave Clinic Longview HPLRP Only

Columbia Wellness - Child & Family Clinic Longview HPLRP Only

Columbia Wellness - Woodland Woodland HPLRP Only

Community Health Association of Spokane - Cheney Health Center Cheney HPLRP Only

Community Health Association of Spokane - Denny Murphy Clinic Spokane HPLRP Only

Community Health Association of Spokane - Maple Street Clinic Spokane HPLRP Only

Community Health Association of Spokane - Market Street Clinic Spokane HPLRP Only

Community Health Association of Spokane - North County Clinic Spokane HPLRP Only

Community Health Association of Spokane - Perry Street Clinic Spokane HPLRP Only

Community Health Association of Spokane - Valley Clinic Spokane HPLRP Only

Community Health Care - Eastside/Milgard Clinic Tacoma HPLRP Only

Community Health Care - Spanaway Clinic Spanaway HPLRP Only

Community Health Center of Snohomish County - Arlington Clinic Arlington HPLRP Only

Community Health Center of Snohomish County - Edmonds Clinic Edmonds HPLRP Only

Community Health Center of Snohomish County - Everett North Clinic Everett HPLRP Only

Community Health Center of Snohomish County - Everett South Clinic Everett HPLRP Only

Community Health Center of Snohomish County - Lynnwood Clinic Lynnwood HPLRP Only

Community Health of Central Washington - Ellensburg Clinic Ellensburg HPLRP Only

Community Health of Central Washington - Central WA Family Medicine Yakima HPLRP Only

Community Health of Central Washington - Yakima Pediatric Associates Yakima HPLRP Only

Community Services Northwest - Fourth Plain Blvd Vancouver HPLRP Only

Comprehensive Healthcare - Ellensburg - Pearl Street - Suite K Ellensburg HPLRP Only

Comprehensive Healthcare - Goldendale Goldendale HPLRP Only

Comprehensive Healthcare - Pasco Pasco HPLRP Only

Comprehensive Healthcare - Walla Walla Walla Walla HPLRP Only

BEHAVIORAL HEALTH LICENSES (LICENSED: IDEPENDENT CLINICAL SOCIAL WORKER, MENTAL HEALTH COUNSELOR, MARRIAGE & FAMILY THERAPIST)

Page 8 of 39

SITE NAME CITY Eligibility

Comprehensive Healthcare - White Salmon White Salmon HPLRP Only

Comprehensive Healthcare - Yakima Yakima HPLRP Only

Comprehensive Healthcare -Sunnyside Sunnyside HPLRP Only

Confluence Health - CWH - Family Physicians Wenatchee HPLRP Only

Confluence Health - East Wenatchee Clinic East Wenatchee HPLRP Only

Confluence Health - Mares Building Wenatchee HPLRP Only

Confluence Health - Professional Building Wenatchee HPLRP Only

Confluence Health - WVH - Behavioral Medicine Wenatchee HPLRP Only

Confluence Health - WVH - Pediatrics Wenatchee HPLRP Only

Confluence Health - WVH-C - Moses Lake Clinic Moses Lake HPLRP Only

Confluence Health - WVMG - Mares Building Wenatchee HPLRP Only

Consejo Counseling and Referral Service - Bellevue Bellevue HPLRP Only

Consejo Counseling and Referral Service - Kent Kent HPLRP Only

Consejo Counseling and Referral Service - Lake City Seattle HPLRP Only

Consejo Counseling and Referral Service - South Park Seattle HPLRP Only

Consejo Counseling and Referral Service - Southeast Seattle HPLRP Only

Consejo Counseling and Referral Service - Tacoma Tacoma HPLRP Only

Country Doctor CHC - Carolyn Downs Family Medical Center Seattle HPLRP Only

Country Doctor CHC - Country Doctor Community Clinic Seattle HPLRP Only

Cowlitz Family Health Center - Longview Clinic Longview HPLRP Only

DOC - Airway Heights Correction Center Airway Heights HPLRP Only

DOC - Cedar Creek Corrections Center Littlerock HPLRP Only

DOC - Clallam Bay Corrections Center Clallam Bay HPLRP Only

DOC - Coyote Ridge Corrections Center Connell HPLRP Only

DOC - Larch Corrections Center Yacolt HPLRP Only

DOC - Mission Creek Corrections Center for Women Mason HPLRP Only

DOC - Monroe Correctional Complex Snohomish HPLRP Only

DOC - Olympic Corrections Center Clallam HPLRP Only

DOC - Stafford Creek Corrections Center Grays Harbor HPLRP Only

DOC - Washington Corrections Center Shelton HPLRP Only

DOC - Washington Corrections Center for Women Pierce HPLRP Only

BEHAVIORAL HEALTH LICENSES (Continued) (LICENSED: IDEPENDENT CLINICAL SOCIAL WORKER, MENTAL HEALTH COUNSELOR, MARRIAGE & FAMILY THERAPIST)

Page 9 of 39

SITE NAME CITY Eligibility

DOC - Washington State Penitentiary Walla Walla HPLRP Only

DSHS - Eastern State Hospital Spokane HPLRP Only

DSHS - Western State Hospital Pierce HPLRP Only

Family Health Centers - Omak Medical Clinic Omak HPLRP Only

Forks Community Hospital - West End Outreach Services Forks HPLRP Only

Franciscan Medical Clinic - Burien Burien HPLRP Only

Franciscan Medical Clinic - St. Joseph Medical Office Building Tacoma HPLRP Only

HealthPoint - Bothell Center Kenmore HPLRP Only

HealthPoint - Redmond Center Redmond HPLRP Only

HealthPoint - Renton Center Renton HPLRP Only

International Community Health Services - Bellevue Clinic Bellevue HPLRP Only

King County Public Health Department - Auburn Public Health Center Auburn HPLRP Only

King County Public Health Department - Downtown Health Center Seattle HPLRP Only

King County Public Health Department - Renton Dental Clinic Renton HPLRP Only

King County Public Health Department -Kent Public Health - East Hill Kent HPLRP Only

Kitsap Mental Health Services Bremerton HPLRP Only

Kittitas Valley Healthcare - Cle Elum Cle Elum HPLRP Only

Klickitat Valley Hospital - Family Medicine Clinic Goldendale HPLRP Only

Lifeline Connections - Camas Camas HPLRP Only

Lifeline Connections - Orchards Vancouver HPLRP Only

Lifeline Connections - VA Campus Vancouver HPLRP Only

Lower Elwha Klallam Tribe - Lower Elwha Health Clinic Port Angeles HPLRP Only

Lummi Tribal Health Clinic Bellingham HPLRP Only

Makah Wellness Center Neah Bay HPLRP Only

NATIVE Health Clinic of Spokane Spokane HPLRP Only

NeighborCare Health - 45th Street Clinic Seattle HPLRP Only

NeighborCare Health - Columbia City Clinic Seattle HPLRP Only

NeighborCare Health - High Point Clinic Seattle HPLRP Only

NeighborCare Health - Lake City Medical Clinic Seattle HPLRP Only

NeighborCare Health - Meridian Clinic Seattle HPLRP Only

NeighborCare Health - Pike Market Clinic Seattle HPLRP Only

BEHAVIORAL HEALTH LICENSES (Continued) (LICENSED: IDEPENDENT CLINICAL SOCIAL WORKER, MENTAL HEALTH COUNSELOR, MARRIAGE & FAMILY THERAPIST)

Page 10 of 39

SITE NAME CITY Eligibility

NeighborCare Health - Rainier Beach Clinic Seattle HPLRP Only

NeighborCare Health - Vashon Clinic Vashon Island HPLRP Only

NorthShore Medical Group - Stevenson Stevenson HPLRP Only

NorthShore Medical Group - White Salmon White Salmon HPLRP Only

Northwest Pediatric Center Chehalis HPLRP Only

Northwest Pediatric Center - Centralia Clinic Centralia HPLRP Only

Northwest Pediatric Center - Rochester Clinic Rochester HPLRP Only

Peninsula Behavioral Health - Pt. Angeles Pt. Angeles HPLRP Only

Peninsula Behavioral Health - Sequim Sequim HPLRP Only

Peninsula Community Health Services - 6th Street Clinic Bremerton HPLRP Only

Peninsula Community Health Services - Port Orchard Clinic Port Orchard HPLRP Only

Peninsula Community Health Services - Poulsbo Clinic Poulsbo HPLRP Only

Peninsula Community Health Services - Wheaton Clinic Bremerton HPLRP Only

Puyallup Tribal Health Authority Tacoma HPLRP Only

Sea Mar Community Health Center - Aberdeen Aberdeen HPLRP Only

Sea Mar Community Health Center - Anacortes Behavioral Health Anacortes HPLRP Only

Sea Mar Community Health Center - Bellevue Bellevue HPLRP Only

Sea Mar Community Health Center - Bellevue Child & Family Services Bellevue HPLRP Only

Sea Mar Community Health Center - Bellingham Behavioral Health Bellingham HPLRP Only

Sea Mar Community Health Center - Des Moines Des Moines HPLRP Only

Sea Mar Community Health Center - Everett Everett HPLRP Only

Sea Mar Community Health Center - Everett Behavioral Health (Claremont) Everett HPLRP Only

Sea Mar Community Health Center - Gig Harbor Gig Harbor HPLRP Only

Sea Mar Community Health Center - Kelso Behavioral Health Kelso HPLRP Only

Sea Mar Community Health Center - Kent Behavioral Health Kent HPLRP Only

Sea Mar Community Health Center - Lynnwood Behavioral Health Lynnwood HPLRP Only

Sea Mar Community Health Center - Monroe Behavioral Health Monroe HPLRP Only

Sea Mar Community Health Center - Mt. Vernon Behavioral Health Mt. Vernon HPLRP Only

Sea Mar Community Health Center - Oak Harbor Behavioral Health Oak Harbor HPLRP Only

Sea Mar Community Health Center - Puyallup Behavioral Health Puyallup HPLRP Only

Sea Mar Community Health Center - Salmon Creek Vancouver HPLRP Only

BEHAVIORAL HEALTH LICENSES (Continued) (LICENSED: IDEPENDENT CLINICAL SOCIAL WORKER, MENTAL HEALTH COUNSELOR, MARRIAGE & FAMILY THERAPIST)

Page 11 of 39

SITE NAME CITY Eligibility

Sea Mar Community Health Center - Seattle Behavioral Health Seattle HPLRP Only

Sea Mar Community Health Center - Tacoma BH PPW Tacoma HPLRP Only

Sea Mar Community Health Center - Tacoma Outpatient Tacoma HPLRP Only

Sea Mar Community Health Center - Tumwater Behavioral Health Tumwater HPLRP Only

Sea Mar Community Health Center - Vancouver 65th Behavioral Health Vancouver HPLRP Only

Sea Mar Community Health Center - Vancouver Behavioral Health - 109th Court Vancouver HPLRP Only

Sea Mar Community Health Center - Vancouver Medical (Delaware) Vancouver HPLRP Only

Sea Mar Community Health Center - Yelm Yelm HPLRP Only

Seattle Counseling Service Seattle HPLRP Only

Skamania County Community Mental Health Skamania HPLRP Only

Summit Pacific Medical Center - Elma Clinic Elma HPLRP Only

Summit Pacific Medical Center - Healthcare Clinic Elma HPLRP Only

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary HPLRP Only

Unity Care NW - Bellingham Cornwall Street Clinic Bellingham HPLRP Only

Unity Care NW - Bellingham Unity Street Clinic Bellingham HPLRP Only

Valley Cities Counseling and Consultation - Auburn Auburn HPLRP Only

Valley Cities Counseling and Consultation - Enumclaw Enumclaw HPLRP Only

Valley Cities Counseling and Consultation - Federal Way Federal Way HPLRP Only

Valley Cities Counseling and Consultation - Kent Kent HPLRP Only

Valley Cities Counseling and Consultation - Meridian Center - Northgate Seattle HPLRP Only

Valley Cities Counseling and Consultation - Midway Des Moines HPLRP Only

Valley Cities Counseling and Consultation - Rainier Beach Seattle HPLRP Only

Valley Cities Counseling and Consultation - Renton Renton HPLRP Only

Valley View Health Center - Chehalis Chehalis HPLRP Only

Valley View Health Center - Olympia Olympia HPLRP Only

Valley View Health Center - Winlock Winlock HPLRP Only

Willapa Counseling Center - Long Beach Long Beach HPLRP Only

Willapa Counseling Center - Raymond Raymond HPLRP Only

Yakima Neighborhood Health Services - Granger Medical Clinic Granger HPLRP Only

Yakima Neighborhood Health Services - Henry Beauchamp Community Center Yakima HPLRP Only

Yakima Neighborhood Health Services - Yakima Clinic Yakima HPLRP Only

BEHAVIORAL HEALTH LICENSES (Continued) (LICENSED: IDEPENDENT CLINICAL SOCIAL WORKER, MENTAL HEALTH COUNSELOR, MARRIAGE & FAMILY THERAPIST)

Page 12 of 39

SITE NAME CITY Eligibility

Yakima Valley Farm Workers Clinic - Family Medical Center - Walla Walla Walla Walla HPLRP Only

Yakima Valley Farm Workers Clinic - Toppenish Medical - Dental Clinic Toppenish HPLRP Only

Yakima Valley Farm Workers Clinic - Unify CH NE Community Center Spokane HPLRP Only

Yakima Valley Farm Workers Clinic - Valley Vista Medical Group Prosser HPLRP Only

Yakima Valley Farm Workers Clinic - Wapato - Mid Valley Family Medicine Wapato HPLRP Only

Yakima Valley Farm Workers Clinic - Yakima Medical-Dental Clinic Yakima HPLRP Only

SITE NAME CITY Eligibility

Around the Circle Midwifery Olympia HPLRP Only

Columbia Valley Community Health - Riverside Wenatchee Both

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee Both

Community Health Association of Spokane - Cheney Health Center Cheney Both

Community Health Association of Spokane - Denny Murphy Clinic Spokane Both

Community Health Association of Spokane - Maple Street Clinic Spokane Both

Community Health Association of Spokane - Perry Street Clinic Spokane Both

Community Health Association of Spokane - Valley Clinic Spokane Both

Confluence Health - Professional Building Wenatchee HPLRP Only

Confluence Health - WVH-C - Moses Lake Clinic Moses Lake HPLRP Only

Family Health Centers - Tonasket Clinic Tonasket Both

Family Health Centers - Twisp Clinic Twisp Both

Forks Community Hospital - Bogachiel Clinic Forks Both

Grant County Hospital District - Samaritan Clinic Moses Lake HPLRP Only

Kittitas Valley Healthcare - Women's Health Ellensburg Both

Moses Lake Community Health Center - Moses Lake Clinic Moses Lake Both

NeighborCare Health - 45th Street Clinic Seattle Both

NeighborCare Health - Columbia City Clinic Seattle Both

NeighborCare Health - High Point Clinic Seattle Both

NeighborCare Health - Lake City Medical Clinic Seattle Both

NeighborCare Health - Meridian Clinic Seattle Both

NeighborCare Health - Rainier Beach Clinic Seattle Both

Skagit Family Health Clinic Mount Vernon HPLRP Only

CERTIFIED NURSE MIDWIFE

BEHAVIORAL HEALTH LICENSES (Continued) (LICENSED: IDEPENDENT CLINICAL SOCIAL WORKER, MENTAL HEALTH COUNSELOR, MARRIAGE & FAMILY THERAPIST)

Page 13 of 39

SITE NAME CITY Eligibility

Columbia Basin Health Association - Othello Clinic Othello Both

Columbia Basin Health Association - Wahluke Clinic Mattawa Both

Columbia Valley Community Health - Chelan Clinic Chelan Both

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee Both

Community Health Association of Spokane - Cheney Health Center Cheney Both

Community Health Association of Spokane - Denny Murphy Clinic Spokane Both

Community Health Association of Spokane - Lewis and Clark Dental Clinic Clarkston Both

Community Health Association of Spokane - Maple Street Clinic Spokane Both

Community Health Association of Spokane - North County Clinic Spokane Both

Community Health Care - Hilltop Family Medical Center Tacoma Both

Community Health Care - Lakewood Clinic Lakewood Both

Community Health Care - Spanaway Clinic Spanaway Both

Community Health Center of Snohomish County - Arlington Clinic Arlington Both

Community Health Center of Snohomish County - Edmonds Clinic Edmonds Both

Community Health Center of Snohomish County - Everett North Clinic Everett Both

Community Health Center of Snohomish County - Everett South Clinic Everett Both

Community Health Center of Snohomish County - Lynnwood Clinic Lynnwood Both

Community Health of Central Washington - Ellensburg Dental Care Ellensburg Both

Cowlitz Family Health Center - Longview Clinic Longview Both

DOC - Airway Heights Correction Center Airway Heights Both

DOC - Clallam Bay Corrections Center Clallam Bay Both

DOC - Coyote Ridge Corrections Center Connell HPLRP Only

DOC - Larch Corrections Center Yacolt HPLRP Only

DOC - Monroe Correctional Complex Snohomish HPLRP Only

DOC - Stafford Creek Corrections Center Grays Harbor Both

DOC - Washington Corrections Center Shelton Both

DOC - Washington Corrections Center for Women Pierce HPLRP Only

DOC - Washington State Penitentiary Walla Walla Both

Family Health Centers - Brewster Clinic Brewster Both

Family Health Centers - Bridgeport Clinic Bridgeport Both

Family Health Centers - Okanogan Dental Clinic Okanogan Both

Family Health Centers - Oroville Dental Clinic Oroville Both

HealthPoint - Auburn Center Auburn Both

DENTIST

Page 14 of 39

SITE NAME CITY Eligibility

HealthPoint - Bothell Center Kenmore Both

HealthPoint - Federal Way Center Federal Way Both

HealthPoint - Kent Center Kent Both

HealthPoint - Midway Center Des Moines Both

HealthPoint - Redmond Center Redmond Both

HealthPoint - Tukwila Center Tukwila Both

International Community Health Services - Bellevue Clinic Bellevue Both

International Community Health Services - Holly Park Clinic Seattle Both

International Community Health Services - International District Seattle Both

International Community Health Services - Shoreline Clinic Shoreline Both

KidSmile Spokane HPLRP Only

King County Public Health Department - Renton Dental Clinic Renton Both

Klickitat Valley Hospital - Family Medicine Clinic Goldendale Both

Lindquist Dental Clinic for Children - Bremerton Bremerton HPLRP Only

Lindquist Dental Clinic for Children - Gig Harbor Gig Harbor HPLRP Only

Lindquist Dental Clinic for Children - Parkland Tacoma HPLRP Only

Lindquist Dental Clinic for Children - South Tacoma Tacoma HPLRP Only

Lummi Tribal Health Clinic Bellingham Both

Moses Lake Community Health Center - Quincy Clinic Quincy Both

NATIVE Health Clinic of Spokane Spokane Both

NE WA Health Programs - Colville Community Dental Clinic Colville Both

NE WA Health Programs - Springdale Community Dental Clinic Springdale Both

NeighborCare Health - 45th Street Clinic Seattle Both

NeighborCare Health - Central Area Dental Clinic Seattle Both

NeighborCare Health - Georgetown Dental Clinic Seattle Both

NeighborCare Health - High Point Clinic Seattle Both

NeighborCare Health - Meridian Clinic Seattle Both

NeighborCare Health - Pacific Tower Dental Seattle Both

NeighborCare Health - Rainier Beach Clinic Seattle Both

Peninsula Community Health Services - 6th Street Clinic Bremerton Both

Peninsula Community Health Services - Port Orchard Dental Clinic Port Orchard Both

Puyallup Tribal Health Authority Tacoma Both

Sea Mar Community Health Center - Aberdeen Aberdeen Both

DENTIST (Continued)

Page 15 of 39

SITE NAME CITY Eligibility

Sea Mar Community Health Center - Bellevue Medical Bellevue Both

Sea Mar Community Health Center - Bellingham Bellingham Both

Sea Mar Community Health Center - Burien - PSSC/OSC Dental Burien Both

Sea Mar Community Health Center - Des Moines Des Moines Both

Sea Mar Community Health Center - East Vancouver Vancouver Both

Sea Mar Community Health Center - Everett Everett Both

Sea Mar Community Health Center - Lacey Lacey Both

Sea Mar Community Health Center - Marysville Dental Marysville Both

Sea Mar Community Health Center - Monroe Monroe Both

Sea Mar Community Health Center - Mt. Vernon Mt Vernon Both

Sea Mar Community Health Center - Oak Harbor Dental Oak Harbor Both

Sea Mar Community Health Center - Ocean Shores Ocean Shores Both

Sea Mar Community Health Center - Pt Angeles Dental Pt Angeles Both

Sea Mar Community Health Center - Puyallup Puyallup Both

Sea Mar Community Health Center - Seattle Dental Seattle Both

Sea Mar Community Health Center - Tacoma Tacoma Both

Sea Mar Community Health Center - Tacoma Dental (11th Street) Tacoma Both

Sea Mar Community Health Center - Tumwater Dental Tumwater Both

Sea Mar Community Health Center - Vancouver Dental Vancouver Both

Sea Mar Community Health Center - White Center Seattle Both

Sea Mar Community Health Center - Yelm Yelm Both

Sophie Trettevick Indian Health Center Neah Bay Both

Tri-Cities Community Health - Pasco Pasco Both

Unity Care NW - Bellingham Cornwall Street Clinic Bellingham Both

Unity Care NW - Bellingham Unity Street Clinic Bellingham Both

Valley View Health Center - Chehalis Chehalis Both

Valley View Health Center - Olympia Olympia Both

Yakama Indian Health Center Toppenish HPLRP Only

Yakima Neighborhood Health Services - Granger Dental Clinic Granger Both

Yakima Valley Farm Workers Clinic - Children's Village Yakima Both

Yakima Valley Farm Workers Clinic - Community Dental Care - Sunnyside Sunnyside Both

Yakima Valley Farm Workers Clinic - Family Medical Center - Walla Walla Walla Walla Both

Yakima Valley Farm Workers Clinic - Grandview Medical-Dental Clinic Grandview Both

DENTIST (Continued)

Page 16 of 39

SITE NAME CITY Eligibility

Yakima Valley Farm Workers Clinic - Lincoln Avenue Center Yakima Both

Yakima Valley Farm Workers Clinic - Mobile Medical and Dental Services Wapato Both

Yakima Valley Farm Workers Clinic - Toppenish Medical - Dental Clinic Toppenish Both

Yakima Valley Farm Workers Clinic - Unify CH NE Community Center Spokane Both

Yakima Valley Farm Workers Clinic - Yakima Medical-Dental Clinic Yakima Both

Yakima Valley Farm Workers Clinic - YV Tech Dental Yakima Both

SITE NAME CITY Eligibility

Cascade Medical Center Family Medicine Clinic Leavenworth HPLRP Only

Cascade Medical Center Family Medicine Clinic Leavenworth HPLRP Only

Columbia Valley Community Health - Chelan Clinic Chelan HPLRP Only

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee HPLRP Only

Columbia Wellness - 14th Ave Clinic Longview HPLRP Only

Columbia Wellness - Child & Family Clinic Longview HPLRP Only

Community Health Care - Lakewood Clinic Lakewood HPLRP Only

Community Health of Central Washington - Central WA Family Medicine Yakima HPLRP Only

Confluence Health - WVH - Behavioral Medicine Wenatchee HPLRP Only

DOC - Airway Heights Correction Center Airway Heights HPLRP Only

DOC - Clallam Bay Corrections Center Clallam Bay HPLRP Only

DOC - Coyote Ridge Corrections Center Connell HPLRP Only

DOC - Mission Creek Corrections Center for Women Mason HPLRP Only

DOC - Monroe Correctional Complex Snohomish HPLRP Only

DOC - Stafford Creek Corrections Center Grays Harbor HPLRP Only

DOC - Washington Corrections Center Shelton HPLRP Only

DOC - Washington Corrections Center for Women Pierce HPLRP Only

DOC - Washington State Penitentiary Walla Walla HPLRP Only

DSHS - Child Study & Treatment Center Lakewood HPLRP Only

DSHS - Eastern State Hospital Spokane HPLRP Only

DSHS - Western State Hospital Pierce HPLRP Only

Franciscan Medical Clinic - Burien Burien HPLRP Only

Franciscan Medical Clinic - St. Joseph Medical Office Building Tacoma HPLRP Only

HealthPoint - Auburn Center Auburn HPLRP Only

HealthPoint - Bothell Center Kenmore HPLRP Only

CLINICAL PSYCHOLOGIST

DENTIST (Continued)

Page 17 of 39

SITE NAME CITY Eligibility

HealthPoint - Federal Way Center Federal Way HPLRP Only

HealthPoint - Kent Center Kent HPLRP Only

HealthPoint - Midway Center Des Moines HPLRP Only

HealthPoint - Redmond Center Redmond HPLRP Only

HealthPoint - Renton Center Renton HPLRP Only

International Community Health Services - International District Seattle HPLRP Only

International Community Health Services - Shoreline Clinic Shoreline HPLRP Only

Lummi Tribal Health Clinic Bellingham HPLRP Only

NeighborCare Health - Ballard Clinic Ballard HPLRP Only

NeighborCare Health - Rainier Beach Clinic Seattle HPLRP Only

Northwest Pediatric Center Chehalis HPLRP Only

Summit Pacific Medical Center - Elma Clinic Elma HPLRP Only

Summit Pacific Medical Center - Healthcare Clinic Elma HPLRP Only

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary HPLRP Only

Yakima Valley Farm Workers Clinic - BHS - Yakima Yakima HPLRP Only

Yakima Valley Farm Workers Clinic - Toppenish Medical - Dental Clinic Toppenish HPLRP Only

Yakima Valley Farm Workers Clinic - Unify CH NE Community Center Spokane HPLRP Only

Yakima Valley Farm Workers Clinic - Valley Vista Medical Group Prosser HPLRP Only

Yakima Valley Farm Workers Clinic - Wapato - Mid Valley Family Medicine Wapato HPLRP Only

Yakima Valley Farm Workers Clinic - Yakima Medical-Dental Clinic Yakima HPLRP Only

SITE NAME CITY Eligibility

Around the Circle Midwifery Olympia HPLRP Only

Gentle Hands Midwifery Bellingham HPLRP Only

Greenbank Women's Clinic and Birth Center Limited Greenbank HPLRP Only

Laoch Midwifery PLLC Tacoma HPLRP Only

Maven Midwife - Buckley Buckley HPLRP Only

Natural Beginnings Midwifery Care Puyallup HPLRP Only

New Day Midwifery Olympia HPLRP Only

Salmonberry Birth Center Poulsbo HPLRP Only

Skagit Family Health Clinic Mount Vernon HPLRP Only

Wenatchee Midwife Service and Childbirth Center Wenatchee HPLRP Only

LICENSED MIDWIFE

CLINICAL PSYCHOLOGIST (Continued)

Page 18 of 39

SITE NAME CITY Eligibility

Adams Co. PHD - Ritzville Medical Clinic Ritzville HPLRP Only

Astria Health Center - Lincoln Ave Sunnyside HPLRP Only

Cascade Mental Health Care - Centralia Centralia HPLRP Only

Columbia Wellness - 14th Ave Clinic Longview HPLRP Only

Columbia Wellness - Child & Family Clinic Longview HPLRP Only

Community Health Care - Eastside/Milgard Clinic Tacoma HPLRP Only

Community Health Care - Hilltop Family Medical Center Tacoma HPLRP Only

DOC - Airway Heights Correction Center Airway Heights HPLRP Only

DOC - Clallam Bay Corrections Center Clallam Bay HPLRP Only

DOC - Coyote Ridge Corrections Center Connell HPLRP Only

DOC - Monroe Correctional Complex Snohomish HPLRP Only

DOC - Stafford Creek Corrections Center Grays Harbor HPLRP Only

DOC - Washington Corrections Center Shelton HPLRP Only

DOC - Washington Corrections Center for Women Pierce HPLRP Only

DOC - Washington State Penitentiary Walla Walla HPLRP Only

DSHS - Eastern State Hospital Spokane HPLRP Only

DSHS - Western State Hospital Pierce HPLRP Only

Franciscan Medical Clinic - Burien Burien HPLRP Only

Franciscan Medical Clinic - Canyon Road Puyallup HPLRP Only

Franciscan Medical Clinic - Enumclaw Enumclaw HPLRP Only

Franciscan Medical Clinic - Gravelly Lake Lakewood HPLRP Only

Franciscan Medical Clinic - Poulsbo Poulsbo HPLRP Only

Franciscan Medical Clinic - Spanaway Spanaway HPLRP Only

Franciscan Medical Clinic - St. Joseph Medical Office Building Tacoma HPLRP Only

Grant County Hospital District - Samaritan Clinic Moses Lake HPLRP Only

Kitsap Mental Health Services Bremerton HPLRP Only

Landmark Care Center Yakima HPLRP Only

Lummi Tribal Health Clinic Bellingham HPLRP Only

Moses Lake Community Health Center - Quincy Clinic Quincy HPLRP Only

Newport Community Hospital LTCU Newport HPLRP Only

Northwest Pediatric Center Chehalis HPLRP Only

Northwest Pediatric Center - Centralia Clinic Centralia HPLRP Only

Northwest Pediatric Center - Rochester Clinic Rochester HPLRP Only

LICENSED PRACTICAL NURSE

Page 19 of 39

SITE NAME CITY Eligibility

Pediatric Associates of Whidbey Island Oak Harbor HPLRP Only

Providence NEWMG - Garden Homes Clinic Colville HPLRP Only

Summit Pacific Medical Center - Elma Clinic Elma HPLRP Only

Summit Pacific Medical Center - Healthcare Clinic Elma HPLRP Only

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary HPLRP Only

Summitview Health Care Center Yakima HPLRP Only

Tri-State Memorial Hospital - Family Practice Clinic Clarkston HPLRP Only

Tri-State Memorial Hospital - Internal Medicine Clinic Clarkston HPLRP Only

Unity Care NW - Bellingham Unity Street Clinic Bellingham HPLRP Only

Unity Care NW - Ferndale Clinic Ferndale HPLRP Only

Whole Family Health Care Burien HPLRP Only

Yakima Neighborhood Health Services - Sunnyside Clinic Sunnyside HPLRP Only

SITE NAME CITY Eligibility

Evergreen Pediatrics Kirkland HPLRP Only

Family Health Centers - Brewster Clinic Brewster HPLRP Only

Family Health Centers - Brewster Indian Ave Medical Clinic Brewster HPLRP Only

Family Health Centers - Omak Medical Clinic Omak HPLRP Only

HealthPoint - Auburn Center Auburn HPLRP Only

HealthPoint - Bothell Center Kenmore HPLRP Only

HealthPoint - Federal Way Center Federal Way HPLRP Only

HealthPoint - Kent Center Kent HPLRP Only

HealthPoint - Midway Center Des Moines HPLRP Only

HealthPoint - Redmond Center Redmond HPLRP Only

HealthPoint - SeaTac Center SeaTac HPLRP Only

HealthPoint - Tukwila Center Tukwila HPLRP Only

Lower Elwha Klallam Tribe - Lower Elwha Health Clinic Port Angeles HPLRP Only

Makah Wellness Center Neah Bay HPLRP Only

NE WA Health Programs - Chewelah CHC Chewelah HPLRP Only

NW Olive Clinic LLC Vancouver HPLRP Only

Origins Natural Health and Midwifery Snohomish HPLRP Only

Summit Pacific Medical Center - Elma Clinic Elma HPLRP Only

Summit Pacific Medical Center - Healthcare Clinic Elma HPLRP Only

NATUROPATHIC PHYSICIAN

LICENSED PRACTICAL NURSE (Continued)

Page 20 of 39

SITE NAME CITY Eligibility

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary HPLRP Only

SITE NAME CITY Eligibility

Columbia Basin Health Association - Othello Clinic Othello Both

Community Health Association of Spokane - Cheney Health Center Cheney Both

Community Health Association of Spokane - Denny Murphy Clinic Spokane Both

Community Health Association of Spokane - Maple Street Clinic Spokane Both

Community Health Association of Spokane - Market Street Clinic Spokane Both

Community Health Association of Spokane - North County Clinic Spokane Both

Community Health Association of Spokane - Perry Street Clinic Spokane Both

Community Health Association of Spokane - Valley Clinic Spokane Both

Community Health Care - Hilltop Family Medical Center Tacoma Both

Community Health Care - Spanaway Clinic Spanaway Both

Community Health Center of Snohomish County - Arlington Clinic Arlington Both

Community Health Center of Snohomish County - Edmonds Clinic Edmonds Both

Community Health Center of Snohomish County - Everett North Clinic Everett Both

Community Health Center of Snohomish County - Everett South Clinic Everett Both

Community Health Center of Snohomish County - Lynnwood Clinic Lynnwood Both

Community Health of Central Washington - Ellensburg Clinic Ellensburg Both

Community Health of Central Washington - Central WA Family Medicine Yakima Both

Comprehensive Healthcare - Yakima Yakima Both

Country Doctor CHC - Country Doctor Community Clinic Seattle Both

DSHS - Eastern State Hospital Spokane Both

DSHS - Western State Hospital Pierce Both

Family Health Centers - Omak Medical Clinic Omak Both

Grant County Hospital District - Samaritan Hospital Moses Lake HPLRP Only

Grant County Public Hospital - Mattawa Community Medical Clinic Mattawa Both

HealthPoint - Auburn Center Auburn Both

HealthPoint - Auburn North Center Auburn Both

HealthPoint - Bothell Center Kenmore Both

HealthPoint - Kent Center Kent Both

HealthPoint - Midway Center Des Moines Both

HealthPoint - Redmond Center Redmond Both

NATUROPATHIC PHYSICIAN (Continued)

PHARMACIST

Page 21 of 39

SITE NAME CITY Eligibility

HealthPoint - SeaTac Center SeaTac Both

HealthPoint - Tukwila Center Tukwila Both

International Community Health Services - Holly Park Clinic Seattle Both

International Community Health Services - International District Seattle Both

International Community Health Services - Shoreline Clinic Shoreline Both

Kittitas Valley Healthcare Ellensburg Both

Kittitas Valley Healthcare - Cle Elum Cle Elum Both

Lake Roosevelt CHC - Inchelium Clinic Inchelium HPLRP Only

Lummi Tribal Health Clinic Bellingham Both

NATIVE Health Clinic of Spokane Spokane Both

NeighborCare Health - 45th Street Clinic Seattle Both

NeighborCare Health - Columbia City Clinic Seattle Both

NeighborCare Health - Meridian Clinic Seattle Both

NeighborCare Health - Pike Market Clinic Seattle Both

NeighborCare Health - Rainier Beach Clinic Seattle Both

Ocean Beach Hospital Illwaco HPLRP Only

Peninsula Community Health Services - Port Orchard Clinic Port Orchard Both

Peninsula Community Health Services - Poulsbo Clinic Poulsbo Both

Peninsula Community Health Services - Wheaton Clinic Bremerton Both

Peninsula Pharmacies Inc. - Long Beach Pharmacy Long Beach HPLRP Only

Puyallup Tribal Health Authority Tacoma Both

Sea Mar Community Health Center - Bellevue Medical Bellevue Both

Sea Mar Community Health Center - Concrete Concrete Both

Sea Mar Community Health Center - Des Moines Des Moines Both

Sea Mar Community Health Center - Everett Everett Both

Sea Mar Community Health Center - Mt. Vernon Mt Vernon Both

Sea Mar Community Health Center - Olympia Olympia Both

Sea Mar Community Health Center - Seattle Seattle Both

Sea Mar Community Health Center - Tacoma Tacoma Both

Sophie Trettevick Indian Health Center Neah Bay Both

Tri Cities Community Health - Richland 915 Goethals Dr Richland Both

Tri-Cities Community Health - Pasco Pasco Both

Unity Care NW - Bellingham Unity Street Clinic Bellingham Both

PHARMACIST (Continued)

Page 22 of 39

Valley View Health Center - Chehalis Chehalis Both

Yakama Indian Health Center Toppenish HPLRP Only

Yakima Neighborhood Health Services - Yakima Clinic Yakima Both

Yakima Valley Farm Workers Clinic - Toppenish Medical - Dental Clinic Toppenish Both

Yakima Valley Farm Workers Clinic - Unify CH - Mission Ave Spokane Both

Yakima Valley Farm Workers Clinic - Unify CH NE Community Center Spokane Both

Yakima Valley Farm Workers Clinic - Yakima Medical-Dental Clinic Yakima Both

SITE NAME CITY Eligibility

Adams Co. PHD - Ritzville Medical Clinic Ritzville Both

Adams Co. PHD - Ritzville Hospital Ritzville Both

Astria Health Center - Birch Street Grandview Both

Astria Health Center - Lincoln Ave Sunnyside Both

Astria Health Center - Grandview Grandview Both

Astria Health Center - Lower Valley OB/GYN Sunnyside Both

Astria Health Center - Pediatrics Sunnyside Both

Child and Adolescent Clinic Longview HPLRP Only

Child and Adolescent Clinic - Vancouver Vancouver HPLRP Only

Columbia Basin Health Association - Othello Clinic Othello Both

Columbia Basin Health Association - Wahluke Clinic Mattawa Both

Columbia Valley Community Health - Chelan Clinic Chelan Both

Columbia Valley Community Health - East Wenatchee Express Care Wenatchee Both

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee Both

Columbia Wellness - Child & Family Clinic Longview Both

Community Health Association of Spokane - Cheney Health Center Cheney Both

Community Health Association of Spokane - Denny Murphy Clinic Spokane Both

Community Health Association of Spokane - Maple Street Clinic Spokane Both

Community Health Association of Spokane - Market Street Clinic Spokane Both

Community Health Association of Spokane - North County Clinic Spokane Both

Community Health Association of Spokane - Perry Street Clinic Spokane Both

Community Health Association of Spokane - Valley Clinic Spokane Both

Community Health Care - Eastside/Milgard Clinic Tacoma Both

Community Health Care - Hilltop Family Medical Center Tacoma Both

Community Health Care - Lakewood Clinic Lakewood Both

Community Health Care - Parkland Behavioral Health Tacoma Both

PRIMARY CARE PHYSICIAN (DO or MD)

Page 23 of 39

SITE NAME CITY Eligibility

Community Health Center of Snohomish County - Arlington Clinic Arlington Both

Community Health Center of Snohomish County - Edmonds Clinic Edmonds Both

Community Health Center of Snohomish County - Everett North Clinic Everett Both

Community Health Center of Snohomish County - Everett South Clinic Everett Both

Community Health Center of Snohomish County - Lynnwood Clinic Lynnwood Both

Community Health of Central Washington - Ellensburg Clinic Ellensburg Both

Community Health of Central Washington - Central WA Family Medicine Yakima Both

Community Health of Central Washington - Highland Clinic Tieton Both

Community Health of Central Washington - Naches Medical Clinic Naches Both

Community Health of Central Washington - Yakima Pediatric Associates Yakima Both

Confluence Health - WVMG - Central Washington Family Physicians Wenatchee HPLRP Only

Confluence Health - WVMG - East Wenatchee Clinic East Wenatchee HPLRP Only

Confluence Health - WVMG - Mares Building Wenatchee HPLRP Only

Confluence Health - WVMG - Moses Lake Clinic Moses Lake HPLRP Only

Confluence Health - WVMG - Omak Clinic Omak HPLRP Only

Confluence Health - WVMG - Professional Building Wenatchee HPLRP Only

Confluence Health - WVMG - Winthrop Clinic Winthrop HPLRP Only

Confluence Health - WVMG Behavioral Medicine Wenatchee HPLRP Only

Confluence Health - WVMG Tonasket Family Medicine Tonasket HPLRP Only

Confluence Health - WVMG Wenatchee Pediatrics Wenatchee HPLRP Only

Coulee Family Medicine Grand Coulee Both

Country Doctor CHC - Carolyn Downs Family Medical Center Seattle HPLRP Only

Country Doctor CHC - Country Doctor Community Clinic Seattle Both

Deer Park Family Care Clinic Deer Park HPLRP Only

DOC - Airway Heights Correction Center Airway Heights Both

DOC - Clallam Bay Corrections Center Clallam Bay Both

DOC - Coyote Ridge Corrections Center Connell Both

DOC - Monroe Correctional Complex Snohomish Both

DOC - Stafford Creek Corrections Center Grays Harbor Both

DOC - Washington Corrections Center Shelton Both

DOC - Washington State Penitentiary Walla Walla Both

DSHS - Eastern State Hospital Spokane Both

Family Care Network, PLLC - Birch Bay Family Medicine Blaine HPLRP Only

PRIMARY CARE PHYSICIAN (DO or MD) (Continued)

Page 24 of 39

SITE NAME CITY Eligibility

Family Care Network, PLLC - Ferndale Family Medical Center Ferndale HPLRP Only

Family Care Network, PLLC - Lynden Family Medicine Lynden HPLRP Only

Family Health Centers - Brewster Clinic Brewster Both

Family Health Centers - Brewster Indian Ave Medical Clinic Brewster Both

Family Health Centers - Bridgeport Clinic Bridgeport Both

Family Health Centers - Newport Newport Both

Family Health Centers - Omak Medical Clinic Omak Both

Family Health Centers - Tonasket Clinic Tonasket Both

Family Health Centers - Twisp Clinic Twisp Both

Forks Community Hospital Forks Both

Forks Community Hospital - Bogachiel Clinic Forks Both

Forks Community Hospital - Clallam Bay Medical Clinic Clallam Bay Both

Franciscan Medical Clinic - Bainbridge Island Bainbridge Island HPLRP Only

Franciscan Medical Clinic - Bonney Lake Bonney Lake HPLRP Only

Franciscan Medical Clinic - Burien Burien HPLRP Only

Franciscan Medical Clinic - Canyon Road Puyallup HPLRP Only

Franciscan Medical Clinic - Enumclaw Enumclaw HPLRP Only

Franciscan Medical Clinic - Gig Harbor Gig Harbor HPLRP Only

Franciscan Medical Clinic - Gravelly Lake Lakewood HPLRP Only

Franciscan Medical Clinic - Lakewood Lakewood HPLRP Only

Franciscan Medical Clinic - Port Orchard Port Orchard HPLRP Only

Franciscan Medical Clinic - Poulsbo Poulsbo HPLRP Only

Franciscan Medical Clinic - Spanaway Spanaway HPLRP Only

Franciscan Medical Clinic - St. Joseph Medical Office Building Tacoma HPLRP Only

Grant County Hospital District - Samaritan Clinic Moses Lake HPLRP Only

Grays Harbor Community Hospital - HMG - Highland Pediatrics Aberdeen Both

Grays Harbor Community Hospital - HMG - Internal & Family Medicine Aberdeen Both

HealthPoint - Auburn Center Auburn Both

HealthPoint - Auburn North Center Auburn Both

HealthPoint - Bothell Center Kenmore Both

HealthPoint - Federal Way Center Federal Way Both

HealthPoint - Kent Center Kent Both

HealthPoint - Midway Center Des Moines Both

PRIMARY CARE PHYSICIAN (DO or MD) (Continued)

Page 25 of 39

SITE NAME CITY Eligibility

HealthPoint - Redmond Center Redmond Both

HealthPoint - Renton Center Renton Both

HealthPoint - SeaTac Center SeaTac Both

HealthPoint - Tukwila Center Tukwila Both

International Community Health Services - Holly Park Clinic Seattle Both

International Community Health Services - International District Seattle Both

International Community Health Services - Shoreline Clinic Shoreline Both

Jefferson Healthcare - Family Medicine Port Townsend Both

Jefferson Healthcare - Internal Medicine, Pediatrics & Primary Care Port Townsend Both

King County Public Health Department - Eastgate Public Health Center Bellevue Both

King County Public Health Department - Mobile Medical Van Seattle Both

Kittitas Valley Healthcare - Cle Elum Cle Elum Both

Kittitas Valley Healthcare - Internal Medicine Ellensburg Both

Kittitas Valley Healthcare - The Valley Clinic Ellensburg Both

Kittitas Valley Healthcare - Women's Health Ellensburg Both

Klickitat Valley Hospital - Family Medicine Clinic Goldendale Both

Lincoln Hospital District - North Basin Medical Clinic Davenport Both

Lummi Tribal Health Clinic Bellingham Both

Memorial Physicians, PLLC - Memorial Cornerstone Medicine Yakima HPLRP Only

Mid Valley Hospital - Medical Clinic Omak HPLRP Only

NATIVE Health Clinic of Spokane Spokane Both

NE WA Health Programs - Chewelah CHC Chewelah Both

NE WA Health Programs - Colville CHC Primary Care Clinic Colville Both

NeighborCare Health - 45th Street Clinic Seattle Both

NeighborCare Health - Ballard Clinic Ballard Both

NeighborCare Health - Columbia City Clinic Seattle Both

NeighborCare Health - High Point Clinic Seattle Both

NeighborCare Health - Lake City Medical Clinic Seattle Both

NeighborCare Health - Meridian Clinic Seattle Both

NeighborCare Health - Pike Market Clinic Seattle Both

NeighborCare Health - Rainier Beach Clinic Seattle Both

NeighborCare Health - Vashon Clinic Vashon Island Both

North Olympic Healthcare Network Port Angeles Both

PRIMARY CARE PHYSICIAN (DO or MD) (Continued)

Page 26 of 39

SITE NAME CITY Eligibility

NorthShore Medical Group - Stevenson Stevenson HPLRP Only

NorthShore Medical Group - White Salmon White Salmon HPLRP Only

Northwest Pediatric Center - Centralia Clinic Centralia HPLRP Only

Northwest Pediatric Center - Rochester Clinic Rochester HPLRP Only

Ocean Beach Hospital Illwaco HPLRP Only

Ocean Beach Hospital - Medical Clinic Illwaco HPLRP Only

Odessa Memorial Healthcare Center - Odessa Clinic Odessa Both

Palouse Medical Pullman HPLRP Only

Pediatric Associates of Whidbey Island Oak Harbor HPLRP Only

Prosser Public Hospital - PMH Family Medicine - Benton City Clinic Benton Both

Providence - Rochester Family Medicine Rochester Both

Providence NEWMG - Chewelah Clinic Chewelah Both

Providence NEWMG - Colville Clinic Colville Both

Providence NEWMG - Kettle Falls Clinic Kettle Falls Both

Palouse Medical - Pullman ReadyCare Pullman HPLRP Only

Puyallup Tribal Health Authority Tacoma Both

Sea Mar Community Health Center - Aberdeen Aberdeen Both

Sea Mar Community Health Center - Battle Ground Battle Ground Both

Sea Mar Community Health Center - Bellevue Medical Bellevue Both

Sea Mar Community Health Center - Bellingham Bellingham Both

Sea Mar Community Health Center - Burien Burien Both

Sea Mar Community Health Center - Concrete Concrete Both

Sea Mar Community Health Center - Des Moines Des Moines Both

Sea Mar Community Health Center - East Vancouver Vancouver Both

Sea Mar Community Health Center - Elma Medical Elma Both

Sea Mar Community Health Center - Everett Everett Both

Sea Mar Community Health Center - Everson Everson Both

Sea Mar Community Health Center - Kent Kent Both

Sea Mar Community Health Center - Lacey Lacey Both

Sea Mar Community Health Center - Marysville Marysville Both

Sea Mar Community Health Center - Monroe Monroe Both

Sea Mar Community Health Center - Mt. Vernon Mt Vernon BothSea Mar Community Health Center - Ocean Shores Ocean Shores Both

PRIMARY CARE PHYSICIAN (DO or MD) (Continued)

Page 27 of 39

SITE NAME CITY Eligibility

Sea Mar Community Health Center - Olympia Olympia Both

Sea Mar Community Health Center - Puyallup Puyallup Both

Sea Mar Community Health Center - Salmon Creek Vancouver Both

Sea Mar Community Health Center - Seattle Seattle Both

Sea Mar Community Health Center - Skagit Valley OBGYN Mt. Vernon Both

Sea Mar Community Health Center - Tacoma Tacoma Both

Sea Mar Community Health Center - Tillicum Medical Lakewood Both

Sea Mar Community Health Center - Vancouver Fourth Plain Medical Vancouver Both

Sea Mar Community Health Center - Vancouver Medical (Delaware) Vancouver Both

Sea Mar Community Health Center - White Center Seattle Both

Sea Mar Community Health Center - Yelm Yelm Both

Summit Pacific Medical Center - Elma Clinic Elma Both

Summit Pacific Medical Center - Healthcare Clinic Elma Both

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary Both

Swofford & Halma Clinic Sunnyside HPLRP Only

Tri-Cities Community Health - Kennewick Kennewick Both

Tri-Cities Community Health - Pasco Pasco Both

Tri-Cities Community Health - Richland Medical Clinic Richland Both

Tri-State Memorial Hospital - Family Practice Clinic Clarkston Both

Tri-State Memorial Hospital - Internal Medicine Clinic/Primary Care Clarkston Both

Unity Care NW - Bellingham Unity Street Clinic Bellingham Both

Valley Cities Counseling and Consultation - Auburn Auburn HPLRP Only

Valley Cities Counseling and Consultation - Enumclaw Enumclaw HPLRP Only

Valley Cities Counseling and Consultation - Federal Way Federal Way HPLRP Only

Valley Cities Counseling and Consultation - Kent Kent HPLRP Only

Valley Cities Counseling and Consultation - Meridian Center - Northgate Seattle HPLRP Only

Valley Cities Counseling and Consultation - Midway Des Moines HPLRP Only

Valley Cities Counseling and Consultation - Renton Renton HPLRP Only

Valley View Health Center - Raymond Raymond Both

Whidbey Health Medical Center - Whidbey Health Primary Care - Clinton Clinton Both

Whidbey Health Medical Center - Whidbey Health Primary Care - Goldie Oak Harbor Both

Yakama Indian Health Center Toppenish HPLRP Only

Yakima Valley Farm Workers Clinic - Family Medical Center - Walla Walla Walla Walla Both

PRIMARY CARE PHYSICIAN (DO or MD) (Continued)

Page 28 of 39

SITE NAME CITY Eligibility

Yakima Valley Farm Workers Clinic - Grandview Medical-Dental Clinic Grandview Both

Yakima Valley Farm Workers Clinic - Lincoln Avenue Center Yakima Both

Yakima Valley Farm Workers Clinic - Miramar Health Center Pasco Both

Yakima Valley Farm Workers Clinic - Toppenish Medical - Dental Clinic Toppenish Both

Yakima Valley Farm Workers Clinic - Unify CH - Mission Ave Spokane Both

Yakima Valley Farm Workers Clinic - Unify CH - West Central CC Spokane Both

Yakima Valley Farm Workers Clinic - Unify CH NE Community Center Spokane Both

Yakima Valley Farm Workers Clinic - Valley Vista Medical Group Prosser Both

Yakima Valley Farm Workers Clinic - Wapato - Mid Valley Family Medicine Wapato Both

Yakima Valley Farm Workers Clinic - Yakima Medical-Dental Clinic Yakima Both

SITE NAME CITY Eligibility

Cascade Mental Health Care - Centralia Centralia Both

Columbia Basin Health Association - Connell Clinic Connell Both

Columbia Valley Community Health - Wenatchee Easy St Behavioral Health Wenatchee Both

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee Both

Columbia Wellness - 14th Ave Clinic Longview Both

Columbia Wellness - Child & Family Clinic Longview Both

Community Health Association of Spokane - Denny Murphy Clinic Spokane Both

Community Health Association of Spokane - North County Clinic Spokane Both

Community Health Association of Spokane - Perry Street Clinic Spokane Both

Community Health Association of Spokane - Valley Clinic Spokane Both

Community Health of Central Washington - Central WA Family Medicine Yakima Both

Comprehensive Healthcare - Ellensburg - Pearl Street - Suite K Ellensburg Both

Comprehensive Healthcare - Goldendale Goldendale Both

Comprehensive Healthcare - Pasco Pasco Both

Comprehensive Healthcare - Walla Walla Walla Walla Both

Comprehensive Healthcare - White Salmon White Salmon Both

Comprehensive Healthcare - Yakima Yakima Both

Comprehensive Healthcare -Sunnyside Sunnyside Both

Confluence Health - East Wenatchee Clinic East Wenatchee HPLRP Only

Cowlitz Family Health Center - Longview Clinic Longview Both

DOC - Coyote Ridge Corrections Center Connell Both

PSYCHIATRIC APC (NP or PA)

PRIMARY CARE PHYSICIAN (DO or MD) (Continued)

Page 29 of 39

SITE NAME CITY Eligibility

DOC - Mission Creek Corrections Center for Women Mason HPLRP Only

DOC - Monroe Correctional Complex Snohomish Both

DOC - Washington Corrections Center Shelton Both

DOC - Washington Corrections Center for Women Pierce Both

DOC - Washington State Penitentiary Walla Walla Both

Kitsap Mental Health Services Bremerton Both

Kittitas Valley Healthcare - Cle Elum Cle Elum Both

Kittitas Valley Healthcare - The Valley Clinic Ellensburg Both

Lummi Tribal Health Clinic Bellingham Both

NorthShore Medical Group - Stevenson Stevenson HPLRP Only

NorthShore Medical Group - White Salmon White Salmon HPLRP Only

Peninsula Behavioral Health - Pt. Angeles Pt. Angeles Both

Peninsula Behavioral Health - Sequim Sequim Both

Peninsula Community Health Services - 6th Street Clinic Bremerton Both

Peninsula Community Health Services - Port Orchard Clinic Port Orchard Both

Peninsula Community Health Services - Wheaton Clinic Bremerton Both

Sea Mar Community Health Center - Bellevue Bellevue Both

Sea Mar Community Health Center - Bellevue Child & Family Services Bellevue Both

Sea Mar Community Health Center - Bellingham Behavioral Health Bellingham Both

Sea Mar Community Health Center - Des Moines Des Moines Both

Sea Mar Community Health Center - Everett Everett Both

Sea Mar Community Health Center - Everett Behavioral Health (Claremont) Everett Both

Sea Mar Community Health Center - Gig Harbor Gig Harbor Both

Sea Mar Community Health Center - Kent Behavioral Health Kent HPLRP Only

Sea Mar Community Health Center - Lynnwood Behavioral Health Lynnwood Both

Sea Mar Community Health Center - Mt. Vernon Behavioral Health Mt. Vernon Both

Sea Mar Community Health Center - Salmon Creek Vancouver Both

Sea Mar Community Health Center - Seattle Behavioral Health Seattle Both

Sea Mar Community Health Center - Tacoma Outpatient Tacoma Both

Sea Mar Community Health Center - Vancouver 65th Behavioral Health Vancouver Both

Sea Mar Community Health Center - Vancouver Behavioral Health - 109th Court Vancouver Both

Summit Pacific Medical Center - Elma Clinic Elma Both

Summit Pacific Medical Center - Healthcare Clinic Elma Both

PSYCHIATRIC APC (NP or PA) (Continued)

Page 30 of 39

SITE NAME CITY Eligibility

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary Both

Valley Cities Counseling and Consultation - Enumclaw Enumclaw HPLRP Only

Valley Cities Counseling and Consultation - Kent Kent HPLRP Only

Valley Cities Counseling and Consultation - Meridian Center - Northgate Seattle HPLRP Only

Valley Cities Counseling and Consultation - Midway Des Moines HPLRP Only

Valley Cities Counseling and Consultation - Rainier Beach Seattle HPLRP Only

SITE NAME CITY Eligibility

Cascade Mental Health Care - Centralia Centralia Both

Columbia Wellness - 14th Ave Clinic Longview Both

Columbia Wellness - Child & Family Clinic Longview Both

Community Health Association of Spokane - Valley Clinic Spokane Both

Comprehensive Healthcare - Ellensburg - Pearl Street - Suite K Ellensburg Both

Comprehensive Healthcare - Goldendale Goldendale Both

Comprehensive Healthcare - Walla Walla Walla Walla Both

Comprehensive Healthcare - White Salmon White Salmon Both

Comprehensive Healthcare - Yakima Yakima Both

Comprehensive Healthcare -Sunnyside Sunnyside Both

DOC - Stafford Creek Corrections Center Grays Harbor Both

DOC - Washington Corrections Center Shelton Both

DOC - Washington Corrections Center for Women Pierce Both

DOC - Washington State Penitentiary Walla Walla Both

DSHS - Eastern State Hospital Spokane Both

Kitsap Mental Health Services Bremerton Both

Northwest Pediatric Center - Centralia Clinic Centralia HPLRP Only

Peninsula Behavioral Health - Pt. Angeles Pt. Angeles Both

Sea Mar Community Health Center - Aberdeen Aberdeen Both

Sea Mar Community Health Center - Bellevue Bellevue Both

Sea Mar Community Health Center - Gig Harbor Gig Harbor Both

Sea Mar Community Health Center - Mt. Vernon Behavioral Health Mt. Vernon Both

Sea Mar Community Health Center - Oak Harbor Behavioral Health Oak Harbor Both

Sea Mar Community Health Center - Puyallup Behavioral Health Puyallup Both

PSYCHIATRIST (MD or DO)

PSYCHIATRIC APC (NP or PA) (Continued)

Page 31 of 39

SITE NAME CITY Eligibility

Sea Mar Community Health Center - Salmon Creek Vancouver Both

Sea Mar Community Health Center - Tacoma Outpatient Tacoma Both

Sea Mar Community Health Center - Tumwater Behavioral Health Tumwater Both

Sea Mar Community Health Center - Vancouver 65th Behavioral Health Vancouver Both

Sea Mar Community Health Center - Vancouver Behavioral Health - 109th Court Vancouver Both

Summit Pacific Medical Center - Elma Clinic Elma Both

Summit Pacific Medical Center - Healthcare Clinic Elma Both

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary Both

Yakima Valley Farm Workers Clinic - BHS - Yakima Yakima Both

SITE NAME CITY Eligibility

Columbia Basin Health Association - Othello Clinic Othello Both

Columbia Valley Community Health - Chelan Clinic Chelan Both

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee Both

Community Health Association of Spokane - Cheney Health Center Cheney Both

Community Health Association of Spokane - Denny Murphy Clinic Spokane Both

Community Health Association of Spokane - Lewis and Clark Dental Clinic Clarkston Both

Community Health Association of Spokane - Maple Street Clinic Spokane Both

Community Health Association of Spokane - North County Clinic Spokane Both

Community Health Care - Eastside/Milgard Clinic Tacoma Both

Community Health Care - Hilltop Family Medical Center Tacoma Both

Community Health Care - Lakewood Clinic Lakewood Both

Community Health Care - Spanaway Clinic Spanaway Both

Community Health Center of Snohomish County - Edmonds Clinic Edmonds Both

Community Health Center of Snohomish County - Everett North Clinic Everett Both

Community Health Center of Snohomish County - Everett South Clinic Everett Both

Community Health Center of Snohomish County - Lynnwood Clinic Lynnwood Both

Community Health of Central Washington - Ellensburg Dental Care Ellensburg Both

DOC - Airway Heights Correction Center Airway Heights Both

DOC - Clallam Bay Corrections Center Clallam Bay Both

DOC - Coyote Ridge Corrections Center Connell HPLRP Only

DOC - Monroe Correctional Complex Snohomish HPLRP Only

PSYCHIATRIST (MD or DO) (Continued)

REGISTERED DENTAL HYGIENIST

Page 32 of 39

SITE NAME CITY Eligibility

DOC - Stafford Creek Corrections Center Grays Harbor Both

DOC - Washington State Penitentiary Walla Walla Both

Family Health Centers - Brewster Clinic Brewster Both

Family Health Centers - Bridgeport Clinic Bridgeport Both

Family Health Centers - Okanogan Dental Clinic Okanogan Both

Family Health Centers - Oroville Dental Clinic Oroville Both

HealthPoint - Auburn Center Auburn Both

HealthPoint - Bothell Center Kenmore Both

HealthPoint - Kent Center Kent Both

HealthPoint - Midway Center Des Moines Both

HealthPoint - Tukwila Center Tukwila Both

International Community Health Services - International District Seattle Both

International Community Health Services - Shoreline Clinic Shoreline Both

Lindquist Dental Clinic for Children - Bremerton Bremerton HPLRP Only

Lindquist Dental Clinic for Children - Gig Harbor Gig Harbor HPLRP Only

Lindquist Dental Clinic for Children - Parkland Tacoma HPLRP Only

Lindquist Dental Clinic for Children - South Tacoma Tacoma HPLRP Only

Lummi Tribal Health Clinic Bellingham Both

NE WA Health Programs - Colville Community Dental Clinic Colville Both

NE WA Health Programs - Lake Spokane CHC Nine Mile Falls Both

NE WA Health Programs - Springdale Community Dental Clinic Springdale Both

NeighborCare Health - 45th Street Clinic Seattle Both

NeighborCare Health - Central Area Dental Clinic Seattle Both

NeighborCare Health - Georgetown Dental Clinic Seattle Both

NeighborCare Health - High Point Clinic Seattle Both

NeighborCare Health - Meridian Clinic Seattle Both

NeighborCare Health - Pacific Tower Dental Seattle Both

NeighborCare Health - Rainier Beach Clinic Seattle Both

Peninsula Community Health Services - 6th Street Clinic Bremerton Both

Peninsula Community health Services - Almira Clinic Bremerton Both

Sea Mar Community Health Center - Aberdeen Aberdeen Both

Sea Mar Community Health Center - Bellevue Medical Bellevue Both

Sea Mar Community Health Center - Bellingham Bellingham Both

REGISTERED DENTAL HYGIENIST (Continued)

Page 33 of 39

SITE NAME CITY Eligibility

Sea Mar Community Health Center - Burien - PSSC/OSC Dental Burien Both

Sea Mar Community Health Center - Des Moines Des Moines Both

Sea Mar Community Health Center - East Vancouver Vancouver Both

Sea Mar Community Health Center - Everett Everett Both

Sea Mar Community Health Center - Lacey Lacey Both

Sea Mar Community Health Center - Marysville Dental Marysville Both

Sea Mar Community Health Center - Monroe Monroe Both

Sea Mar Community Health Center - Mt. Vernon Mt Vernon Both

Sea Mar Community Health Center - Oak Harbor Dental Oak Harbor Both

Sea Mar Community Health Center - Ocean Shores Ocean Shores Both

Sea Mar Community Health Center - Pt Angeles Dental Pt Angeles Both

Sea Mar Community Health Center - Puyallup Puyallup Both

Sea Mar Community Health Center - Seattle Dental Seattle Both

Sea Mar Community Health Center - Tacoma Tacoma Both

Sea Mar Community Health Center - Tacoma Dental (11th Street) Tacoma Both

Sea Mar Community Health Center - Tumwater Dental Tumwater Both

Sea Mar Community Health Center - Vancouver Dental Vancouver Both

Sea Mar Community Health Center - Yelm Yelm Both

Sophie Trettevick Indian Health Center Neah Bay Both

Unity Care NW - Bellingham Cornwall Street Clinic Bellingham Both

Yakima Neighborhood Health Services - Granger Dental Clinic Granger Both

Yakima Valley Farm Workers Clinic - Toppenish Medical - Dental Clinic Toppenish Both

Yakima Valley Farm Workers Clinic - Yakima Medical-Dental Clinic Yakima Both

Yakima Valley Farm Workers Clinic - YV Tech Dental Yakima Both

SITE NAME CITY Eligibility

Adams Co. PHD - Ritzville Medical Clinic Ritzville Both

Adams Co. PHD - Ritzville Hospital Ritzville Both

Cascade Mental Health Care - Centralia Centralia Both

Columbia Basin Health Association - Connell Clinic Connell Both

Columbia Basin Health Association - Othello Clinic Othello Both

Columbia Basin Health Association - Wahluke Clinic Mattawa Both

Columbia Valley Community Health - Wenatchee Orondo Ave Clinic Wenatchee Both

REGISTERED DENTAL HYGIENIST (Continued)

REGISTERED NURSE

Page 34 of 39

SITE NAME CITY Eligibility

Columbia Wellness - 14th Ave Clinic Longview Both

Columbia Wellness - Child & Family Clinic Longview Both

Community Health Association of Spokane - Maple Street Clinic Spokane Both

Community Health Association of Spokane - North County Clinic Spokane Both

Community Health Association of Spokane - Perry Street Clinic Spokane Both

Community Health Care - Eastside/Milgard Clinic Tacoma Both

Community Health Care - Hilltop Family Medical Center Tacoma Both

Community Health Care - Parkland Behavioral Health Tacoma Both

Community Health Center of Snohomish County - Edmonds Clinic Edmonds Both

Community Health Center of Snohomish County - Everett North Clinic Everett Both

Community Health Center of Snohomish County - Everett South Clinic Everett Both

Community Health of Central Washington - Ellensburg Clinic Ellensburg Both

Community Health of Central Washington - Central WA Family Medicine Yakima Both

Community Health of Central Washington - Highland Clinic Tieton Both

Community Health of Central Washington - Yakima Pediatric Associates Yakima Both

Community Services Northwest - Fourth Plain Blvd Vancouver Both

Community Services Northwest - Town Plaza Vancouver Both

Comprehensive Healthcare - Ellensburg - Pearl Street - Suite K Ellensburg Both

Comprehensive Healthcare - Goldendale Goldendale Both

Comprehensive Healthcare - Walla Walla Walla Walla Both

Comprehensive Healthcare - White Salmon White Salmon Both

Comprehensive Healthcare - Yakima Yakima Both

Comprehensive Healthcare -Sunnyside Sunnyside Both

Coulee Medical Center Grand Coulee Both

Country Doctor CHC - Carolyn Downs Family Medical Center Seattle HPLRP Only

Country Doctor CHC - Country Doctor Community Clinic Seattle Both

Cowlitz Family Health Center - 14th Ave Clinic Longview Both

Cowlitz Family Health Center - Kelso Medical Kelso Both

Cowlitz Family Health Center - Longview Clinic Longview Both

Cowlitz Family Health Center - Woodland Clinic Woodland Both

DOC - Airway Heights Correction Center Airway Heights Both

DOC - Cedar Creek Corrections Center Littlerock HPLRP Only

DOC - Clallam Bay Corrections Center Clallam Bay Both

REGISTERED NURSE (Continued)

Page 35 of 39

SITE NAME CITY Eligibility

DOC - Coyote Ridge Corrections Center Connell Both

DOC - Larch Corrections Center Yacolt HPLRP Only

DOC - Mission Creek Corrections Center for Women Mason HPLRP Only

DOC - Monroe Correctional Complex Snohomish Both

DOC - Olympic Corrections Center Clallam HPLRP Only

DOC - Stafford Creek Corrections Center Grays Harbor Both

DOC - Washington Corrections Center Shelton Both

DOC - Washington Corrections Center for Women Pierce Both

DOC - Washington State Penitentiary Walla Walla Both

DSHS - Eastern State Hospital Spokane Both

DSHS - Western State Hospital Pierce Both

Family Health Centers - Brewster Clinic Brewster Both

Family Health Centers - Brewster Indian Ave Medical Clinic Brewster Both

Family Health Centers - Bridgeport Clinic Bridgeport Both

Family Health Centers - Omak Medical Clinic Omak Both

Family Health Centers - Tonasket Clinic Tonasket Both

Family Health Centers - Twisp Clinic Twisp Both

Ferry County Memorial Hospital Republic HPLRP Only

Franciscan Medical Clinic - Bainbridge Island Bainbridge Island HPLRP Only

Franciscan Medical Clinic - Canyon Road Puyallup HPLRP Only

Franciscan Medical Clinic - Enumclaw Enumclaw HPLRP Only

Franciscan Medical Clinic - Port Orchard Port Orchard HPLRP Only

Franciscan Medical Clinic - Poulsbo Poulsbo HPLRP Only

Franciscan Medical Clinic - St. Joseph Medical Office Building Tacoma HPLRP Only

Grant County Hospital District - Samaritan Clinic Moses Lake HPLRP Only

Grant County Hospital District - Samaritan Hospital Moses Lake HPLRP Only

HealthPoint - Auburn Center Auburn Both

HealthPoint - Auburn North Center Auburn Both

HealthPoint - Bothell Center Kenmore Both

HealthPoint - Federal Way Center Federal Way Both

HealthPoint - Kent Center Kent Both

HealthPoint - Midway Center Des Moines Both

HealthPoint - Redmond Center Redmond Both

REGISTERED NURSE (Continued)

Page 36 of 39

SITE NAME CITY Eligibility

HealthPoint - SeaTac Center SeaTac Both

HealthPoint - Tukwila Center Tukwila Both

International Community Health Services - Bellevue Clinic Bellevue Both

International Community Health Services - Holly Park Clinic Seattle Both

International Community Health Services - International District Seattle Both

International Community Health Services - Shoreline Clinic Shoreline Both

Jefferson Healthcare - Hospital Port Townsend Both

King County Public Health Department - Downtown Health Center Seattle Both

King County Public Health Department - Eastgate Public Health Center Bellevue Both

King County Public Health Department - Mobile Medical Van Seattle Both

Kitsap Mental Health Services Bremerton Both

Kittitas Valley Healthcare - Cle Elum Cle Elum Both

Kittitas Valley Healthcare - Women's Health Ellensburg Both

Lake Chelan Community Hospital Chelan Both

Landmark Care Center Yakima HPLRP Only

Lincoln Hospital Davenport Both

Lummi Tribal Health Clinic Bellingham Both

Mid Valley Hospital - Medical Clinic Omak HPLRP Only

Moses Lake Community Health Center - Moses Lake Clinic Moses Lake Both

NE WA Health Programs - Chewelah CHC Chewelah Both

NE WA Health Programs - Colville CHC Primary Care Clinic Colville Both

NE WA Health Programs - Lake Spokane CHC Nine Mile Falls Both

NE WA Health Programs - Loon Lake CHC Loon Lake Both

NE WA Health Programs - Selkirk CHC Ione Both

NE WA Health Programs - Springdale CHC Springdale Both

NeighborCare Health - 45th Street Clinic Seattle Both

NeighborCare Health - Ballard Clinic Ballard Both

NeighborCare Health - Columbia City Clinic Seattle Both

NeighborCare Health - High Point Clinic Seattle Both

NeighborCare Health - Lake City Medical Clinic Seattle Both

NeighborCare Health - Meridian Clinic Seattle Both

NeighborCare Health - Pike Market Clinic Seattle Both

NeighborCare Health - Rainier Beach Clinic Seattle Both

REGISTERED NURSE (Continued)

Page 37 of 39

SITE NAME CITY Eligibility

NeighborCare Health - Vashon Clinic Vashon Island Both

Newport Community Hospital Newport HPLRP Only

Newport Community Hospital LTCU Newport HPLRP Only

Northwest Pediatric Center - Centralia Clinic Centralia HPLRP Only

Northwest Pediatric Center - Rochester Clinic Rochester HPLRP Only

Odessa Memorial Healthcare Center Odessa Both

Pediatric Associates of Whidbey Island Oak Harbor HPLRP Only

Providence NEWMG - Chewelah Clinic Chewelah Both

Providence NEWMG - Colville Clinic Colville Both

Providence NEWMG - Garden Homes Clinic Colville Both

Puyallup Tribal Health Authority Tacoma Both

Sea Mar Community Health Center - Everson Everson Both

Sea Mar Community Health Center - Mt. Vernon Mt Vernon Both

Sophie Trettevick Indian Health Center Neah Bay Both

Summit Pacific Medical Center - Elma Clinic Elma Both

Summit Pacific Medical Center - Healthcare Clinic Elma Both

Summit Pacific Medical Center - McCleary Healthcare Clinic McCleary Both

Tri-State Memorial Hospital - Family Practice Clinic Clarkston Both

Tri-State Memorial Hospital - Internal Medicine/Primary Care Clinic Clarkston Both

Unity Care NW - Bellingham Cornwall Street Clinic Bellingham Both

Unity Care NW - Bellingham Unity Street Clinic Bellingham Both

Valley Cities Counseling and Consultation - Meridian Center - Northgate Seattle HPLRP Only

Valley View Health Center - Centralia Centralia Both

Valley View Health Center - Centralia Pediatric Clinic Centralia Both

Valley View Health Center - Chehalis Chehalis Both

Valley View Health Center - Olympia Olympia Both

Whole Family Health Care Burien HPLRP Only

Yakama Indian Health Center Toppenish HPLRP Only

Yakima Neighborhood Health Services - Sunnyside Clinic Sunnyside Both

Yakima Neighborhood Health Services - Yakima Clinic Yakima Both

Yakima Valley Farm Workers Clinic - Children's Village Yakima Both

Yakima Valley Farm Workers Clinic - Family Medical Center - Walla Walla Walla Walla Both

Yakima Valley Farm Workers Clinic - Grandview Medical-Dental Clinic Grandview Both

REGISTERED NURSE (Continued)

Page 38 of 39

SITE NAME CITY Eligibility

Yakima Valley Farm Workers Clinic - Lincoln Avenue Center Yakima Both

Yakima Valley Farm Workers Clinic - Miramar Health Center Pasco Both

Yakima Valley Farm Workers Clinic - Mobile Medical and Dental Services Wapato Both

Yakima Valley Farm Workers Clinic - Mountainview Women's Health Grandview Both

Yakima Valley Farm Workers Clinic - Toppenish Medical - Dental Clinic Toppenish Both

Yakima Valley Farm Workers Clinic - Unify CH - Mission Ave Spokane Both

Yakima Valley Farm Workers Clinic - Unify CH NE Community Center Spokane Both

Yakima Valley Farm Workers Clinic - Valley Vista Medical Group Prosser Both

Yakima Valley Farm Workers Clinic - Wapato - Mid Valley Family Medicine Wapato Both

Yakima Valley Farm Workers Clinic - Yakima Medical-Dental Clinic Yakima Both

REGISTERED NURSE (Continued)

Page 39 of 39