Individual
SHELLEY ANN DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 SE WASHINGTON AVE, CHEHALIS, WA 98532-3058
(360) 623-5580
Mailing address
15404 E SPRINGFIELD AVE, SPOKANE VALLEY, WA 99037-8569
(360) 266-5029
(360) 304-9531
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00018169
WA
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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