Individual provider · Type 1 NPI

Shelley Ann Dodge

Licensed Practical Nurse · Chehalis, WA

NPI number 1114876430 Active

Practice location

500 SE Washington Ave
Chehalis, WA 98532-3058

Call (360) 623-5580 Map

Mailing address

15404 E Springfield Ave
Spokane Valley, WA 99037-8569

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP00018169 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114876430

Shelley Ann Dodge's National Provider Identifier is 1114876430, issued on Jan 28, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chehalis, WA. The record was last updated on Jan 28, 2026.