MEDICARE: EMILEE MOREHOUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	584963C	WA

General Provider Information

NPI Number	:	1982489662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILEE MOREHOUSE

Provider Business Mailing Address
First Line	:	475 SCHAFFRAN RD
Second Line	:
City	:	CASTLE ROCK
State	:	WA
Zip	:	98611-9768
Country	:	US
Telephone Number	:	360-355-0294
Fax Number	:

Provider Business Practice Location Address
First Line	:	2210 OLYMPIA WAY
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-4505
Country	:	US
Telephone Number	:	360-501-8707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2023
Last Update Date	:	08/30/2023

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Directions to “ EMILEE MOREHOUSE ” Practice Location

Language	Start Address	Practice Location

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